Professional and Linguistic Assessments Board (PLAB) Practice Exam

What symptom is commonly associated with pelvic congestion syndrome?

1. Pain during menstruation

2. Pelvic pain that worsens when standing

3. Lower abdominal bloating

4. Severe back pain

The correct answer is: Pelvic pain that worsens when standing

Pelvic congestion syndrome is characterized by chronic pelvic pain that often intensifies when the patient is in an upright position, such as standing or walking. This is due to the increased venous pressure in the pelvic region and the pooling of blood, which can cause discomfort and pain. Patients typically describe the pain as a dull ache that may worsen throughout the day and is often relieved by lying down. While pain during menstruation, lower abdominal bloating, and severe back pain can all be associated with various gynecological or pelvic conditions, they are not hallmark symptoms of pelvic congestion syndrome specifically. Instead, the feature of pelvic pain that increases with standing is distinctly linked to the underlying venous congestion characteristic of this syndrome. Understanding this key aspect helps in distinguishing pelvic congestion syndrome from other potential causes of pelvic pain.