Abstract
Objective: The aim of this review is to present the ways of approaching Pelvic Congestion Syndrome (PCS) and to emphasize on the current trends and problems of diagnosis.
 Background: PCS represents a cause of chronic pelvic pain, affecting mainly women and suspected frequently during pregnancies. It is underdiagnosed partly because patients do not tend to investigate their symptomatology, but also because of the invasive character of the golden standard procedure for diagnosis, venography. Treatment includes interventional, medical and surgical alternatives.
 Conclusions: Currently, ultrasound parameters are being assessed in order to replace venography, as it is usually performed in most patients in gynecology and most important it is non-invasive. Transvaginal approach, the use of Doppler mode and Valsalva maneuver, vein diameters can help orientate the diagnosis, pointing that US should have the potential to be used both as a screening test and diagnostic procedure in the future.
 Bangladesh Journal of Medical Science Vol.20(2) 2021 p.258-262
Highlights
Pelvic Congestion Syndrome (PCS) is a frequent cause of chronic pelvic pain (CPP), affecting mainly women at childbearing ages, disappearing after the onset of menopause
PCS is underdiagnosed as few women present to the gynecologist for CPP it represents the cause of 20% of CPP
Diagnosis is achieved with venography or sometimes less invasive procedures, such as ultrasound (US), and current treatment in represented mainly by embolization with a high success rate of 98-100%.3However there is still much improvement to be made in terms of diagnostic procedures in order to facilitate the compliancy of the patient and the screening process
Summary
Pelvic Congestion Syndrome (PCS) is a frequent cause of chronic pelvic pain (CPP), affecting mainly women at childbearing ages, disappearing after the onset of menopause. PCS is underdiagnosed as few women present to the gynecologist for CPP it represents the cause of 20% of CPP. Less and less invasive techniques are used and different parameters are researched to assess better alternatives with the same sensitivity and specificity. In this short review we present the current options used for diagnosis and treatment, emphasizing the trend for non-invasive techniques
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