ABSTRACT

Pelvic congestion syndrome (PCS) is an obscure diagnosis thought to cause chronic pelvic pain (CPP) in premenopausal women. It is believed to be caused by pelvic vein insufficiency but its etiology is still being investigated. Diagnostic criteria have yet to be determined making its prevalence unclear. Moreover, its clinical presentation mimics that of other common conditions causing chronic abdominal and pelvic pain1,2. In this review we will attempt to summarize the key elements of the clinical features, diagnostic work-up and treatment options of this enigmatic and complex entity.