Causes and treatment of varicose veins of female pelvis

Varicose veins of the female pelvis are characterized by increased diameter and tortuosity. In most cases, this condition is related to venous valve dysfunction. Despite its high prevalence, this disease is rarely diagnosed.

This is due to the variety of symptoms, mainly pain. It is commonly used in gynecology, neurology, gastrointestinal pathology. VMST is sometimes disguised as a disease of the musculoskeletal system-especially nerve root syndrome and hip arthritis.

Description and reason

Dilated pelvic veins are often located deep in the skin, so they are not always visible. This is one of the reasons for the complicated diagnosis. With VVMT, the elasticity and tone of the veins will decrease, blood circulation will deteriorate and begin to stagnate. Due to the obstruction and expansion of the veins, the outflow of blood is blocked.

The core of the VVMT mechanism is the failure of the ovarian venous valve. Due to this defect, the blood returns and returns. This leads to increased venous pressure and blood stasis, and the formation of additional blood circulation circles-collateral branches.

The most important trigger is dysplasia, which is the underdevelopment of connective tissue, which affects approximately one-third of the population. Dysplasia is a congenital defect in which the level of collagen required for blood vessel strength is reduced.

In the postmenopausal period, the severity of varicose veins decreases, which proves that the theory of hormones' influence on vein status has been confirmed.

Progesterone-the female sex hormone, also known as the "pregnancy hormone", can significantly weaken the tone of the venous system. On the one hand, it lowers the tone of the uterus, thereby preventing miscarriage. On the other hand, it weakens and dilates the blood vessel walls. The growth of the uterus worsens the situation, and the growth of the uterus gradually presses on the large veins and causes the formation of bypass blood flow. This is why VVMT is very common during pregnancy.

Increased risk factors for varicose veins:

  • Too high, or on the contrary, insufficient physical activity;
  • Multiple births;
  • Multiple births or complicated delivery;
  • Gynecological diseases-endometriosis, fibroids, etc. ;
  • Long-term use of steroids, including birth control pills.

Type and degree

Pregnant women taking medication to treat pelvic varicose veins

There are two types of varicose veins in the small pelvis. The first is called vulvar and perineal varicose, and the second is called pelvic venous congestion syndrome. The two types can develop in isolation or combine with each other, which is the most common situation. Pregnant women mainly face vulvar vein lesions, and more than 91% of cases will disappear by themselves after delivery.

BPVMT is also classified by source and location. According to the origin, varicose veins are divided into primary and secondary. Aortic varicose veins develop due to venous valve insufficiency. Pregnancy becomes a trigger. Second varicose veins are caused by systemic diseases.

In terms of positioning, when all the veins of the small pelvis are affected, EMCT is all, partly, and selectively affecting one or more veins. According to the diameter of the vein, three severity levels can be distinguished:

  • 1 tablespoon-½ cm long;
  • 2 tablespoons-0. 6-1 cm;
  • 3 tablespoons-more than 1 cm.

Symptoms

Symptoms of varicose veins include:

    Lower abdominal pain and heaviness;
  • Increase in the number of secretions;
  • Various urinary system diseases;
  • The weight has increased rapidly at the beginning of pregnancy.

After sex, hypothermia, walking or standing for a long time, soreness usually worsens. If the genitals and the superficial veins on the top of the thigh are affected, veins and a blue-red vascular network may appear.

Usually, the signs of varicose veins are similar to cystitis: a small part of urination is severely painful.

Towards the end of pregnancy, there may be a burning sensation and swelling in the genitals. This symptom requires special attention as it may cause inflammation or rupture, leading to severe bleeding.

What is the danger of BPVMT

Varicose veins can cause a variety of life-threatening complications. First, this is thrombophlebitis or thromboembolism-inflammation of the dilated veins, leading to thrombosis. If a blood clot (thrombus) blocks a blood vessel, the blood supply to the placenta will be blocked. The result of the obstruction will be insufficiency of the placenta and hypoxia of the fetus.

Another serious complication is the threat of miscarriage and premature delivery due to poor blood circulation.

Due to vein dilation, doctors may prohibit natural childbirth to minimize the risk of vein rupture, which may cause internal or uterine bleeding.

Treatment

Pelvic Varicose Exercise

In pregnant women, medication is limited to intravenous injection and antithrombotic drugs. If the pain is severe, non-steroidal anti-inflammatory drugs (NSAID) can be used. If there is a threat of hypoxia in children, use antioxidant therapy in a hospital setting.

From the fourth month, venous sclerosing surgery can be performed, during which venous sclerosing agent is injected into the affected vein. Evaluate the effect of the procedure after 7 days and repeat the procedure if necessary. Compression clothes must be worn for the entire week after the operation. It is possible to achieve venous infusion in a course of treatment, but more often venous sclerosis must be performed 3-4 times.

Persistent pain syndrome and varicose veins larger than 1 cm in diameter are indications for surgery. It can only be done by gentle laser or radio wave coagulation in the first two to three months of pregnancy. If VVMT is caused by the back curvature of the uterus, plastic surgery is performed on the uterine ligaments.

The doctor recommends that pregnant women diagnosed with small pelvic varicose veins exercise more and do more exercise to prevent blood stagnation in the small pelvis. Wearing compression bandages and eating will help slow down the process of VVMT.

The composition of the menu should be such that it mainly contains plant-based foods and sufficient amounts of fermented dairy products and cereals.

Increased contrast or good perineal shower effect. During the operation, the woman sits on a special ring seat and supplies water from below and directs it to the perineum. The duration of the process is 3-5 minutes, and the treatment process includes 15 to 20 courses.

Preventing the development and progress of varicose veins is mainly to optimize physical activity and nutrition. The most important thing is to eliminate long-term static and dynamic loads, and adjust the diet, adding more fruits and vegetables to the diet. In the initial stages of varicose veins, exercise therapy and breathing exercises, wearing compression knits can help.

06.11.2020