Evidence map›Paper›PMID 41832539›Full record

ArticleBMC women's health2026

How common are pelvic venous disorders in patients with unexplained chronic pelvic pain: a prospective cross-sectional study.

Buğra Tunç, Osman Murat Güler, Alperen İnce, Ozan Karadeniz, Burak Yücel

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Article in BMC women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Buğra TunçDepartment of Gynecology and Obstetrics, Cam and Sakura City Hospital, Olympic Boulevard Road, Basaksehir/Istanbul, 34480, Turkey. dr.bgrtnc@gmail.com.ORCID 0000-0002-5089-1919
Osman Murat GülerDepartment of Gynecology and Obstetrics, Cam and Sakura City Hospital, Olympic Boulevard Road, Basaksehir/Istanbul, 34480, Turkey.ORCID 0000-0001-8005-2887
Alperen İnceDepartment of Gynecology and Obstetrics, Cam and Sakura City Hospital, Olympic Boulevard Road, Basaksehir/Istanbul, 34480, Turkey.ORCID 0009-0006-0079-1457
Ozan KaradenizDepartment of Gynecology and Obstetrics, Cam and Sakura City Hospital, Olympic Boulevard Road, Basaksehir/Istanbul, 34480, Turkey.ORCID 0000-0002-2215-1198
Burak YücelDepartment of Gynecology and Obstetrics, Cam and Sakura City Hospital, Olympic Boulevard Road, Basaksehir/Istanbul, 34480, Turkey.ORCID 0000-0003-2788-104X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveChronicpelvic pain is a multifactorial condition that significantly impacts women’s quality of life. Pelvic venous disorders (PeVD) are increasingly recognized as a potential contributor to chronic pelvic pain and are related to pelvic venous insufficiency. This study aims to investigate the proportion of CPP patients with sonographic venous congestion patterns consistent with PeVD in women with chronic pelvic pain and to evaluate its clinical and ultrasonographic features. MATERIALS AND

methodsIn this prospective study, 83 women diagnosed with chronic pelvic pain and meeting the inclusion criteria were evaluated. Demographic and ultrasonographic data were recorded. All participants underwent ultrasonographic assessment for venous parameters associated with pelvic venous disorders. Patients were stratified according to ovarian vein diameter (≥ 6 mm vs. < 6 mm) for comparative analysis. Statistical analyses included the Shapiro–Wilk test, Student’s t-test, chi-square test, and logistic regression. Receiver operating characteristic (ROC) analysis was performed to evaluate the diagnostic performance of ultrasonographic parameters. A p-value < 0.05 was considered significant.

resultsAmong all women presenting with chronic pelvic pain, 11.7% exhibited sonographic venous congestion patterns consistent with PeVD. When the analysis was restricted to the final cohort of women with isolated chronic pelvic pain, ovarian vein dilatation (≥ 6 mm) was observed in 54.2% of patients. Other ultrasonographic findings, including coiled tubular veins, low velocity venous flow in the ovarian vein (< 3 cm/s), and myometrial arcuate veins were associated with sonographic venous congestion patterns, with tortuous tubular veins showing the strongest discriminative performance. Additionally, antidepressant use was more frequent in patients with venous congestion, reflecting a higher symptom burden and healthcare utilization in this subgroup.

conclusionPelvic venous disorders appear to be a potential and possibly under-recognized contributor to chronic pelvic pain. Ultrasonography is a valuable, non-invasive tool for identifying pelvic venous disorders. In addition to ovarian vein dilation, coiled veins, reduced flow velocity, and myometrial arcuate veins may serve as supportive imaging features. Further large-scale studies are needed to better define the role of pelvic venous disorders in the context of chronic pelvic pain.

trial registrationNot applicable.

Indexed as

Chronic PainOvaryPelvic PainPelvisVascular DiseasesVenous InsufficiencyAdultCross-Sectional StudiesFemaleHumansHyperemiaMiddle AgedProspective StudiesUltrasonographyChronic pelvic painPelvic venous disordersUltrasonographyVenous insufficiencyWomen’s health

Identifiers

PMID41832539
PMCPMC13085492

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.