Endometriosis and Pelvic Congestion Syndrome: The Rare Clinic Treating Both at Once

Imagine undergoing expert excision surgery for endometriosis. Your surgeon successfully removes the lesions, your incisions heal, and yet—weeks or months later—a distinct, frustrating pain remains. It is a deep, heavy, dragging ache in your pelvis. It gets worse after you stand for a long time, it throbs at the end of the day, and it makes your legs feel incredibly heavy.

If you describe this to a standard gynecologist, they might tell you the endometriosis must have grown back, or worse, that there is nothing more they can do.

But at Endometriosis Surgical Specialists International (ESSI), we know better. When deep, heavy pelvic aching persists, we immediately look beyond the reproductive organs and examine the vascular system. Very often, the culprit is Pelvic Congestion Syndrome (PCS).

Here is the harsh reality of modern medicine: finding an elite endometriosis excision specialist is incredibly difficult. Finding an elite vascular surgeon who understands the complexities of pelvic congestion is even harder. Finding a clinic that offers both—allowing you to be treated for both conditions seamlessly under one roof—is nearly impossible. Until now.

Two of the Best, Under One Roof

Because endometriosis is a systemic, multi-organ disease, treating it requires a multidisciplinary approach. That is exactly why ESSI has partnered with vascular surgeon Dr. Jiyong Ahn.

Operating out of our premier hub at the Women’s Wellness Center in Hoboken, New Jersey, this partnership brings two of the absolute best teams in their respective fields together. We have united ESSI’s globally recognized endometriosis excision surgeons with Dr. Ahn’s elite vascular mastery. This makes our clinic one of the only places in the United States where patients can receive top-tier, coordinated care for both endometriosis and pelvic congestion at the exact same time.

What is Pelvic Congestion Syndrome (PCS)?

To understand PCS, think of varicose veins—the enlarged, twisted, and painful veins that people frequently get in their legs. Now, imagine those exact same varicose veins developing deep inside your pelvis, wrapped around your uterus and ovaries.

Healthy veins have one-way valves that push blood back up toward your heart. In patients with Pelvic Congestion Syndrome, these valves fail or become damaged. Blood flows backward and pools in the pelvic veins, causing them to engorge, stretch, and swell.

This massive pooling of blood creates a constant, heavy pressure. Symptoms of PCS include:

• A dull, throbbing, or heavy ache in the pelvis and lower back.

• Pain that noticeably worsens after prolonged standing or walking.

• Pain that increases after sexual intercourse (post-coital ache).

• A feeling of “heaviness” or fatigue in the legs.

• Visible varicose veins on the vulva, buttocks, or upper thighs.

The Overlap: Why You Cannot Treat Just One

Endometriosis and Pelvic Congestion Syndrome frequently coexist. In fact, the severe pelvic inflammation caused by endometriosis can actually trigger or worsen vascular issues. Through a process called angiogenesis, endometriosis lesions stimulate the growth of abnormal new blood vessels, bringing even more blood flow into an already congested pelvis.

Because the symptoms of PCS so closely mimic the symptoms of endometriosis, standard OBGYNs completely miss it. If a doctor only looks for endometriosis, they will only see half the disease.

You cannot treat a vascular disease with birth control pills, and you cannot cut out varicose veins with standard endometriosis surgery. You need an expert vascular surgeon working in lockstep with your excision team.

The Solution: Dr. Jiyong Ahn and Advanced Vascular Surgery

Through our partnership, Dr. Jiyong Ahn brings elite, specialized vascular expertise directly to the ESSI patient community.

Using minimally invasive, state-of-the-art procedures, Dr. Ahn can perform advanced venous embolization or sclerotherapy. During these highly specialized outpatient procedures, Dr. Ahnsafely seals off the damaged, malfunctioning pelvic veins. The body naturally reroutes the blood supply to healthy veins, instantly relieving the agonizing pressure and heavy pooling in the pelvis.

Holistic, Coordinated Care for the Tri-State Area

You should not have to be the project manager of your own chronic illness. You should not have to bounce between disjointed clinics, carrying your medical records and begging doctors to communicate with one another.

At the Women’s Wellness Center in Hoboken, we have eliminated the fragmentation. Whether you are traveling from New York City, upstate New York, Connecticut, Pennsylvania, or living right here in New Jersey, you now have access to a rare, unified medical home. By treating both the structural lesions of endometriosis and the vascular congestion of PCS in one coordinated care plan, we are helping patients finally achieve true, lasting relief.