Quantify the Degree of Pain Relief of Pelvic Congestion Syndrome Following Gonadal Vein Embolization

This study measures how well gonadal vein embolization relieves pelvic pain in women with pelvic congestion syndrome (PCS). PCS is a chronic pain condition caused by varicose veins in the pelvis — similar to varicose veins in the legs, but inside the abdomen. The enlarged, dysfunctional veins (gonadal veins) create congestion and pressure that can cause persistent pelvic pain, especially when standing or after sex. Embolization is a minimally invasive procedure where tiny coils are placed in the veins to block blood flow and shrink them. This study tracks pain levels and quality of life before and after the procedure to quantify how much benefit patients experience. You may be eligible if: - You are a woman 18 or older - You meet the clinical and imaging criteria for pelvic congestion syndrome - You are being treated with coil embolization of the gonadal veins in the study's IR division during the study period You may NOT be eligible if: - You are under 18 years old - Your pelvic congestion is caused by another condition (e.g., nutcracker syndrome or external compression) - You have previously had surgery for PCS (including ovary removal or vein ligation/resection) Talk to your doctor to see if this trial is right for you.