Are located in and around the groin area and adjacent to the vulva and are usually associated with pregnancies in females but can also be found in men. Pelvic veins particularly in females can present with symptoms of heaviness and pain in the lower abdomen, burning sensations in the groin, difficult intercourse, frequent urination, and hemorrhoids. The symptoms are suggestive of pelvic congestion syndrome and when present indicate the possibility of significant abnormalities in the ovarian veins inside the pelvis. The pelvic veins require careful ultrasound examination and if abnormal may require ovarian vein coiling and embolization which is usually performed as a day procedure in hospital.

If there are only minor or no symptoms, then the pelvic veins can be effectively treated with ultrasound guided sclerotherapy. This procedure must be performed by an experienced phlebologist as it requires the use of ultrasound visualization to locate the offending veins in the groin and vulva. Once treated the with sclerosant the veins harden which begins the process of absorption.