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Pier Luigi ANTIGNANI1; George GEROULAKOS2; Mamuka BOKUCHAVA3 1 Director, Vascular Center, Nuova Villa Claudia, Rome, Italy 2 Consultant Vascular Surgeon, Department of Surgery, Charing Cross Hospital, London, UK 3 Deputy Director of the Center of Vascular and Heart Diseases, Tbilisi, Georgia Abstract The main symptom of pelvic congestion syndrome (PCS) is pelvic pain. Women typically have a dull, throbbing, and achy pain in the vulvar region, which often worsens during or after intercourse, just before the onset of menstruation, and as the day progresses, especially in women who stand or sit for long periods. The cause of PCS is unknown;
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