Approximately 15% of women between 18 - 50 years of age have symptoms of pelvic congestion, characterized by heavy or dull aching deep pelvic pain, sometimes with dyspareunia, dysmenorrhea and dysuria. Symptoms are characteristically worsened by prolonged standing. Physical exam may demonstrate varices of the external genitalia and lower extremities. Although the etiology is not known, patients are typically multiparous, and have absent or incompetent valves in the left ovarian vein. Imaging demonstrates retrograde flow in a dilated left ovarian vein, with pelvic varices.
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Last modified Tue, 14 Aug, 2012 at 16:33