<prompt> Pain due to pelvic congestion syndrome is relieved by:OC pills.TamoxifenMefenamic Acid.Mifepristone.  <response>: PELVIC CONGESTION SYNDROME There is congestion or dilatation of uterine or ovarian plexuses. Symptoms: Patient has a congestive type of dysmenorrhea without any demonstrable pelvic pathology. other symptoms include: bilateral lower abdominal pain, dyspareunia, abnormal uterine bleeding, chronic fatigue and irritable bowel symptoms Diagnosis: clinical, Tranuterine venography, MRI are for primary diagnosis. Pelvic USG and laparoscopy may disclose varicosities Management: Pain relief: Oral Contraceptive Pills containing low estrogen and high Progesterone, GnRH analogues Hormonal suppression: medroxyprogesterone acetate 30 mg daily, Goserelin GnRH analogue Non responsive: Percutaneous transcatheter embolisation 