gynecology and obstetrics
Pelvic Congestion Syndrome
Diagnosis of Pelvic Congestion Syndrome
Clinical criteria Ovarian varicosities, detected during imaging Diagnosis of pelvic congestion syndrome requires that pain be present for > 6 months and that ovaries be tender when examined. Ultrasonography is done but may not show varicosities in women when they are recumbent. Some experts recommend additional tests (eg, venography, CT, MRI, magnetic resonance venography) if necessary to confirm pelvic varicosities. Pelvic varicosities may be confirmed by selectively catheterizing specific veins and injecting a contrast agent (venography). If pelvic pain is troublesome and the cause has not been identified, laparoscopy may be done. 