Varicose veins of the legs in men: causes, symptoms and pathological treatment

Phlebologist performing diagnostic examination on man with varicose veins in legs

Men are less likely to develop conditions like varicose veins, however, it doesn't completely bypass them. Often, hypersexuals seek medical help only when the disease becomes severe, complicating treatment. By now, doctors know almost everything about varicose veins, and with prompt treatment, they will always provide qualified help.

Men often ignore the first symptoms of the disease, thinking they are merely cosmetic defects. It is only when large inflamed venous knots appear in the legs that cause pain and suffering that one becomes aware of a health problem. Particularly recalcitrant patients see their doctor only after developing non-healing trophic ulcers on their legs.

The dangers of varicose veins

Varicose veins of lower extremities in men

What are the dangers of varicose veins in men - what everyone needs to know. At first glance, the disease may appear to be just a cosmetic defect, but in reality everything is much more serious. In itself, varicose veins do not pose a threat to the life or health of the patient, but thrombophlebitis, which develops in the context of it, is a serious and worrying problem! Thrombophlebitis has chronic and acute forms. Its most dangerous complication is the separation of a blood clot that can block the pulmonary artery (pulmonary thromboembolism).

In the future, venous lesions will bring the following risks to health and life:

  • Thrombosis - When a vein dilates, the blood begins to stagnate, causing a blood clot to appear. When a blood clot ruptures, a blockage of a blood vessel can occur, which can lead to death;
  • Insufficient blood supply to the legs - advanced varicose veins lead to the development of trophic ulcers, severe inflammation, tissue necrosis and gangrene;
  • Decreased performance - in severe pathological cases, edema of the lower extremities develops, severely impairs performance, gradually leading to disability.

In the absence of appropriate treatment, there is a high risk of venous pathology metastasizing to the inguinal area, which may violate reproductive function and urogenital disorders.

Cause of disease development

Without preconditions, venous dilation will not occur. The causes of varicose veins in men are no different from the causes of varicose veins in women. The following triggers the development of pathology:

  • Inherited Weaknesses of Venous Valves- The main factors that lead to the appearance of varicose veins. If present, special periodic monitoring of the condition of the legs is required;
  • frequent constipation- due to indigestion, there is an overload of the small pelvic veins, as a result of which the blood in the legs gradually stagnates;
  • excess weight- due to overloading of the legs, blood stasis develops, which in turn leads to pathological stretching of the veins without the possibility of reversing recovery;
  • prolonged and excessive physical activity- Together with them, the blood circulation in the tissues is disturbed, the complete outflow of blood from the legs stops. As a result, stagnation occurs, leading to disease;
  • Sitting or standing work- In this case, severe stagnation of blood due to prolonged squeezing of the veins, deforming the valves of the veins and stretching the walls of the vessels;
  • smokes- With long-term nicotine use, toxic substances can penetrate the body, thin the walls of the veins and cause them to lose their elasticity;
  • alcohol abuse– Works like nicotine.
The development of varicose veins due to rupture of venous valves and the formation of blood backflow

Varicose veins rarely occur in the complete absence of predisposing factors. People with pathology are mainly 45 years old.

Manifestations of varicose veins

In men, symptoms of varicose veins appear earlier, and it is important to recognize them promptly. Representatives of the stronger half paid little attention to the initial presentation, so the acute symptoms of the disease were always surprising to them. Regarding pathological dilation of veins, they say:

  • Spider veins - they are the first sign of disease. In the form of a peculiar pattern on the legs - cobwebs. From this moment, it is necessary to start treating the disease. As it progresses, an increase in the severity of vascular herniation and asterisks is observed;
  • Goosebumps on the extremities - a feeling of crawling on the skin is often observed due to the deterioration of the blood supply, sometimes they turn into twitches, mainly at night;
  • Pain - An unpleasant sensation in the diseased vein after prolonged physical exertion or in an uncomfortable position on the leg. As the disease progresses, nighttime pain in the legs is also noted, which can only be prevented by raising the legs above the body, for example by placing a pillow or roller under them;
  • Swelling - At first, the swelling is only in the foot area, and as the disease progresses, the swelling increases. At first, edema only appears after prolonged physical exertion and disappears if you give your legs a break. Also, swelling can become permanent and even prolonged rest won't get rid of them.
  • darkening and thickening of the skin;
  • persistent low temperature in the feet;
  • Deterioration of sensitivity of the feet and lower legs;
  • Form trophic ulcers.

Many patients seek qualified medical help only 10-15 years after the first sign of leg varicose veins, when their condition becomes so bad that it interferes with normal daily life, let alone full ability to work.

How the diagnosis is made

To make a diagnosis, you will need to visit a phlebologist who will make an initial diagnosis after a visual inspection. Next, the specialist will send you for a vein ultrasound. This procedure is similar to an ultrasound, but the graphics show not only the tissue, but also the velocity of blood flow and its quality. Additional tests are done less frequently because the signs of varicose veins are very obvious. Among them:

  • CT scan;
  • CT angiography;
  • Coagulation blood test.


Procedure to reduce vascular lumen in varicose veins of the legs

Currently, there is no effective conservative therapy to cure varicose veins. It is combined with surgical treatment methods aimed at improving the patient's quality of life and slowing the progression of the pathology.

All therapeutic actions pursue primary goals:

  • Eliminate symptoms of chronic venous insufficiency.
  • Removal of manifestations of valve insufficiency - Blood stasis occurs because the valve loses its ability to control blood flow.
  • Prevention of the development of complications - the main consequences are tissue necrosis and sepsis due to infection of the tissue at the site of the ulcer.
  • Prevent disease recurrence.

For rapidly progressing varicose veins, treatment can only be done with surgery. However, conservative treatment is still required before surgery to improve the patient's condition. Often, treatment is chosen individually based on the patient's condition. The goal of treatment is always to reduce the lumen of the diseased vessel in order to remove congestion within it.

Conservative treatment

Conservative treatment begins after a patient first receives medical help.

First, apply compression therapy. Its essence is to create an artificial outer support tights for the veins, which will prevent them from protruding and promote better lymphatic drainage. To do this, wrap it tightly with an elastic bandage or special compression underwear. You should not prescribe such underwear for yourself as it has contraindications to its use.

A phlebologist prescribes medications based on the degree of vein damage and the course of the disease. When the venous bed is severely disrupted by disease, the most powerful blood draw drugs are used in the stage of preparation for surgical intervention.

To reduce the risk of blood clots and improve blood outflow from the lower extremities, anticoagulants and antiplatelet agents are recommended.

The disease cannot be eliminated without the use of intravenous drugs. This medicine is produced in the form of ointments, gels, and tablets for oral use. Venotonics are almost never a means of injection.

Non-severe venous inflammation is treated with medication without surgery. To normalize the patient's condition, NSAIDs are required. In addition, for the fastest results, gels and creams for topical application are also shown. These include anticoagulants. In the presence of infection, antibiotics are included in treatment. Acting directly on the inflamed area, they quickly relieve symptoms and eliminate unpleasant ones.

invasive treatment

Treatment is done using invasive methods in both the initial and advanced forms of the disease. At the onset of pathology, low-trauma puncture sclerotherapy was performed. With it, diseased veins are not removed from the circulatory system.

Sclerotherapy of the lower extremities - an invasive method for treating varicose veins

If severe varicose veins are diagnosed, surgery is needed to remove the diseased veins - a phlebectomy. At the same time, conservative treatment was also performed. Phlebectomy is performed in 4 stages:

  • Eliminate backflow sources;
  • excision of the great saphenous vein;
  • removal of tributaries from varicose veins;
  • Anatomy of the perforating veins.

A diseased saphenous vein can be removed in almost any hospital because it does not require special equipment. All general surgeons can handle the job with ease. Low-trauma interventions are usually only performed in large clinics and specialty centers.

If a phlebologist cannot be visited and a vein problem develops, a surgeon or therapist will prescribe treatment. Their knowledge is sufficient to select a drug and determine a patient's condition.


Compression underwear for the treatment and prevention of varicose veins in the legs

Preventive measures, even with a genetic predisposition to the disease, can help protect leg veins from pathological dilation. If a person follows these recommendations, he can manage to avoid varicose veins even with hard work. The preventive measures are as follows:

  • quit smoking;
  • avoid excessive consumption of alcoholic beverages;
  • Follow a drinking regime - you need to drink 2 litres of clean water a day, excluding liquid food. This ensures normal blood viscosity;
  • an active lifestyle;
  • maintain a normal weight;
  • Use elastic bandages to support veins when lifting weights;
  • During long-distance transportation and airplane flights, you need to get up or stretch your legs regularly to promote lymphatic flow;
  • Make sure your legs are properly rested in a supine position for at least 1 hour per day, excluding sleep time.

Remember, you should not ignore the first manifestations of the disease as cosmetic flaws. If treatment is started in time, there is a chance to get rid of the disease or stop it from developing further.