{"ok":true,"api":{"name":"SAIMSARA Evidence Object Discovery API","version":"v1"},"mode":"doc_key","editorial_verification":{"status":"human_reviewed","trust_label":"machine_generated_human_reviewed","method":"World ID proof-of-human editorial account","scope":["clinical_integrity","reference_quality","scientific_coherence"],"verification_note":"This Evidence Object is machine-generated and human-reviewed. World ID is used to verify that editorial oversight was submitted by a unique human account.","does_not_mean":"World ID verifies proof-of-human editorial oversight; it does not independently certify the scientific truth of every claim."},"object":{"object_type":"saimsara_evidence_object_metadata","doc_key":"vascular::PELVIC_CONGESTION_PM","issue_slug":"vascular","doc_id":"PELVIC_CONGESTION_PM","title":"Pelvic Congestion Syndrome and Pelvic Venous Disorders","doi":"10.62487/saimsarac8a8b3d3","doi_url":"https://doi.org/10.62487/saimsarac8a8b3d3","version":"2026-05-22","source_name":"PubMed","article_url":"https://saimsara.com/sessions/pelvic-venous-congestion-20260522-125909-c8a8b3d3/","image_url":"","topic_tags":"Pelvic congestion syndrome,Pelvic venous disorder,Chronic pelvic pain,Pelvic venous reflux,Pelvic varices,Ovarian vein embolization,Endovascular treatment,May-Thurner syndrome,Nutcracker syndrome,Magnetic resonance venography","keywords":["Pelvic congestion syndrome","Pelvic venous disorder","Chronic pelvic pain","Pelvic venous reflux","Pelvic varices","Ovarian vein embolization","Endovascular treatment","May-Thurner syndrome","Nutcracker syndrome","Magnetic resonance venography"],"metrics":{"included_all":197,"included_original":176,"reference_index":133,"total_participants":19279},"discover_url":"https://saimsara.com/api/v1/discover.php?doc_key=vascular%3A%3APELVIC_CONGESTION_PM","paid_evidence_url":"https://saimsara.com/api/v1/evidence.php?doc_key=vascular%3A%3APELVIC_CONGESTION_PM","price":{"amount":"5.00","currency":"USD","units":5,"unit_amount":"1.00"},"payment_methods":["api_key","stripe_checkout","object_grant","x402"],"text_length":22869,"preview":"Results Key finding aligned to the query: The central scoping-review finding is that pelvic venous congestion is best understood as a hemodynamic disorder—driven by pelvic venous reflux, reflux distribution, reflux duration, and/or central venous outflow obstruction—rather than by venous diameter alone. This is supported by studies showing that uterine vein diameter and flow type were not significantly associated with CPP in a large gynecology cohort, while reflux presence or duration predicted symptomatic PeVD and CPP, and moderate-to-severe reflux involving gonadal, parametrial, and uterine veins strongly predicted severe pelvic venous pain. Clinically, this hemodynamic framing aligns with…","trust_label":"machine_generated_human_reviewed","editorial_verification":{"status":"human_reviewed","trust_label":"machine_generated_human_reviewed","method":"World ID proof-of-human editorial account","scope":["clinical_integrity","reference_quality","scientific_coherence"],"verification_note":"This Evidence Object is machine-generated and human-reviewed. World ID is used to verify that editorial oversight was submitted by a unique human account.","does_not_mean":"World ID verifies proof-of-human editorial oversight; it does not independently certify the scientific truth of every claim."},"checkout":{"method":"POST","url":"https://saimsara.com/create_checkout_session.php","content_type":"application/x-www-form-urlencoded","params":{"plan":"evidence_object","doc_key":"vascular::PELVIC_CONGESTION_PM"},"optional_params":{"customer_email":"user@example.com"},"price":{"amount":"5.00","currency":"USD","units":5,"unit_amount":"1.00"},"curl_example":"curl -X POST https://saimsara.com/create_checkout_session.php -d \"plan=evidence_object\" -d \"doc_key=vascular::PELVIC_CONGESTION_PM\" -d \"customer_email=user@example.com\""},"access_after_payment":{"header":"X-SAIMSARA-Payment-Proof","endpoint":"https://saimsara.com/api/v1/evidence.php?doc_key=vascular%3A%3APELVIC_CONGESTION_PM","curl_example":"curl -H \"X-SAIMSARA-Payment-Proof: YOUR_PAYMENT_PROOF_TOKEN\" \"https://saimsara.com/api/v1/evidence.php?doc_key=vascular%3A%3APELVIC_CONGESTION_PM\""}}}