Chronic pelvic pain is a common problem for female patients and tends to be present for six month or more. Pelvic pain is a common symptom when diagnosing for Pelvic Venous Insufficiency, also known as Pelvic Congestion Syndrome. The etiology of pelvic varicosities is a reflux of blood in the ovarian veins due to valves not functioning properly. Non-invasive imaging such as ultrasound, CT, and magnetic resonance venography play an important role in the diagnosis and helps provide a road map for minimally invasive treatment options, which are foremost beneficial to the patient. Treatment options include venography with possible coil, plug, or foam occlusion of contributory veins.