Embolization of pelvic varicose veins ― what do we know after over 30 years of experience?

Chronic pelvic pain of venous origin (CPPVO) is a common yet frequently underdiagnosed condition that affects women's quality of life. This review analyzes studies from 2019 to 2024 on the effectiveness and safety of pelvic vein embolization. While pharmacological treatments offer limited relief, embolization of pelvic varicose veins has shown significant symptom improvement with acceptable complication rates. Studies report high patient satisfaction and long-term efficacy. Further research is needed to optimize qualifiaction for the procedure. Interdisciplinary collaboration between gynecologists, vascular surgeons and interventional radiologists remains crucial for effective CPPVO management.