Drug treatment and surgical options for pelvic varicose veins

There are several treatment options for varicose veins of the small pelvis, much depends on the cause of the disease and its stage of development.

Varicose veins of the small pelvis are more often diagnosed in people who spend a lot of time in one position, resulting in blood stasis. This disease is considered a disease of modernity.

Causes of the disease and risk groups

leg pain with pelvic varicose veins

There are several reasons why varicose veins occur the most. Contribute to the development of the disease:

  1. Vascular diseases of various etiologies.
  2. Increased blood pressure.
  3. Pelvic infections (including endometriosis).
  4. Varicose veins of the lower extremities.
  5. Heavy lifting work.
  6. Improper nutrition, sedentary work, etc.
  7. hereditary predisposition.

Varicose veins often develop against the background of a decrease in the elasticity of blood vessels, their walls weaken and malfunctions occur.

Hormonal changes in the body can also cause pathological changes. Thus, women during pregnancy often face a similar pathology. Also at risk:

  • overweight people;
  • menopausal women;
  • people addicted to alcohol or nicotine;
  • women who have had difficult births.

Hereditary factors, hormone problems, systemic overexertion, and a sedentary lifestyle play a significant role. Alcohol and nicotine also do not have the best effect on the condition of blood vessels, causing them to spasm, which leads to the development of varicose veins.

It is often diagnosed in women with pathology, develops against the background of changes in hormonal levels during pregnancy, labor, menopause. Varicose veins can provoke the appearance of:

  • Taking hormonal drugs.
  • Taking oral contraceptives.
  • A sharp decrease or increase in blood estrogen levels.

Problems in women are often diagnosed during pregnancy, and the birth of a child aggravates the course of the disease.

The disease is less commonly diagnosed in men and develops mainly for the following reasons:

  • hereditary predisposition;
  • hard work;
  • nutrition;
  • excessive passion for weightlifting;
  • regular consumption of alcohol;
  • addiction to nicotine and other bad habits.

The disease can also have a professional direction, but often varicose veins develop precisely against the background of an unhealthy lifestyle.

Symptoms of the disease

Varicose veins of the lower pelvis have different symptoms, and the treatment of the disease depends on it. Because therapy is primarily aimed at relieving unpleasant symptoms, these include:

  1. Pelvic pain and tingling.
  2. Excessive and painful menstruation (in women).
  3. Pain in the lower back, coccyx or abdomen.
  4. Problems with reproductive function.
  5. Impotence or erectile dysfunction (in men).
  6. Pain or discomfort during sexual intercourse.

The main symptom is pain, constant anxiety, or it occurs from time to time. Pain syndrome is of varying severity, and women are concerned only during menstruation, when the hormonal background changes.

Ultrasound diagnosis of pelvic varicose veins

Lack of oxygen and nutrients in the blood can lead to the development of infertility or impotence, often developing hemorrhoids on the background of varicose veins.

If the disease is actively progressing, then a person may be bothered by unpleasant sensations in the form of tingling in the lower back, abdomen and legs. This indicates that the varicose veins are actively advancing and damaging the arteries of the lower extremities.

In men, against the background of varicose veins of the small pelvis often appear impotence, erectile dysfunction, unpleasant sensations during sex. In women, the disease can cause impaired blood flow to the uterus and appendages. Against this background, infertility develops, the size of the uterus increases, the first signs of endometriosis and other diseases of the reproductive system appear.

Classification by degree of disease

Varicose veins of the small pelvis have only 3 main stages of development, the severity of symptoms and the extent of pathological changes depend on the stage of the disease.

Thus, the main stages of disease development:

  1. first: the diameter of the vessel widens, the walls become less elastic, and the passage to the vessel resembles a blockage in appearance due to a decrease in elasticity;
  2. second: a vessel with a diameter of up to 10 mm, the edges sag, ectasia of the ovarian plexus is observed, nodules and obstruction appear;
  3. third: in diameter, the entrance to the vessel is dilated (more than 10 mm), there is a high probability of thrombosis, the development of necrotic changes in the tissues.

Grade 3 small pelvic varicose veins cannot be treated. In this case, drug treatment can not eliminate the pathological changes. Its purpose is only to get rid of some unpleasant symptoms and reduce their severity.

If we evaluate the prognosis, it is most favorable when varicose veins are detected at an early stage of development. In this case, conventional therapy can not only significantly slow the progression of the disease, but also eliminate its main symptoms.

When the disease progresses to stage 2, its treatment is aimed at stopping the pathological changes. It is important to prevent the formation of blood clots and prevent varicose veins from entering the final stage of development.

If the pathology is detected in time, its treatment is carried out under the supervision of a specialist, and the patient carefully follows the doctor's recommendations, the disease will develop very slowly. Progress can stop, slow down significantly, and a person will not soon experience the unpleasant symptoms of varicose veins. However, if timely measures are not taken, complications are more likely to occur.

Diagnostic methods

The disease is diagnosed in several ways, the most common:

  1. Ultrasound of the vessels of the pelvic organs.
  2. Ultrasound of the uterus with appendages (abdominal and transvaginal).
  3. Collection of anamnesis (questionnaire for patient complaints).
  4. MRI of the pelvic organs (rarely performed due to the high cost of examination).
  5. Dopplerography (often in combination with ultrasound of the pelvic organs).

Ultrasound is the most informative and common, and if performed in conjunction with Doppler, it is possible to accurately diagnose the patient. Because Doppler ultrasound helps monitor blood flow to the pelvic organs.

These studies are expensive because CT or MRI of the blood vessels are performed less often. However, if necessary, the doctor may prescribe these examinations. The results obtained at the end of the study are sufficient to make a diagnosis.

However, when the doctor collects a medical history, the patient may suspect the presence of varicose veins. If the characteristic symptoms of the pathology are observed, an initial diagnosis is made, which can be confirmed by the above examinations.

The main tasks and the general picture of treatment

Treatment is aimed at delaying the development of pathological changes. It is necessary to increase the elasticity of the walls of blood vessels and prevent thrombosis. This will help to cope with the main symptoms of the pathology and avoid complications.

Conservative treatment

Covers taking medication. These can be drugs with different effects. Doctors often prescribe venotonic drugs, which are taken orally.

The dose of medication is determined individually, the course of treatment is long. Various medications, including vitamins, can enhance the effects of medications.

Also, if necessary, anti-inflammatory drugs are prescribed, which will help reduce the severity of the inflammatory process (if any).

Antispasmodics are prescribed to reduce pain.

Diet and nutrition

If varicose veins are found in the small pelvis, it is recommended to give up:

  1. From very fatty foods.
  2. from semi-finished products.
  3. From salty and smoked foods.

Fatty and salty foods damage the vascular system the most. Salt leads to the accumulation of fluid in the body, increases the level of blood pressure in the body. Ships suffer from this, shrink sharply, and then expand. With varicose veins, such a load can lead to disease progression.

Fat is located in the walls of the vessel, causes the development of atherosclerosis, reduces the lumen of blood vessels, causes the formation of blood clots.

The diet should be diversified:

  • fibrous products;
  • drinks and foods containing antioxidants;
  • blood pressure lowering products.

The diet includes fresh fruits, dairy products, lean meats and fish. It is recommended to avoid overeating and caffeinated beverages.

Caffeine treats the vessels roughly, dilates them and then sharply narrows them - this causes spasm, increased load. As a result, the veins become unbearable, varicose veins begin to progress and the risk of complications increases.

Gymnastics, recommended exercises

Exercises for varicose veins

Exercise stimulates blood flow to the pelvic organs. To normalize blood circulation, it is recommended to perform exercises with the legs in an extended position.

Doctors recommend doing this:

  1. Bicycle (perform circular movements of the legs, lying on your back).
  2. Scissors (worth stretching your legs and doing dozens of cross movements reminiscent of scissor movements).
  3. Raise the pelvis (lying on your back, straight legs up, pulling the pelvis off the surface).

Good results are jogging, walking and training in the pool. But it is better to refrain from exercises aimed at training the abdominal muscles. They disrupt blood flow.

Surgical intervention

Surgery is the last resort, operations are performed only when there are symptoms:

  • if drug treatment does not give the desired result;
  • if the risk of complications is high;
  • if varicose veins are in the final stages of development.

Often arterial embolism, multiple sclerosis are performed:

  1. If we talk about arterial embolism, it is their closure. The veins are drawn with special fixation devices, as a result of which blood does not flow to them. Natural necrotic changes begin to stop the development of pathology.
  2. Sclerosis is the entry of a special substance into a vein, which sticks to each other and does not allow blood to pass through the altered arteries. This helps to prevent pathological changes.

Relapse prevention

The following are recommended as preventive measures:

  • take regular walks;
  • to take venotonic drugs twice a year;
  • to eat and exercise properly;
  • to give up alcohol and smoking;
  • conduct regular preventive examinations (see a doctor and have an ultrasound examination;
  • Avoid nervous tension and stressful situations.

It is necessary to lead a healthy lifestyle, eat well, wear compression underwear, use special drugs. This will help prevent the disease from recurring.

Criteria for the effectiveness of treatment

The effectiveness of therapy depends directly on the stage of development of the disease. The most effective is an integrated approach to solving the problem. It is necessary to reconsider your lifestyle, make serious adjustments to it, give up bad habits and eat properly to eliminate foods that can damage blood vessels.

Varicose veins of the small pelvis are a pathological condition that causes serious consequences. If the disease is not treated, then you can face serious problems.

13.02.2022