What is typical care routine for pelvic congestion syndrome 28 yr old female?

Many: Nonsteroidal anti-inflammatory drugs, suppression of ovarian function with hormaones, osteopathic manipulation and alternative therapies such as acupuncture and physical therapy. Also embolization has shown significant benefit. Seek advice from your primary provider or gyn.

Varies on severity: There is not really any "typical" therapy for pelvic congestion syndrome. Occasionally diuretics, anti-inflammatories can help. Use of ovarian vein coil placement or embolization by a radiologist can help. Some women improve with hysterectomy but we dont usually recommend that as a first line of treatment.

Varied: Depends on severity of symptoms. I perform embolization of the abnormal veins that cause pcs. Check out this topic on www.Sirweb.Org for good discussion.

Depends: That depends on how the diagnosis has been made. Chronic pelvic pain can have many causes. If the patient has a confident diagnosis of ovarian vein insufficiency the best treatment currently available is embolization. This is performed by an interventional radiologist, and a consultation with an ir who is experienced with this disease would be helpful.