Does pelvic congestion syndrome cause deep dyspareunia?
Yes, pelvic congestion syndrome (PCS) can cause deep dyspareunia due to varicose veins and chronic pelvic pain made worse by intercourse and prolonged standing.
Detailed Medical Explanation
PCS is caused by enlarged pelvic veins, leading to a dull, aching pain in the pelvis that worsens with sexual intercourse, standing, or before menstruation. Deep penetration during sex may aggravate pain. Diagnosis is usually via pelvic ultrasound or MRI. Treatments include medication, pelvic floor physiotherapy, or minimally invasive vein embolisation. NHS: Pelvic Pain.
Clinical Context
Women with unexplained chronic pelvic or deep sexual pain should discuss PCS as a potential diagnosis with their clinician.
Evidence-Based Approaches
NHS and BSGE guidelines support multidisciplinary care for chronic pelvic pain and referral for imaging when PCS is suspected. NHS: Pelvic Pain.