Small pelvic varicose veins: symptoms and treatment

malaise in women with pelvic varicose veins

Varicose veins in the small pelvis are a disease nowadays.

Previously, when people led a more active lifestyle, such diseases were rare. Physical inactivity, working in the office at a computer, moving with means of transport - all of these have prompted humans to solve new health problems.

Varicose veins of the small pelvis are a disease associated with a decrease in the elasticity of the venous wall. There are various names for this disease: varicocele (found in men and women), varicose veins in the small pelvis, chronic pelvic algia syndrome.

Affects mainly women who have reached reproductive age (childbirth).

The cause of the disease is often due to the compression of the enlarged uterus, the return of blood flow by the small pelvic ducts. Often this phenomenon occurs during periods of changes in hormone levels and during pregnancy.

Sometimes varicose veins of this type can start at puberty, because then hormonal changes in the body also occur, but, unlike this disease at a more mature age, it occurs if there are no symptoms, the only possible increase in the amount of discharge fromgenitals.

Often with this disease there is pain in the lower abdomen when in an upright position, discomfort also occurs during physical activity and intercourse. Not infrequently, varicose veins in the small pelvis also cover the perineum, vulva and gluteal areas.

Disease causes and risk groups

Among the causes of pelvic varicose veins, the most common are changes in the ratio of hormones in the body and pregnancy. To date, the disease can cause:

  • hormone treatment;
  • use of hormonal contraceptives;
  • excessive sexual intercourse as a method of contraception;
  • sexual dysfunction - anorgasmia (lack of orgasm) and dyspaurenia (pain).
  • giving birth to heavy children, many;
  • inactive, inactive work (or vice versa - excessive physical activity);
  • congenital connective tissue pathology (weakness of blood vessel walls and venous valves).

The problem of pelvic varicose veins during pregnancy should be discussed in more detail.

The percentage of manifestations during this period away from small pelvic varicose veins was found in 30 percent of pregnant women. Often, pregnancy will occur with a phenomenon that triggers pathology, and there are two reasons for this.

The first is an increase in female hormone levels. The second reason is the compression of the venous wall by the uterus, which increases rapidly during pregnancy, which in turn, leads to the formation of collateral blood flow vessels with the participation of the gonadal venous system in this process.

After childbirth, the pelvic veins undergo a reversal process, and the venous wall needs to be restored.

Also at risk are patients with a predisposition to inflammatory processes in the pelvic organs and those with gynecological diseases (endometriosis, cysts, tumor processes). Women with high estrogen concentrations in the body are also at risk.

Symptoms of the disease

pain in the lower abdomen with pelvic varicose veins

Varicose veins of the pelvic organs have significant symptoms, the main ones are:

  • pain in the lower abdomen, radiating to the lumbosacral region (pain, can have varying degrees of intensity depending on the condition of the body);
  • significant and experienced premenstrual syndrome;
  • increased sensitivity of the perineum and vagina;
  • severe discharge from the genital tract;
  • menstrual irregularities;
  • in some cases, there is a violation of urination;
  • feeling of heaviness in the pelvis with prolonged stay in a static position.

In different cases, both symptoms and some of them can be observed, and they can also be expressed in varying degrees.

Classification according to the stage of the disease

There are three degrees of the disease, the size of which is the diameter of the damaged vein and the location of the main disorder, venous ectasia:

  • Standard 1- the diameter of the vein is about 5 mm, which refers to any small pelvic venous plexus, the vessel flow resembles a bottle opener;
  • Standard 2- veins with a diameter of 6 to 10 mm with total BP type, loose ectasia of the ovarian plexus;
  • Grade 3- vein diameter more than 10 mm with total VR type, or primary parametric localization type.

The above classification is suggested by scientists. Depending on the stage of development of the pathological process, one or one method of treatment is selected - from lifestyle changes to surgical intervention.

In the first and second degree, full recovery can only be done with the help of so-called conservative treatments (use of venotonics, dietary changes, therapeutic exercises, use of anti-inflammatory drugs).

In the third stage, it is often impossible to perform without surgical treatment methods, such as ligation and large vein embolization, venectomy.

Methods for diagnosing disease

It is difficult to determine the BP of the pelvic vein only by analyzing the patient's complaints, because the symptoms are similar to many gynecological diseases. Therefore, the following methods are used to diagnose this disease more accurately (carried out comprehensively):

  1. examination of the pelvic organs;
  2. Doppler ultrasonography of blood vessels to detect damage;
  3. laparoscopy (transition to the next procedure is possible - ligation of the ovarian veins);
  4. ultrasound examination (use of both transabdominal scanning through the abdominal wall and transvaginal scanning from the side of the vagina);
  5. X -ray examination - phlebography;
  6. computed tomography (in cases where additional clarification is required);
  7. transuterin phlebography (penetration diagnostic method).
pelvic varicose veins on ultrasound

The photo shows how the pelvic varicose veins form during diagnostic examination.

Such methods are used to ensure the absence of other diseases, and an accurate diagnosis can prevent the risk of incorrect treatment based on an inaccurate diagnosis.

While carrying out measures aimed at combating the disease, it should be borne in mind that the presence of varicose veins on the pelvic organs can be a signal of a tendency to the process of varicose veins, and thus adjust your lifestyle and way of life.

However, given the localization of this particular type of VR, it should be emphasized that it is better to use surgical methods as a last resort.

Main objectives and overview of treatment

Given the peculiarities of this disease, the task of all methods of treatment for small pelvic varicose veins is as follows:

  1. bring the tone of the venous wall back to normal;
  2. prevent congestion in the small pelvic canal, prevent recurrence;
  3. if possible, improve the condition (trophism) of the tissue.

In accordance with these tasks, a number of actions have been developed to treat the disease: special diets, therapeutic exercises, special preparations, wearing clothes in compression (with special design of stockings and tights). In general, drug treatment combines the use of ointments from venous BP and venotonic drugs.

Other treatment methods are described in more detail below.

Conservative treatment

Conservative treatment for small pelvic varicose veins provides gradual elimination of disease symptoms by making adjustments to daily life - creating a balance between activity and rest, by considering biorhythms, proper nutrition, use of special types of physical activity and control of time spent by patients inupright condition.

In addition, treatment with phleboprotectors and progestogen -containing substances is recommended. Recently, treatment with leeches (hirudotherapy), which are placed in the coccyx area, has become very popular.

Diet, nutrition

Changing your diet means getting rid of foods high in saturated fats, alcoholic beverages. Excess weight in the diet should be in favor of foods high in fiber (vegetables, fruits, grains), healthy fats (vegetable oils).

Diet with vascular disease does not include the consumption of spicy and very salty foods. Stopping using nicotine is also highly desirable.

Gymnastics, recommended exercises

exercises for varicose veins

Gymnastics is considered one of the most effective methods to treat and prevent pelvic varicose veins. Daily exercise will help improve blood circulation, flexibility and plasticity.

Most of the gymnastic exercises, recommended lying complex.

These include well -known exercises such as "birch", "bike" and "scissors", in which the legs are actively developed, but the lumbar area is not excessive.

Exercises like this give a lot of blood, which leads to the elimination of stuck processes.

Surgical intervention

Surgical intervention is an extreme measure used when the disease is very advanced and there is a tendency for venous VR. Surgical intervention is selected depending on the location of the primary violation, and provides for the following procedures:

  • ovarian vein ligation;
  • genital vein ligation (often combined with perineal miniflebectomy);
  • Troyanov -Trendelenburg operation (crossectomy) - in case of damage to the veins in the lower leg.

If surgical intervention is required, the selection of appropriate action is very individual, as it all depends on the localization of the lesion.

Relapse prevention

The best precautions for a small pelvic RV are:

  • healthy eating and after recovery;
  • reasonable load distribution, normalization of working conditions;
  • measuring daily routines, reducing stress (an important factor influencing hormone levels);
  • moderate sexual activity (gentle contraceptive methods);
  • intake of venotonic prophylaxis over a period of 2-4 months.

A caring attitude towards your body at the same time is a key point, because the processes stuck in the veins can reappear when You return to old habits, and then the reasons for the emergence of the disease.

Criteria for the effectiveness of ERCT treatment

Criteria for the effectiveness of treatment of this disease include:

  • elimination of pelvic vein VR symptoms;
  • according to research - indications that indicate an increase in venous drainage;
  • prolonged remission of illness;
  • better lifestyle as a result of conservative treatment;
  • improve the appearance of the skin at the site of damage;
  • normalization of hormonal processes.

Effective treatment of pelvic varicose veins has a positive effect on the physiological and psycho-emotional state of the patient.

Among the complications of varicose veins in the small pelvis, there may be:

  • dysfunctional uterine bleeding;
  • infectious diseases of the uterus, its appendages;
  • varying inflammatory processes;
  • bladder disease;
  • pelvic vein thrombosis (severe and rare complications - observed in 2-3 percent of all cases of the disease);
  • gynecological diseases due to inflammatory processes;
  • pain experienced during intercourse in the presence of this disease can cause vaginismus and in turn push intimate life.

On average, women aged 25 to 45 turn to a specialist who has similar symptoms and manifestations. During menopause, varicose veins in the small pelvis are more difficult, and the chances of complications are higher.

Therefore, this disease, as a result of the wrong way of life of modern people, greatly affects its quality. Timely and adequate treatment can slow the progression or cure the disease completely.

That is why, it is important to pay attention to the symptoms of the disease in a timely manner and see a doctor.