The incompetency of valves in the pelvic varicose veins can be famous using Valsalva's maneuver. These varicoceles display variable duplex waveforms on these types of maneuvers. Polycystic changes with the ovary are also noticed in patients with pelvic congestion syndrome.[8][11] This could weaken the vein wall bringing about dilatation. Estrogen https://sgvasculargrp.com/medical-condition/pelvic-congestion-syndrome/