Pelvic congestion syndrome (PCS) is a common but poorly understood gynecological disorder characterized by noncyclical dull aching lower abdominal or pelvic pain usually in multiparous females in reproductive age group as a result of pelvic vein varicosities. This pain gets intensified during prolonged standing, menstruation and pregnancy due to congestion and dilatation of pelvic veins.   Transvaginal ultrasonography (TVS) with Doppler of pelvic veins is the investigation of choice for diagnosis of PCS and transcatheter embolization of the affected veins (generally ovarian vein) is the effective treatment for PCS.