Pelvic Congestion Syndrome

  • Colleen J. Moore


Chronic pelvic pain is described as noncyclic pelvic pain for more than 6 months in duration. It is estimated that an excess of 39 % of women will experience chronic pelvic pain at some point during their lives. Pelvic varices can be associated with dyspareunia, dysmenorrheal, dysuria, and vulval congestion with or without vulval varices. This constitution of symptoms seen in conjunction with pelvic varices is commonly referred to as pelvic congestion syndrome (PCS). As the causes for chronic pelvic pain are numerous, patients are often referred to several specialists for evaluation, and the diagnosis of PCS can take several years.


Inferior Vena Cava Renal Vein Coil Embolization Chronic Pelvic Pain Left Renal Vein 
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  1. 1.
    Kim HS, Malhotra AD, Rowe PC, et al. Embolotherapy for pelvic congestion syndrome: long–term results. J Vasc Interv Radiol. 2006;17:289–97.CrossRefPubMedGoogle Scholar
  2. 2.
    Taylor HC. Vascular congestion and hyperemia: the effect on function in the female reproductive organs. Part I. Physiological basis and history of the concept. Am J Obstet Gynecol. 1949;57:211–30.PubMedGoogle Scholar
  3. 3.
    Kennedy A, Hemingway A. Radiology of ovarian varices. Br J Hosp Med. 1990;44:38–43.PubMedGoogle Scholar
  4. 4.
    Beard RW, Highman JH, Pearce S, Reginald PW. Diagnosis of ­pelvic varicosities in women with chronic pelvic pain. Lancet. 1984;2:946–9.CrossRefPubMedGoogle Scholar
  5. 5.
    Ganeshan A, Upponi S, Hon LQ, et al. Chronic pelvic pain due to pelvic congestion syndrome: the role of diagnostic and interventional radiology. Cardiovasc Intervent Radiol. 2007;30:1105–11.CrossRefPubMedGoogle Scholar
  6. 6.
    Park SJ, Lim JW, Ko YT, et al. Diagnosis of pelvic congestion ­syndrome using transabdominal and transvaginal sonography. Am J Radiol. 2004;182:683–8.Google Scholar
  7. 7.
    Hiromura T, Nishioka T, Nishioka S, et al. Reflux in the left ovarian vein: analysis of MDCT findings in asymptomatic women. Am J Radiol. 2004;183:1141–5.Google Scholar
  8. 8.
    Ascuitto G, Mumme A, Marpe B, et al. MR venography in the detection of pelvic venous congestion. Eur J Vasc Endovasc Surg. 2008;36:491–6.CrossRefGoogle Scholar
  9. 9.
    Coakley FV, Varghese SL, Hricak H. CT and MRI of pelvic varices in women. J Comput Assist Tomogr. 1999;73:429–34.CrossRefGoogle Scholar
  10. 10.
    Tavernier J, Lange D. La phlebograhie utero-ovarienne gauche. Presse Med. 1965;73:863–6.PubMedGoogle Scholar
  11. 11.
    Mayer AL, Machan LS. Correlation of ultrasound and venographic findings in pelvic congestion syndrome. J Vasc Interv Radiol. 2000;11(Suppl):221.Google Scholar
  12. 12.
    Edlundh KO. Pelvic varicosities in women. Acta Obstet Gynaecol Scand. 1964;43:399–407.CrossRefGoogle Scholar
  13. 13.
    Cocuzza M, Athayde KS, Agarwal A, et al. Impact of clinical varicocele and testis size on seminal reactive oxygen species levels in a fertile population: a prospective controlled study. Fertil Steril. 2008;90:1103–8.CrossRefPubMedGoogle Scholar
  14. 14.
    Walton SM, Batra HK. The use of medroxyprogesterone acetate 50 mg in the treatment of painful pelvic conditions: preliminary results from a multicentre trial. J Obstet Gynecol. 1992;12:550–3.Google Scholar
  15. 15.
    Farquhar CM, Rogers V, Franks S, et al. A randomized controlled trial of medroxyprogesterone acetate and psychotherapy for the treatment of pelvic congestion. Br J Obstet Gynaecol. 1989;96:1153–62.CrossRefPubMedGoogle Scholar
  16. 16.
    Soysal ME, Soysal S, Vicdan K, Ozer S. A randomized controlled trial of goserelin and medroxyprogesterone acetate in the treatment of pelvic congestion. Hum Reprod. 2001;16:931–9.CrossRefPubMedGoogle Scholar
  17. 17.
    Maleux G, Stocks L, Wilms G, Marchal G. Ovarian vein embolization for the treatment of pelvic congestion syndrome: long-term technical and clinical results. J Vasc Interv Radiol. 2000;11:859–64.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Colleen J. Moore
    • 1
  1. 1.Department of SurgerySouthern Illinois University School of MedicineSpringfieldUSA

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