Guideline No.	GRADE of recommendation	Level of evidence
14.1	1	C
We recommend noninvasive imaging with transabdominal and/or transvaginal ultrasonography, computed tomography or magnetic resonance venography in selected patients with symptoms of pelvic congestion syndrome or symptomatic varices in the distribution of the pubis, labia, perineum, or buttocks.
Guideline No.	GRADE of recommendation	Level of evidence
14.2	1	C
We recommend retrograde ovarian and internal iliac venography in patients with pelvic venous disease, confirmed or suspected by noninvasive imaging studies, in whom intervention is planned.
Guideline No.	GRADE of recommendation	Level of evidence
14.3	2	B
We suggest treatment of pelvic congestion syndrome and pelvic varices with coil embolization, plugs, or transcatheter sclerotherapy, used alone or together.
Guideline No.	GRADE of recommendation	Level of evidence
14.4	2	B
If less invasive treatment is not available or has failed, we suggest surgical ligation and excision of ovarian veins to treat reflux.