Pelvic venous disorders in women: Diagnosis and management for gynecologists

Pelvic venous disorders (PeVD) are an underrecognized yet significant cause of chronic pelvic pain (CPP) in reproductive-aged women, characterized by venous reflux, obstruction, or both. This clinical opinion provides a practical overview of PeVD for gynecologists, outlining its pathophysiology, common presentations, diagnostic approach, and available treatments. Through a case-based example, it highlights how transdisciplinary collaboration-particularly with interventional radiology-can facilitate timely diagnosis and effective management. By improving awareness and clinical confidence, this guide aims to empower gynecologists to identify PeVD earlier, initiate appropriate management, collaborate effectively within multidisciplinary teams, and enhance care for women with this complex condition.