2021
DOI: 10.7759/cureus.17444
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Pelvic Congestion Syndrome in a Postmenopausal Female

Abstract: This study reports the case of a 53-year-old postmenopausal woman and explores her unique experience with pelvic congestion syndrome (PCS). PCS is a relatively newly recognized entity and is still a diagnosis of exclusion. We analyze the presenting symptoms and imaging findings on CT and ultrasonography. We also examine the potential causes of this ambiguous prognosis. This case is unusual in that PCS usually presents in premenopausal rather than postmenopausal women.

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Cited by 3 publications
(3 citation statements)
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“…Compression of the iliac veins by the gravid uterus, elevation of blood volume, and dilation of the ovarian and pelvic veins during pregnancy are the factors that make multiparous women prone to PCS [142,145,156]. In addition, the pain that worsens during pregnancy makes pregnancy difficult for PCS patients [157]. There is a lack of knowledge about the risk of deep vein thrombosis during pregnancy in PCS patients.…”
Section: Pelvic Congestion Syndromementioning
confidence: 99%
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“…Compression of the iliac veins by the gravid uterus, elevation of blood volume, and dilation of the ovarian and pelvic veins during pregnancy are the factors that make multiparous women prone to PCS [142,145,156]. In addition, the pain that worsens during pregnancy makes pregnancy difficult for PCS patients [157]. There is a lack of knowledge about the risk of deep vein thrombosis during pregnancy in PCS patients.…”
Section: Pelvic Congestion Syndromementioning
confidence: 99%
“…Although PCS is well known as a premenopausal disease in which there is a remission of symptoms, possibly due to less estrogen and consequently a decrease in vein dilation, there are postmenopausal patients who meet the PCS criteria [156][157][158].…”
Section: Pelvic Congestion Syndromementioning
confidence: 99%
“…The better part of women with PCS are in premenopausal age (20-45 years) and typically multiparous -an incidence is strongly related with number of pregnancies. PCS is very rarely reported in postmenopausal women [5]. The aetiology of PCS is likely to be multifactorial, involving hormonal, genetic and mechanical factors.…”
Section: Chronic Pelvic Pain Syndrome -Introductionmentioning
confidence: 99%