Fun Fanny Fact Friday - Pelvic Congestion Syndrome (PCS)

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It’s Fun Fanny Fact Friday – and I don’t know what’s more shocking… the fact I’ve got another wild fanny fact for you, or that it’s bloody Friday again already.

So, ladies… have you ever heard of Pelvic Congestion Syndrome (PCS)?

Think varicose veins, but in your vagina/pelvis. Yep, your pelvic veins can swell, twist, and totally rebel, leaving you with a heavy, achy pain that feels like you’ve got a brick wedged in your uterus.

🔎 What it feels like:

• A constant dull ache (worse as the day goes on).
• Sometimes sharp or intense (often worse on the left).
• Pain that ramps up:
   • Before/during your period
   • During or after sex (that’s if anyone’s still doing that in their 40s )
   • After standing, sitting too long… or walking (PCS said: “just lie down, queen”).
• Can radiate into your legs or lower back.
• Horse riding & weight lifting? 

Why it happens:

Blood is supposed to flow nicely through your veins. In PCS, the valves don’t work properly → blood flows backwards → veins get engorged & twisty. Estrogen and pregnancy changes? Big culprits.

How it’s diagnosed

• Ultrasound
• MRI / CT scan
• Venogram (fancy X-ray with dye to check blood flow)

 Treatment options:

• Lifestyle tweaks: avoid long sitting/standing, compression stockings, gentle exercise.
• Medications: hormonal therapy may help.
• Minimally invasive: vein embolization (tiny plug in the leaky vein so blood stops pooling).
• Surgery (rare, but an option).

Takeaway:

If you’ve had chronic pelvic pain that’s NOT linked to periods or pregnancy — don’t brush it off. Ask your doctor about PCS. You’re not crazy, babe… it’s literally your pelvic veins causing the drama.

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