Abstract
Chronic pelvic pain, defined as non-cyclic pelvic of greater than 6 months duration, is a common presenting problem to the OB-GYN. A third of all patients worked up for chronic pelvic with laparoscopy, have no obvious etiology. Pelvic congestion syndrome (PCS) has long been recognized as a cause of chronic pelvic pain , caused by retrograde flow down incompetent gonadal vein~ resulting in pelvic varicosities. This is anatomically analogous to the male varicocele, but because the pelvic varicosities are not externally visible or palpable, the diagnosis is most often elusive. The treatment of choice however is similar i.e. transcatheter gonadal vein embolization.
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