MINIMALLY INVASIVE GYNECOLOGIC PROCEDURES: Edited by Matthew T. Siedhoff and Nisse V. ClarkComprehensive review of pelvic congestion syndrome: causes, symptoms, treatment optionsBendek, Boleslaw; Afuape, Nicole; Banks, Elizabeth; Desai, Nita A.Author Information Creighton University, St. Joseph's Hospital & Medical Center, Creighton University School of Medicine, Phoenix, Arizona, USA Correspondence to Boleslaw Bendek, 500W, Thomas Road, Suite 680, Phoenix, AZ 85013, USA. Tel: +1 6024066017; e-mail: email@example.com Current Opinion in Obstetrics and Gynecology: August 2020 - Volume 32 - Issue 4 - p 237-242 doi: 10.1097/GCO.0000000000000637 Buy Metrics Abstract Purpose of review The purpose of this publication is to review the currently available and most up-to-date information regarding the pathogenesis, diagnosis, and treatment of pelvic congestion syndrome. Recent findings The diagnosis of pelvic congestion syndrome is difficult to make; however, it should remain on the differential for chronic pelvic pain. The most recent available research seems to favour endovascular treatment with interventional radiology over surgical management, with high success rate and low occurrence of complications. Summary High-level evidence on the diagnosis and management of pelvic congestion syndrome is lacking. Only a small number of randomized controlled trials exist. More high-quality research is needed, particularly involving practicing obstetrician and gynecologists as the majority of these patients, and the clinical outcomes of any interventions implemented for pelvic congestion syndrome are ultimately managed by OB/GYN providers. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.