Pelvic varices is a serious pathology, the result of blood reflux. Usually, the disease develops due to compression of blood vessels. Pregnancy may be a predisposing factor, because this condition is accompanied by significant changes in the hormone balance in the body. Such varicose veins are often accompanied by severe pain in the lower abdomen.
There are many causes of pelvic varices in women. Usually, the disease develops under the influence of many factors.
The key includes the following:
- Changes in hormone balance in the body. This condition has a negative impact on blood vessel health. Therefore, progesterone has a significant relaxation effect on smooth muscle, which will cause a decrease in venous tone. As a result, the blood vessel becomes more elastic, its valve deforms and the wall becomes thinner. This causes venous congestion. This condition also affects the pelvic area.
- Inflammation and tumor pathology of reproductive organs. In this case, treatment should aim to eliminate the main pathology. With infection or cancer, blood circulation is severely impaired. These changes affect not only the pelvic area but also the entire body. This is due to toxic substances, inflammatory mediators and other elements entering the systemic circulation.
- Difficulty in physical activity. This factor usually causes damage to the musculoskeletal system and leads to the development of vascular diseases. In this case, blood circulation will be severely impaired, resulting in insufficient venous supply. They stretch too much and lose their function.
- Congenital vascular structural abnormalities and genetic predisposition to varicose veins. The violation of the structure of the valve or the wall causes rapid deformation of the container, which leads to problems in its function.
- Insufficient lifestyle. If there is not enough load, the vein will lose tone and elasticity. As a result, they become slack and cannot maintain normal circulation.
- Pregnant. In about 70% of cases, pregnant women are diagnosed with pelvic varices. This is caused by multiple factors at the same time. These include changes in hormone balance, severe stress due to weight gain, and changes in the circulatory system due to the formation of the placenta.
Varicose veins in the small pelvis develop under the influence of one or several factors. The abnormal process is usually located in the vagina, ovaries and uterus area.
People at risk include those who are prone to inflammation of the pelvic organs. Usually, the disease develops against the background of tumor formation, cysts or endometriosis. In addition, women with high blood levels of estrogen also have an increased risk of developing the disease.
There are two main forms of pathology:
- Dilation of the vulva veins-in difficult situations it will affect the inner thigh and perineum area;
- Venous congestion.
Usually, two diseases exist at the same time, but one of the symptoms is more severe. This situation is like a vicious circle: enlarged vulvar veins cause pelvic vein outflow problems, and pelvic plexus expansion causes vulvar veins to enlarge.
Moreover, this disease usually disappears on its own after delivery.
Only 2-10% of women have symptoms.
According to the degree of expansion, the following diseases can be distinguished:
- 1 degree-The diameter of the vein does not exceed 5 mm, and its convolution process;
- 2 degrees-Diameter of 6-10 mm, complete varicose veins or only affect the ovaries, myometrium or parauterine plexus.
- 3 degrees-The blood vessel diameter is larger than 10 mm.
The symptoms of small pelvic varicose veins are many and varied, usually similar to those of nearby organs. The disease is usually dominated by some form of physical signs.
Varicose veins of the vulva
The main symptoms of this disease include:
- Dilation of the veins.The main manifestation of this form is the obvious expansion of the vulva or perineal vein. The patient himself can see them. The disease is accompanied by genital itching, heaviness and explosive pain in the area. The doctor can detect swelling of the labia and increased veins in the area. This process is usually accompanied by hemorrhoids.
- Bleeding.This disease can be accompanied by trauma or sudden bleeding. Since the vein wall becomes very thin, it is very problematic even to use surgical methods to stop the process.
- Thrombophlebitis.The complication of this varicose vein is acute thrombophlebitis of the perineal vein. The process is accompanied by severe pain, redness and swelling of the skin. The veins in the affected area become tight and painful. Their inflammation can also develop, which can cause increased body temperature and symptoms of poisoning.
This type of pathology has the following manifestations:
- The painful feeling.They are always there, felt in the lower abdomen, and to varying degrees. The pain may be pulling or dull pain. Sometimes there is discomfort. He often gives the lumbar area, bone, groin and perineum. The pain will increase after staying still for a long time. Exercise and heavy burdens can also increase discomfort.
- Discomfort during or after sex.This symptom can cause vaginismus and phobias. Women are often highly sensitive to the genital epithelium and vaginal mucosa.
- Premenstrual syndrome.The typical manifestation of this disease is increased pain during the second phase of the menstrual cycle. In addition, women face painful periods and their cycles may be disrupted.
- Urination violation.Sometimes problems with urination are caused by bladder vein congestion.
With the change of normal lifestyle, the appearance of gender problems and the deterioration of mental and emotional state, depression and neurosis also develop.
Doppler ultrasound is the main diagnostic procedure that can help identify varicose veins in the small pelvis. This process makes it possible to use ultrasound to visualize blood vessels. The procedure also helps to determine the symptoms of decreased blood flow velocity and venous valve dysfunction.
In addition, the diagnosis of pelvic varices includes transuterine venography. This examination of veins involves filling blood vessels with contrast that can be easily seen on X-rays. As a result, the entire series of blood vessel images can be obtained. On them, you can see varicose veins, thrombosis areas, collateral branches. The doctor can also assess the condition of the valve. However, this technique is not used during pregnancy and iodine intolerance.
Laparoscopy is performed in women suspected of small pelvic varicose veins. For this reason, the endoscope is punctured in the abdominal wall through which it is inserted. Use this tool to examine the pelvic cavity.
However, the most useful procedure is ovarian imaging. The term is understood as X-ray examination of the ovarian veins using a contrast agent.
The treatment of small pelvic varicose veins should be comprehensive. It includes general guidelines, medications and surgical treatments.
The basis of treatment is to adhere to special dietary habits and proper nutritional norms. First of all, it is important to solve the problem of working conditions.
Employees should be transferred to activities that do not perform heavy work and a lot of physical activity.
If you need to sit or stand for a long time, take a break every half hour. At this time, you need to walk, squat, and raise your knees. The same principles should be followed after get off work.
Power correction is also very important.
It is important to avoid refractory fats, marinades, seasonings and spicy foods. Alcohol and pickles are also banned. The menu should include plenty of fruits and vegetables, grains and vegetable oils.
People with pelvic varices should wear compression clothes. With its help, it is possible to restore blood circulation in the blood vessels and cope with venous congestion. In addition, gymnastics is very important for pelvic varicose veins. For this, you should exercise scissors, birch wood, bicycles, etc. The following moves are also helpful:
- High heels, toes, high knees walking around the room;
- Lie on your back, straighten your legs, then bend your knees and pull them to your chest;
- Lie on your stomach and raise each leg alternately;
- Lie on your back, raise your straight leg, then bend at your knee, then straighten it again.
To prevent the pathology from recurring, you need to swim, jog, and ride a bicycle
The contrast shower is very helpful. It is especially important to pay attention to the lower abdomen, perineum and inner thighs.
Drug treatment of small pelvic varicose veins in stages.
In most cases, doctors prescribe the following types of drugs:
- Phleboprotectors-Deal with inflammation, have anti-destructive effects, reduce vascular permeability, and normalize lymphatic outflow.
- Phlebotonics-Help restore tones and increase the elasticity of blood vessel walls and improve blood rheology.
- Antiplatelet drugs-It is a way to prevent blood clots.
- Non-steroidal anti-inflammatory drugs-Help cope with pain and inflammation.
- Antioxidants and membrane protectants-Help avoid oxidation, eliminate free radicals, and maintain the normal function of cell membranes. These include vitamin C and E.
- Intestinal absorption agent-Lead to the binding of toxins in the intestine.
The surgical treatment of pelvic varicose veins is based on strict indications. These include:
- Conservative treatment failed;
- The third level of pathology;
- Difficult to relieve pain.
Various types of operations were carried out today. It all depends on the location of the pathology.
The main methods of surgery include:
- Ovarian vein ligation-through retroperitoneal area or laparoscopy;
- The ovarian vein is hardened under the control of angiography-in this case, hardened substance is injected into the venous cavity;
- Ovarian vein resection-means its partial removal;
- Laser or radio frequency coagulation;
- Laparoscopic removal of ovarian veins;
- Vein extraction-when the vulva and perineum are affected;
- Cross resection-involves the ligation of the great saphenous vein and its branches.
In addition to traditional methods, small pelvic varicose veins can also be treated with folk remedies.
Some of the most effective recipes include:
- Oral horse chestnut tin has analgesic and venotonic effects.
- Sham therapy successfully resolved congestion and swelling. This will help reduce stress on the heart and achieve a tonic effect.
- Dandelion root agent has venononic properties and helps eliminate the symptoms of varicose veins.
Drugs can be used to easily correct pelvic varicose that women find in time. However, the diagnosis of pathology can be very problematic. As a result, there is a threat of irreversible change:
- Pelvic varices continue to develop. As a result, the reproductive organs, perineum, and legs are involved in abnormal processes.
- Persistent development of genital dysfunction. This can lead to infertility or miscarriage.
- Persistent pain can cause neuroemotional disorders, such as neurasthenia.
- The rarest and most serious complications are venous thrombosis and pulmonary embolism. These complications are only observed in 5% of cases, but they are life threatening.
In order to avoid small pelvic varicose veins in women, you need to follow the following suggestions:
- Normal working conditions, excluding prolonged standing or sitting.
- Eliminates the lifting of heavy objects and gives up hard physical exercise.
- Normalize stool and relieve constipation. The menu should contain a lot of vegetable oil and fiber. It is important to give up spicy food, pickles, and alcohol.
- Do contrast showers every day, paying particular attention to the perineal area.
- Raise your legs and do exercises.
- Use tights.
- Do breathing exercises.
- Take veoniconics for prevention purposes. Such courses are held 3-4 times a year.
Pelvic varices is a very serious abnormality that can lead to negative health consequences. To avoid this situation, it is very important to consult a doctor immediately and clearly follow all of its recommendations.