As described on this page, Pelvic Venous Insufficiency (PVI) represents a fundamental problem with the valves in the gonadal or ovarian veins. This condition was described a long time ago and was previously known as Pelvic Congestion Syndrome. Due to the emotional overlay ascribed to the latter term, we currently refer to this condition as Pelvic Venous Insufficiency. Either term can be used to describe the same fundamental flaw in the venous valves, and there can certainly be a resultant emotional component to living with daily pelvic pain. However, the term Pelvic Venous Insufficiency accurately describes the condition without associating the term negatively with anxiety, depression, or both. Therefore, we use the term Pelvic Venous Insufficiency to avoid the potential labeling of a patient's experience with this disease process.