The paint is usually exacerbated in advance of or over the menstrual period. The intensity of suffering worsens with Each and every subsequent pregnancy And through or soon after sexual intercourse. Enough time in the day also affects the intensity, While using the agony worsening at the end of the working day.[twenty] Pelvic congestion syndrome

She experienced no related earlier healthcare record, apart from a history of the past appropriate inguinal hernia about 20 years ago, which was managed conservatively. A 35-calendar year-old Asian lady, gravidity 1 parity 0 offered at 26 months of gestation with a painless proper inguinal lump. She was supplied a provisional diagnosis of “ing