Vol 91, No 11 (2020)
Review paper
Published online: 2020-11-13

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Pelvic venous insufficiency — an often-forgotten cause of chronic pelvic pain

Jacek Szymanski1, Grzegorz Jakiel1, Aneta Slabuszewska-Jozwiak1
Pubmed: 33301167
Ginekol Pol 2020;91(11):704-708.


Chronic pelvic pain is a common health problem that afflicts 39% of women at some time in their life. It is a common challenge
for gynecologists, internists, surgeons, gastroenterologists, and pain management physicians. Pelvic venous insufficiency
(PVI) accounts for 16–31% of cases of chronic pain but it seems to be often overlooked in differential diagnosis. The aim of
this article was to summarize current data concerning PVI. The embolization of insufficient ovarian veins remains the gold
standard of therapy but the optimal procedure is yet to be determined. Well-designed randomized trials are required to
establish the best treatment modalities.

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