Are You Suffering From Pelvic Pain?
This May Worsen After Physical Activities or Intercourse?

You may have a higher risk for pelvic congestion syndrome if you have given birth to more than one child.
You may also have a higher risk if other members of your family have it.

If You Feel Any Pelvic Pain, Get a Free Consultation Today!

Symptoms may worsen if left untreated. We can help!

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What is Pelvic Congestion Syndrome (PCS) And How Can It Affect You?

Pelvic congestion syndrome is a medical condition that causes chronic pelvic pain. The condition is thought to be due to problems with the enlarged veins in your pelvic area. Women of childbearing age who have had more than one pregnancy may have the highest risk of pelvic congestion syndrome. Pelvic congestion syndrome (PCS) is a disease that is often undiagnosed in women with pelvic pain. Chronic pelvic pain affects approximately 15% of premenopausal women in the United States.

If you’ve been living with chronic pelvic pain, it may be a direct link to pelvic congestion syndrome (PCS). Obinna Nwobi, MD, of Vascular Health Center in Oviedo, Winter Haven, and Apopka, Florida, is an expert in this condition and can provide you with comprehensive information on how to alleviate your pain and take control of your health and happiness.

PCS often goes undiagnosed, so it is important to ask our doctors about your risks.

Come & Have a Free Physical Exam at One of Our 3 Vein Clinic Locations in Oviedo, Winter Haven, Apopka, Florida

Special offer for all patients from Oviedo, Winter Haven, Apopka, Florida and the surrounding areas.

During The Consultation, Our Specialists Will Check:

  • A FREE 15-minute physical exam at our office to help determine if your PCS problems are present.
  • A doctor or nurse practitioner will meet with you to discuss the PCS physical exam results answering any questions you may have.
  • After your meeting, we will have insurance specialists on hand that can answer questions about insurance coverage and any requirements that insurance may have you meet before treatment.

If you do not have insurance, the insurance specialist can also go over self-pay options with you.

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What is Pelvic Congestion Syndrome (PCS)

Chronic pelvic pain is a very common problem in the United States. It accounts for 10 to 15 percent of referrals to gynecologists and pain clinics. For some women, the cause of their pelvic pain is a condition known as pelvic congestion syndrome (PCS). It may go undiagnosed simply because physicians are often unfamiliar with it or fail to look for it.

Symptoms Of Pelvic Congestion Syndrome (PCS)

symptoms pcs

36-year-old female with PCS. A-Venography showing reflux of right obturator (dashed arrow) and pudendal vein (arrowhead). B-Selective microcatheterization of left obturator vein (black arrow). C-Onyx on left dilated obturator vein (black arrow), and and right dilated obturator vein (dashed arrow). Note the radio-opacity of the embolic mixture without subtraction.
Image source: researchgate.net

Many times, symptoms don’t appear until a woman becomes pregnant, and then they continue after the pregnancy. The main symptom of PCS is pelvic pain. The pain typically worsens as the day goes on, especially for women who sit or stand all day, and then goes away after a night of sleep. The pain can also worsen:

The pain can also worsen:

  • During or following intercourse
  • Around menstrual periods
  • After certain physical activities, such as bicycling or horseback riding

Causes Of Pelvic Congestion Syndrome (PCS)

Pelvic congestion syndrome occurs when varicose veins develop around the ovaries, similar to varicose veins that occur in the legs. Then:

  • The valves in the veins no longer function normally.
  • This causes blood to back up.
  • The veins become engorged or “congested,” which can be very painful.

Treatment for pelvic congestion syndrome

After we confirm a diagnosis of PCS, we will discuss treatment options with you. Treatments for PCS include:

  • Hormonal medications
  • Embolization, a minimally invasive catheter procedure to “plug” the varicose vein

Although pelvic varicose veins can cause pain and are the hallmark of pelvic congestion syndrome (PCS), many normal women will have enlarged pelvic veins discovered on an ultrasound, CT, or MRI scan, especially if they have had children. Fortunately, not everyone gets symptoms and only those women who have pain are given the diagnosis of PCS.

Don’t Delay the Ultra Sound & Be Fooled By The Name

Pelvic Congestion Syndrome Is A Central Problem That Should Command More Attention Than It Gets.

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Dr. Nwobi typically treats PCS with a minimally invasive in-office procedure, such as sclerotherapy and embolization.

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About Dr. Obinna Nwobi MD, MPH, RPVI

  • Dr. Nwobi is a Registered Physician in Vascular Interpretation, providing specialized training in reading and interpreting all types of vascular ultrasounds. He is also board certified in vascular surgery.
  • He earned a master’s degree in public health (MPH) from the prestigious Johns Hopkins Bloomberg School of Public Health.
  • Throughout his career, Dr. Nwobi has helped patients through the Indian Health Services system and Veterans A airs Hospital, while continuing to work at several large private and public hospitals.
  • As a physician who’s passionate about serving the underserved, Dr. Nwobi dedicates as much time as possible to medical missions. He has helped countless patients in Nigeria and provided medical care for patients who cannot afford treatment

About Dr. Obinna Nwobi

Patients in Central Florida turn to trusted vascular surgeon Obinna Nwobi, MD, for all their vein and artery concerns. His practice, Vein Health Clinics, has two convenient locations in Oviedo and Winter Haven, Florida. While completing a double major in English and chemistry in his undergraduate studies at East Tennessee State University, the field of vascular surgery called to Dr. Nwobi.

He then earned a master’s degree in public health from Johns Hopkins Bloomberg School of Public Health in Maryland, focusing on health care management and international health. He went on to earn his medical degree from the University of Tennessee College of Medicine. Dr. Nwobi completed his internship and residency in general surgery at the University of Medicine and Dentistry of New Jersey.

After completing his fellowship in vascular surgery at the Vascular Group PLLC and Albany Medical Center in New York, Dr. Nwobi chose to practice medicine in an underserved area of Florida.

Throughout his career, Dr. Nwobi has helped patients through the Indian Health Services system and Veterans A airs Hospital, while continuing to work at several large private and public hospitals.

Dr. Nwobi is a Registered Physician in Vascular Interpretation, which provides him with specialized training in reading and interpreting all types of vascular ultrasounds. He is also board certified in vascular surgery.

As a physician who’s passionate about serving the underserved, Dr. Nwobi dedicates as much time as possible to medical missions. He has helped countless patients in Nigeria and provided medical care for patients who cannot afford treatment. Because Dr. Nwobi is genuinely passionate about patient care and has extensive expertise in the most complex vascular conditions, he is trusted throughout Central Florida.

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What Patients Say About Dr. Obinna Nwobi

Click to hear France’s story how she now can walk between 3 to 5 miles and feel completely fine without any pain as she had before

Click to hear Lyn’s story how she can see right away that her legs were less restless and less heavy than before after the treatment

“3 years ago, I got hit by a car and after that I came here and they gave me the examination and they told me what was wrong, and that all my veins was injured so I had two surgeries in each leg and about two weeks ago I have varicose veins removed.The staff here were like family when I came in, they are very friendly and they’ve just been so wonderful with me and I’m really thankful. I have my car accident 3 years ago and I had constant pain in my legs because of my veins were injured, my circulation was slow but I’m in no pain right now, I can’t believe the difference I’ve felt , it is the best I’ve felt in 3 years and it’s been absolutely wonderful”


Lyn Goddard

“And let me tell you, I walk now. I walk between 3 to 5 miles a day and I have absolutely no pain in my leg. I feel wonderful and I highly recommend the vein center. When I used to walk, when my walk was completed after maybe 3 to 5 miles I could hardly walk back to my house. Maybe I could walk back to the house but both legs hurt, up and down, I felt like I was walking on spikes, now after the vein surgery I feel fine. I do my walk. I walk to my house, go out, maybe walk again. It's just like wonderful, what a complete difference.”


France Carringham

“I researched a little bit I found Dr. Nwobi. So, I came to his office and the office’s staff is awesome. They schedule me like 1, 2, 3 right away. The office is super clean and super state of the art. The staff did some treatment, very well professional, made me feel like super easy. After the treatment, I could see right away that my legs were less restless and they were less heavy. And I know that, I feel it every day and it gets better and or I’m already feeling way better. So, can't wait to wear shorts again!”


Lyn Langur

Pelvic Congestion Syndrome Q & A

What is pelvic congestion?

Pelvic congestion is a chronic pain in your abdomen that typically occurs in premenopausal women who’ve had multiple children.

When the veins in your abdomen become stretched, enlarged, and gnarled, they’re called varicose veins. These types of veins hold a large amount of blood, which causes the pain of pelvic congestion in your abdomen.

What are the symptoms of pelvic congestion?

While the number and severity of symptoms can differ for each person, the classic symptoms include:

  • Pelvic pain in the lower abdomen for six months or longer
  • Pain during or after sexual intercourse
  • Increased pain at the end of the day or from prolonged standing
  • Pain extending into the thighs or buttocks
  • Bladder irritability or urgency

How is PCS diagnosed?

Limited awareness of PCS has led to the underdiagnosis of the disease. While other causes of pelvic pain — such as endometriosis and fibroids — have become more mainstream, it’s possible that the reason for the pain could be PCS.

Thankfully, Dr. Nwobi has the expertise, tools, and treatments necessary to diagnose PCS and get you on the path to wellness.

Imaging is the most important tool in diagnosing PCS. Ultrasonography — and other types of imagery — help Dr. Nwobi take a closer look at the characteristics of the veins in your abdomen to see if they’re enlarged or twisted.

What is the treatment for pelvic congestion?

Dr. Nwobi first provides you with medication for pain relief before any intervention has begun.

If you receive a diagnosis of PCS, you have several treatment options to consider:

  • Sclerotherapy: a sterile chemical is injected into the lining of your varicose vein, collapsing it and rerouting blood to healthier veins
  • Embolization: a minimally invasive procedure using imaging guidance and a catheter to close off faulty veins
  • Iliac venous stenting: a small stent, or tubular support, is placed in the vein to allow for improved blood flow

Each of these treatments can significantly improve your quality of life by taking away your pelvic pain and allowing you to enjoy your daily activities.

You can start your journey to pain-free living now by calling Dr. Nwobi or booking an appointment online to visit either of his two convenient locations.

Choose Your Preferred Location

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Obinna Nwobi, MD, Oviedo, FL

  • 1-877-817-8346
  • 1000 Executive Drive, Suite 8, Oviedo, FL 32765

1-877-817-8346 Book Online

Obinna Nwobi, MD, Winter Haven, FL

  • 1-877-817-8346
  • 7490 Cypress Gardens Blvd, Winter Haven, FL 33884

1-877-817-8346 Book Online

Obinna Nwobi, MD, Apopka, FL

  • 1-877-817-8346
  • 200 North Park Ave, Suite 100, Apopka, FL 32703

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