الفهرس 
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Abstract
Prevalence of pelvic congestion syndrome among women presented with chronic pelvic pain attending gynecological outpatient clinic at Mansoura university hospitals is 15.3%. Significant demographics for diagnosis of PCS are age< 38 years, divorced or widowed women, number of pregnancies <3 and age of youngest offspring <5 years. Significant pain charachteristics for diagnosis of PCS are onset of pain ≥24 months, heaviness in pain nature and Pain intensity score ≥7. Perineal heaviness, dyspareunia and post-coital pain are statistically significant in diagnosis of PCS. Pelvic ultrasonography with duplex study is usually the first-line imaging modality in patients with suspected pelvic congestion syndrome. ultrasonography demonstrates dilated veins more than 6 mm in diameter, sluggish and even reversal of blood flow in the ovarian veins, dilatation of arcuate veins communicated with pelvic varicose veins on both sides across the myometrium or association with polycystic ovaries Postmenopausal women could be diagnosed with PCS, although symptoms could have been started during their reproductive period. According to the study, when using left ovarian vein diameter cut off point of 5.85 mm to differentiate PCS from other causes of pelvic pain, sensitivity will be 95.5%, specificity will be 99.2% and positive predictive value will be 95.5%. According to the study, when using right ovarian vein diameter cut off point of 4.85 mm to differentiate PCS from other causes of pelvic pain, sensitivity will be 95.5, specificity will be 83.5% and positive predictive value will be 50%. Medical treatment with micronized purified flavonoid fraction (Daflon) and nonsteroidal anti-inflammatory drugs (diclofenac sodium) alone is not enough to relieve symptoms of PCS for long time. Women complaining chronic pelvic pain should be encouraged to seek medical advice as early as possible. Consecutive similar studies can be designated to estimate national prevalence of PCS in Egypt.