Inclusion Criteria:  Patients with clinical symptoms of pelvic congestion syndrome documented by Trans abdominal and/or transvaginal Doppler ultrasound (dilated ovarian veins with reversed caudal flow, presence of varices , dilated arcuate veins crossing the uterine myometrium, polycystic changes of the ovary and variable duplex waveform during the Valsalva's maneuver).  Exclusion Criteria:  Endometriosis. Uterine fibroids. Previous pelvic operations. Urological diseases. Patient seeking pregnancy Pelvic inflammatory diseases Congenital uterine malformations