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Pelvic Congestion Syndrome

What if your genitals were extremely swollen?
What if you noticed significant pain at your genitals or lower abdomen?
What if sex was painful?
All of these could be caused by pelvic congestion syndrome. While it’s not the only reason for these particular symptoms it is a problem that some may suffer with, both male and female.

Pelvic congestion syndrome is a condition characterized by chronic pain in the pelvic region in women. It is caused by dilated veins in the pelvis, which can lead to the formation of varicose veins in the ovaries and surrounding areas. This can be caused by a number of factors, including hormonal changes in the body (such as during pregnancy), structural abnormalities in the veins, chronic constipation or straining during bowel movements as well as restrictions in blow flow due to scar tissue formation. Scar tissue and adhesions between the tissues and organs can be caused by trauma, surgery or even infection are bands of fibrous tissue that form between organs and tissues.

Symptoms may include dull or aching pain in the lower abdomen or pelvis, painful intercourse, and fatigue. The condition is typically treated with medication to manage pain, and embolization of the affected veins to reduce the blood flow. In some cases, surgery may be necessary.

Pelvic floor therapy can be beneficial for treating pelvic congestion syndrome in several ways including addressing muscle tone, improving blood flow and improving pain. Many individuals with pelvic congestion syndrome may have pain with urination and bowel movements and pelvic floor therapy can also improve bowel and bladder function alleviate pain and discomfort caused by the condition. One of the many tools that we as pelvic floor physical therapists utilize is a technique called visceral mobilization. This is a manual technique that is utilized to restore mobility and blood flow to the pelvic organs as well as address any adhesions or restrictions that may be occluding blood flow within the pelvic region through improvement of blood and lymphatic fluids. 

As with any issue, please ensure that any concerns you may have are addressed by a medical professional. Please consult your physician (gynecologist) and a pelvic floor therapist regarding your specific symptoms or concerns. Pelvic pain and genital swelling are never normal. Nor is painful urination, bowel movements or sex. If you or someone you know are dealing with these symptoms please seek guidance.

Schedule a consult with our office via our website at or 770-790-1460. 


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