---
title: What causes pelvic congestion in PMS and how should it be treated?
description: PMS involves pelvic congestion caused by hormonal and circulatory factors, typically treated with a combination of hormone medications (progestogens) and veno
url: https://niyora.com/research/papers/congestive-pelvic-syndromes-1995/
---

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- What causes pelvic congestion in PMS and how should it be treated?

Review, 1995

# What causes pelvic congestion in PMS and how should it be treated?

PMS involves pelvic congestion caused by hormonal and circulatory factors, typically treated with a combination of hormone medications (progestogens) and venotonics (medications that help veins).

 Early or limited evidence

Review article; not a specific study population

## What they did

Review of pelvic congestion syndrome as it occurs in three situations including PMS, examining the causes and treatment approaches.

## What they found

PMS causes cyclical physical and psychological symptoms related to pelvic congestion. The underlying causes are hormonal and circulatory factors. Treatment is most often based on combinations of progestogens and venotonics. Additional treatments may include anti-inflammatory medications and antibiotics when infection is present. Surgery is recommended only in select cases.

## What it means for you

This suggests that PMS may involve a vascular component (blood vessel and circulation issues) in addition to hormonal changes, and that treatment should address both. However, this is a review without presenting new research evidence about which treatments work best.

3

types of pelvic congestion syndrome

## About the study

Original title [Congestive pelvic syndromes] Authors Charles G Journal Revue francaise de gynecologie et d'obstetrique Year 1995 Study design Review What was tested Progestogens, venotonics, anti-inflammatory medications, antibiotics, and in some cases surgery Read the paper [https://pubmed.ncbi.nlm.nih.gov/7732255/](https://pubmed.ncbi.nlm.nih.gov/7732255/)

## Topics

[Premenstrual syndrome (PMS)](https://niyora.com/research/topics/condition-pms/)[Pain and headache](https://niyora.com/research/topics/symptom-pain/)[Estradiol, progesterone and hormone therapy](https://niyora.com/research/topics/treatment-hormone-therapy/)[Endometriosis](https://niyora.com/research/topics/comorbidity-endometriosis/)

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