Pelvic Congestion Syndrome
Chronic pelvic pain, especially after childbirth
What is Pelvic Congestion Syndrome?
This condition is thought to be caused by varicose veins in the ovaries, uterus, or other pelvic area. It causes lower-back or lower-abdominal pain, sometimes only on one side, and pain during or after intercourse. It may start after a first pregnancy and worsen with subsequent pregnancies.
The condition often goes undetected during a pelvic exam because the affected veins tend to deflate when lying down. We can use a venous ultrasound to find varicose veins hidden anywhere in the body, and we’re able to quickly determine if this is the cause of pain.
Symptoms of Pelvic Congestion Syndrome
Lower back or abdominal pain:
- During your period
- After sex
- During pregnancy
- When tired or standing up
Some women also experience:
- Varicose veins on vulva or buttocks
- Irritable bladder and bowels
- Abnormally heavy periods
Advanced Treatment Options

Let’s Find the Cause of Your Pelvic Pain, so You Can Enjoy Life Again
If your pain has gone undiagnosed or dismissed, come see us. With our specialized technology, we may be able to find the cause, and bring you relief.
Get Treated Sooner
Because we’re highly specialized, with seven treatment locations in the St. Louis area, we’re able to schedule your exam and treatment much sooner than other facilities. Call us at 314-849-0923 or complete this contact form to get started.
Schedule a Consultation
What To Expect
Consultation
When you arrive, you’ll complete a new patient form, which will ask you to list all your current medications. Wear or bring a pair of loose-fitting shorts for the exam, or we can provide a pair. Then we’ll take your vital signs, and may do an ultrasound. Dr. Krikorian will discuss your symptoms in depth and explain what treatment options are available.
Procedures
We may recommend ovarian or hypogastric vein embolization, which is injecting a medication into the affected vein to close it off. Learn more about ovarian or hypogastric vein embolization.
Recovery
Depending on the procedure, you may need to take a blood thinner for a short period of time. There are minimal restrictions after our procedures, and we encourage movement, including walking. You can expect 4-6 weeks of recovery before you receive the full benefits of the procedure.





Pelvic Congestion Syndrome FAQ
- Two or more pregnancies
- A tipped or retroverted uterus
- Polycystic Ovary Syndrome
- Hormonal abnormalities
Yes, treatment is covered by most insurance. We will verify coverage before starting any procedure.
It’s normal to feel some discomfort, but if you have pain, please let us know.
This is possible if there is re-narrowing of the area where previous stents were placed.
There are currently no preventative measures.