successful pregnancy following ovarian vein embolization in a patient with pelvic congestion syndrome and deep infiltrating endometriosis: a case report

Chronic pelvic pain (cpp) is defined as persistent pain in the pelvic region that persists for a duration of six months or more. a prevailing cause of cpp is endometriosis, affecting 10-15% of women of reproductive age. the present report details the case of a 32-year-old female patient who was initially diagnosed with adenomyosis and subsequently found to have cpp and infertility. imaging revealed the presence of endometriosis and pelvic congestion syndrome (pcs). following the implementation of ovarian vein embolization to address pelvic cavity syndrome (pcs) and hormonal therapy for deep-infiltrating endometriosis, the patient exhibited a substantial decrease in pain. after the discontinuation of hormonal therapy, the patient underwent a pregnancy that resulted in a successful outcome. this case underscores the importance of accurate diagnosis and treatment of endometriosis and pcos in women with cpp and infertility, emphasizing a multidisciplinary approach for optimal care.