Varicose veins of the small pelvis in women

varicose veins of small pelvic vessels

In women, varicose veins of the small pelvis develop mainly at a productive age. The pathology adversely affects the condition of the uterus and appendages, causes unpleasant symptoms and, in advanced cases, causes complications that negatively affect the quality of life of a young woman. The disease is difficult to diagnose because it is often accompanied by symptoms that develop with common gynecological pathologies, such as inflammation in the organs of the genitourinary system, hormonal disorders, etc. complete gynecological examination, as well as assessment of the condition and functioning of the pelvic vessels. If you suspect varicose veins of the small pelvis and need high-quality diagnosis and professional medical care, contact a clinic where experienced highly qualified specialists will help diagnose and successfully treat such a serious disease.

Classification of varicose veins of the small pelvis

Varicose veins of the pelvis are a pathological process accompanied by weakening of the venous walls of the pelvic organs, which in turn contributes to the development of ectasia. Pathology can develop in 2 forms:

  • varicose veins of the vulva and perineum;
  • venous obstruction syndrome.

In most cases, both of these forms promote and support each other. Isolated perineal and vulvar varicose veins develop against the background of blood flow through the safenofemoral fistula with simultaneous damage to the external pudendal vein and the entry of a large vessel. Such a pathology often occurs in pregnant women and develops against the background of compression of the iliac and inferior vena cava by a growing fetus and a growing uterus.

Depending on the nature of the severity of the disease, there are 3 stages in the development of the pathological process:

  1. First. The diameter of the dilated vessels is not more than 0. 5 cm, the vessels have a curved course.
  2. The second. The diameter of the affected vessels increases to 0, 6 - 1 cm. The lesion may be generalized in nature or may affect the parametric vessels, myometrial acrobial vessels, and the ovarian plexus.
  3. third. The diameter of the affected vessels is more than 1 cm, serious complications develop.

Given the nature of development, RVMT can be of the following types:

  • Initial. It develops against the background of congenital or acquired valve insufficiency of the ovarian vessels. Common triggers of this type of pathology: complications during pregnancy and childbirth, heavy physical force, use of hormonal drugs, etc.
  • Secondary. It develops against the background of progressive gynecological diseases, such as tumors, endometriosis, etc.

Reasons

Varicose veins of the small pelvis often occur for the following reasons:

  • Connective tissue dysplasia. A congenital condition characterized by a decrease in the content of certain types of collagen, which helps to reduce the strength of the vessel walls.
  • hereditary tendency. If a woman has such a case of vascular disease in her family, she will also face RVMT due to a combination of negative factors.
  • Physical inactivity. Due to the lack of physical activity necessary for the body and a sedentary lifestyle, venous flow in the small pelvis is impaired, which in turn leads to the development of stagnant processes.
  • Pregnancy. As the pregnancy progresses, the uterus gradually enlarges, compressing the surrounding tissues, including the presented vessels, which sometimes leads to the development of varicose veins.
  • Obesity. Excess weight significantly increases the load on the small pelvic vessels.
  • Varicose veins and hemorrhoids of the lower extremities. In this case, VRVMT develops against the background of systemic damage to connective tissue.
  • Hormonal disorders. Hormonal deficiency, in which the body produces too much progesterone, weakens the tone of the small pelvic vessels, which leads to the development of varicose veins.

Women who:

  • abuse of bad habits: alcohol, smoking;
  • do not live an intimate life and do not have an orgasm;
  • encountered gynecological complications during pregnancy and childbirth;
  • abdominal surgery was performed;
  • have serious pelvic injuries;
  • is forced to undergo hormone replacement therapy.

Symptoms

Often, varicose veins of the small pelvis do not cause any suspicious symptoms. For many years, a woman may be unaware of a serious illness. In the early stages, the symptoms are nonspecific, so RVMT is often mistaken for a type of gynecological pathology with a similar clinical picture. A thorough examination of not only the organs of the reproductive and urinary systems, but also the small pelvic vessels should be alerted and the possible symptoms:

  • Non-menstrual pain in the lower abdomen. The intensity of the pain syndrome depends on the degree of vascular damage and the prevalence of the pathological process. At the earliest stage, the pain is mild and can spread to the lower back and sacrum. In advanced cases, the pain is intense, unbearable, spreads to the abdomen, perineum, lower back.
  • Severe premenstrual syndrome. The woman's condition worsens sharply in the second stage of the period, severe pain during menstruation, increased discharge, dysmenorrhea are possible.
  • Dyspareunia. Anxiety and pain may be a concern during direct contact and after its completion.
  • Problems with urination. Going to the toilet is more common, and a woman feels pain and discomfort when she tries to urinate.

Diagnosis of varicose veins of small pelvic vessels

Based on the patient's complaints and the presence of such characteristic symptoms, the doctor will be able to make the following initial diagnosis at the initial stage of the examination:

  • dilation of superficial vessels in the vulva and perineum;
  • cyanosis of the vaginal walls;
  • pain on palpation of the abdomen.

However, an initial examination and palpation will not be sufficient to confirm the diagnosis of RVMT. Therefore, the patient is referred for a comprehensive diagnostic examination, including the following procedures:

  • Combined ultrasound transabdominal and transvaginal method. Allows you to identify organic pathology using a color Doppler map to detect the localization of the pathological process.
  • Dopplerography. Allows the doctor to assess the condition of the vascular and venous system of the MT organs.
  • Tomography. Using a contrast agent, computer or magnetic resonance imaging allows the vessels to be examined in detail and their expansion zones to be seen.
  • Ectopic phlebography. It allows to determine the localization and spread of the pathological process, to assess the condition of the valve systems, to detect blood clots.

Diagnostic laparoscopy is used for the purpose of differential diagnosis or because the above methods do not contain sufficient information.

Treatment of varicose veins of small pelvic vessels

Treatment of varicose veins of small pelvis can be conservative or surgical. If there are no significant changes in the blood vessels and the condition does not threaten the patient's health, individual drug treatment is prescribed, the main task is to improve the condition of the blood vessels and eliminate the unpleasant symptoms. The following groups of drugs are used for this purpose:

  • Venotonic. Their mechanism of action is aimed at correcting disorders of venous circulation, which is the main cause of the development of varicose veins. Systemic venotonics help heal blood vessels throughout the body because they affect the venous system as a whole.
  • Drugs with blood thinning effect. Reduces blood density, prevents the formation of blood clots.
  • Non-steroidal anti-inflammatory drugs. Eliminate inflammation, eliminate unpleasant symptoms.
  • Vitamin and mineral complexes. Help strengthen loans and reduce their fragility.

During drug therapy, doctors recommend wearing a compression underwear with an elastic bandage, which has a bandage-like effect. Such underwear allows the distribution of external pressure in accordance with the physiological characteristics of the patient's body. Helps normalize blood circulation without causing skin changes and local metabolic disorders with regular wear. To get the most out of your compression underwear, you need to choose products with your doctor.

If the disease progresses and conservative therapy cannot stop its development, the doctor will consider surgical options with the patient. Modern methods of minimally invasive surgery include:

  • Sclerobilation. The essence of the technique is the introduction of a sclerosant into the affected vessels, which causes blockage and further resorption of blood vessels. All manipulations are performed under angiographic control.
  • Ovarian vascular embolization. For the treatment of VRVMT, this surgical method involves the insertion of an embolizing dressing into a vein through a catheter. This allows the blood flow in the dilated arteries to be completely blocked. The procedure is performed under angiographic supervision.

Prevention

Prevention of RVMT involves following these simple rules:

  • lead a healthy, active lifestyle;
  • get rid of bad habits;
  • normalize weight;
  • combine sedentary lifestyle, moderate physical activity, exercise therapy;
  • improving nutrition by diversifying the diet with fresh fruits and vegetables;
  • with a tendency to varicose veins of small pelvic vessels, wear selected compression underwear with the attending physician;
  • if the disease is caused by excessive physical force, it is necessary to try to limit them as much as possible;
  • undergo hormonal treatment under strict medical supervision;
  • Once a year, undergo a comprehensive medical examination to prevent any pathology at an early stage, timely treatment and prevention of complications.

Complications

The risk of complications can be minimized if the disease is diagnosed and treated immediately. In the absence of adequate therapy, such dangerous consequences develop:

  • thrombosis;
  • thromboembolism;
  • thrombophlebitis.

Other common complications:

  • hormonal disorders;
  • dysfunctional uterine bleeding;
  • chronic inflammatory processes in the organs of the reproductive and urinary systems;
  • infertility.

During pregnancy, varicose veins of the small pelvis often become stronger in women, which poses a serious threat not only to the health of the expectant mother, but also the child. Women with advanced vascular pathology have a higher chance of giving birth prematurely with low birth weight and underdeveloped internal organs. Varicose veins can damage the thin walls of blood vessels during childbirth, which can be fatal and lead to uncontrolled bleeding. Therefore, if a woman is diagnosed with VRVMT during pregnancy, the doctor recommends a method of surgical delivery - caesarean section.

The cost of treatment of varicose veins of small pelvic vessels

The cost of treatment of small pelvic varicose veins is calculated individually for each patient. Factors such as:

  • degree of indifference and prevalence of pathology;
  • presence of related complications;
  • the most effective method of therapy is conservative or surgical;
  • need for complementary therapies.

To learn more about the cost of treating pelvic varicose veins, you should contact a specialist who will determine the stage of the disease and advise on treatment.

11.02.2022