Varicose veins of small pelvis

Varicose veins of small pelvis provokes the phenomenon of backward reflux of blood through the ovarian Vienna arising on the background of compression of blood vessels.

varicose veins of small pelvis

The starting mechanism of development of disease is considered pregnancy, and that is observed in this period hormonal changes and the growing pressure of the uterus on the pelvic vessels. This kind of varicose veins appears long and intensive pain in the abdomen, usually occurring after regular heavy physical exertion, or before menstruation.

Meanwhile, from early detection of pelvic varicose veins depends largely on the quality of life of the patient, his ability to enjoy the intimate side of the relationship with the loved one and the ability to procreate.

Help

Varicose veins of small pelvis in women is a complex medical problem. Described many cases of successful treatment of this chronic disease. However, the disease is often not diagnosed. In this disease the probability of diagnostic errors, especially in its early stages.

The reasons for the development of the disease

Pathology occurs when the disruption of a large main veins that collect blood from the genitals. Often the disease comes from a uniform weakening of the entire venous network of the pelvis. The most common causes of the disease be a genetic predisposition and the presence of connective tissue dysplasia. The latter causes the underdevelopment of the vascular wall and a gradual decrease in its density.

Also cause varicose veins following reasons:

  • sharp hormonal disruption, ovarian cancer and other diseases because of the hormones;
  • pregnancy and childbirth (due to increased pressure in the pelvis);
  • gynecological disorders — endometriosis, chronic endometritis, surgery;
  • physical work, high physical activity;
  • obesity;
  • sedentary work;
  • the lack of orgasms, especially long-term;
  • anomalies of the uterus — bend backward, drooping.

Classification and stages of development

Varicose veins of the pelvis can manifest itself in two forms: varicose veins of vulva and perineum syndrome, and venous plethora. More than half of the cases, both these forms cause and support for each other. Isolated perineal varicose veins and varicose veins of the vulva often caused by reflux of blood with the defeat of the external sexual veins and tributaries of the great saphenous vein.

Found in 30% of pregnant women, after childbirth is saved from 2-10% of women. The main precipitating factor of varicose veins of perineum and vulva is the pressure of the growing uterus on the iliac and inferior caval veins. A prerequisite for varicose veins of the pelvis performs venous reflux in the ovarian vein.

diagnosis of varicose veins

Allocate 3 degrees of severity of varicose veins of small pelvis taking into account the diameter and localization of the varicose veins:

  • 1 degree – the vessels have a diameter of 0.5 cm and convoluted course; the lesion may affect any of the venous plexuses of small pelvis;
  • 2 degree – vessels have a diameter of 0.6-1 cm; lesions may carry a total character or affect the texture of eggs, or parametrului veins, or arcuate veins of the myometrium;
  • Stage 3 – the vessels have a diameter of more than 1 cm with varicose veins total type or trunk type (localization near the uterus).

Symptoms of varicose veins of the pelvis

In women there are two versions of occurrence of this disease is venous plethora of organs of small pelvis and varicose veins of the perineum. The symptoms of these conditions are approximately the same as its reasons. For most women, there are symptoms of varicose veins of small pelvis:

  • pain in the lower parts of the abdomen;
  • profuse discharge from the vagina;
  • pronounced premenstrual syndrome;
  • disorders of the menstrual cycle;
  • voiding.

These symptoms are different patients can manifest themselves in various combinations. Some of the patients point almost all of them, some there are just one or two. The most characteristic symptom of the disease is the presence of a exhausting pain in the abdomen that is not explained by any visible changes. Another predominant majority of patients symptom — profuse discharge of mucous character.

During the inspection usually detected a change in the surface veins in the buttocks, in the area of the perineum and on the rear outer surface of the thigh.

The threat to a normal pregnancy

Varicose veins of the lower extremities is very often combined with vaginal varicose veins, which indicates the presence of stagnant phenomena in the pelvis and the involvement in the pathological process of venous apparatus other female reproductive organs in General and uterus in particular.

Vascular lesions of the uterus can have a negative impact and pose a threat to the fetus and a normal pregnancy, therefore, varicose veins in pregnancy acquires a special status, where the venous vessels of the lower extremities allotted a leading role. After all, they are the starting point, and the pelvis is involved in the process.

Diagnosis

According to American researchers, in the beginning 2000-x years only 2% of patients with varicose veins initially put the correct diagnosis. Sometimes the result of diagnostic errors was the removal of the reproductive organs in women, although this could have been avoided if used the most accurate diagnostic methods of pelvic varicose veins:

symptoms of varicose veins
  1. Ultrasound vein mapping – allows to suspect the varicose veins;
  2. Venography is an invasive study which allows high accuracy to determine the presence and extent of the disease;
  3. Laparoscopy is indispensable in differential diagnosis of the disease from similar symptoms of gynecological diseases (endometriosis, fibroids, vaginitis).
  4. Study of veins by injection of a contrast agent, is the most objective diagnostic method.
  5. Computer or magnetic-resonant tomography allows to define the details of the disease and differentiate it from other not gynecological pathologies with similar symptoms (joint disease, Crohn's disease, etc.).

Complications

If you see at least one of the aforementioned symptoms, consult your doctor for advice, without attention do not leave the state. Varicose veins of small pelvis, which was neglected, has several unpleasant consequences:

  • malfunction of the uterus;
  • contraindication to childbirth the natural way;
  • the emergence of comorbidities, such as varicose veins of legs and hemorrhoids;
  • mental disorders (increased anxiety, irritability, sleep disturbances, impaired attention, fear of sexual intercourse due to pain).

How to treat varicose veins of the pelvis?

For the treatment of varicose veins of small pelvis in women, there are many techniques, each of which is effective in your case, but the greatest effect brings a mix of different methods in the complex therapy.

The most important tasks of therapy in varicose veins of the small pelvis are:

  1. Recovery of vascular tone.
  2. Eliminate stagnant processes.
  3. Prevention of blood clots.
  4. Improvement of the trophic tissue.

Treated the disease with an integrated approach. For this prescribed drugs. The patient should normalize your lifestyle, eat right and use a special compression underwear. Remember that when diagnosed with the disease is strictly prohibited to use the methods of traditional medicine. They can be used only after consultation with your doctor, as additional treatment.

Medicines

When the diagnosis of varicose veins use and medication therapy. This files most often assigned to several groups of drugs:

  1. Phleboprotector. Anti-inflammatory effect, improves blood circulation.
  2. Phlebotonics. Pills shown to improve the elasticity of blood vessels.
  3. The chelators. Shown to bind and eliminate toxins in the intestines.
  4. Non-hormonal anti-inflammatory drugs. Help relieve pain and inflammation.

Also prescribed vitamin complexes that help to support the immune system. To prevent the formation of blood clots antiplatelet agents are appointed. Taking medication only on prescription in the specified dosage.

Normalization of lifestyle

Causes of inability to conceive with varicose veins of the pelvic vessels and the appearance of other symptoms of the disease is the wrong way of life. Experts recommend:

  1. To abandon bad habits.
  2. Eliminate standing or sitting for more than three hours.
  3. To unsubscribe from strenuous exercise.
  4. To perform daily exercises.
  5. Do not take a hot bath. Procedure can be replaced with a cold shower. The change in water temperature will help keep blood vessels toned.
  6. To get rid of excess weight. This can be diet and exercise.

To cure the disease is not easy. It is necessary to observe all recommendations of the doctor. The doctor also assigns a set of special exercises that will help to restore circulation.

food for varicose veins

Food

In the treatment of disease is of great importance balanced diet excluding fatty foods and alcoholic drinks.

The menu should include meals with a high content of fiber, fats of vegetable origin. The main products in the diet should be vegetables, fruits, natural juices, green tea. Not recommended for sweet pastry dishes with lots of spices, fast food. Meals should be frequent, but small portions.

Useful products with a high content of vitamin C (citrus, blackcurrant), seafood (oysters, shrimp, seaweed). The dishes you need to cook with a minimal amount of salt.

Gymnastics

In addition, patients need daily to do gymnastics, performing:

  • exercise "birch";
  • the exercise "Bicycle";
  • exercise "scissors";
  • exercise in the supine position – to stretch my legs, and then bend at the knees and pull to chest;
  • exercise in position on the stomach – take turns to lift the top one and then the other leg;
  • walking around the room: on tiptoe, on your heels, and then with raised knees (not less than 15 minutes);
  • in the supine position raise legs straight, bend at the knees and hip joints, and straighten up again.

Folk remedies

Traditional medicine effective for overcoming the symptoms of the disease, when applied in the early stages. Great efficiency have teas and broths of the fungus and the root of the dandelion, tincture on the basis of horse chestnut.

The most affordable way to use chaga – tea is based on it. To do this, 3 tablespoons of dried chaga pour 0.5 liters of boiled water and insist in a warm place for several hours. Take half an hour before meals 2-3 times a day.

Dessert spoon of crushed roots of dandelion pour a glass of boiled water for a few hours and drink three times a day 10-15 minutes before meal. This tea is contraindicated for people suffering from gastritis or disease of the biliary tract.

To prepare the tincture of the horse chestnut fruit peel from the skin, finely chop, put in a bottle of dark glass and pour vodka in the ratio of 1:10. The duration of infusion – 14 days. 25-30 drops of the tincture obtained is mixed with a small quantity of water and take three times a day. The duration of intake should not exceed 30 days.

Surgical treatment

Surgical treatment of varicose veins of the pelvis is performed under strict indications:

  • the ineffectiveness of conservative therapy;
  • 3 the extent of the disease;
  • inability to relief of pain.

Apply different methods of surgical intervention depending on the localization of reflux and venous conglomerates:

  • ligation of the ovarian vein (laparoscopy);
  • scleroobliteration of veins of the ovaries under the control of the hagiography (in the lumen of the vein entered the special substance, the operation is performed under local anesthesia);
  • resection (partial removal) of the veins of the ovaries (laparoscopy);
  • clipping the veins of the ovary laparoscopically;
  • phlebectomy (removal of veins) varicose veins of perineum and vulva;
  • laser and radiofrequency coagulation;
  • ligation of the great saphenous vein and its tributaries – with a combination of varicose veins of perineum and lower extremities.
prevention of varicose veins

Prevention

  1. Normalization of working conditions with the exception of prolonged sitting or standing. Industrial gymnastics, regular work breaks. The exception of heavy physical exertion, heavy lifting.
  2. Normalization of a chair, getting rid of constipation. In the diet should be more fiber and vegetable oil. Avoiding alcohol and Smoking. Exclusion from the diet spicy and salty foods.
  3. Daily ascending douches on the perineum.
  4. Exercises in the supine position with elevated legs ("bike", "birch", "scissors").
  5. Breathing exercise: slow breathing, with the participation of the abdominal muscles.
  6. Wearing special medical stockings of compression class II.
  7. Preventive medication courses 3 – 4 times a year.

Effective treatment recognized in cases where stop the symptoms of the disease, improves venous outflow according to instrumental measurements, improves the quality of life of the patient.

12.07.2019