Varicose veins in the pelvis — symptoms and treatment in women

Varicose veins of small pelvis in women is triggered by the phenomenon of backward reflux of blood through the ovarian Vienna, which are due to background compression of blood vessels.

Start the mechanism of the disease development is considered pregnancy, and it is observed during this period, hormonal changes and the growing pressure of the uterus on the pelvic vessels.

This view of varicosity of the long and severe pain in the abdomen, usually occurs after regular heavy physical exertion, or before menstruation.

Reasons

Varicose veins of small pelvis in women1

Why is varicose veins in the pelvis, and what is it? In most cases the disease is diagnosed in women and most often this disease is found in patients aged 25-45 years.

Very often, these patients first try to self cure varicose veins folk remedies, which apply without an appointment and consultation with a specialist can lead to unwanted side effects, so you still have to go to the doctor.

Factors provoking the development of this disease are:

  1. Sedentary way of life.
  2. It is not possible to use.
  3. Problems hormonal in nature.
  4. Inflammatory diseases of the pelvic organs.
  5. Congenital malformations of the vascular walls — the underdevelopment, weakness.
  6. Problems of a sexual nature anorgasmia, pain and discomfort during sexual intercourse, have a psychological origin, often practiced coitus interruptus.

Varicose veins of the pelvis is very similar to the condition of varicose veins in the legs. In both cases, suffering from the valves in the veins that help the blood to the heart. Disturbed action of the valves prevents the back flow of blood. When the valves are destroyed in the veins, blood congestion occurs. Veins that fill with blood, expand and strengthen even more congestion. Pelvic venous congestion syndrome develops mainly near the uterus, fallopian tubes, vulva and even the vagina.

Symptoms of varicose veins in the pelvis

The presence of varicose veins of small pelvis in women may indicate a number of symptoms. The most important of them is the devil the cause of the pain in the lower abdomen, pelvic area, often they are given in the lower back or groin. Also, a woman can bother mucous discharge abundant form of the genital organs, especially in the second half of the phase of the menstrual cycle.

In addition to the main, there are also other equally important symptoms of varicosity of small pelvis organs in women:

  1. Painful menstruation. The appearance of pain during menstruation.
  2. In some cases, impaired function of reproduction.
  3. Pain radiating to the area of the sacrum and lower back and groin area.
  4. A concrete flow of the so-called. pre-menstrual syndrome.
  5. Painful crisis (as a result suffers emotional stress, physical fatigue, hypothermia).
  6. The phenomenon of dyspareunia (dis appearance, comfortable feeling in the region of the vulva or the vagina, both during intercourse and at the end).
  7. The occurrence of pain in the abdomen after a long load (both static and dynamic).

In the face of these symptoms, you should immediately contact a specialist. Because this disease can have numerous unpleasant consequences:

Varicose veins of small pelvis in women2
  • impaired function of the reproductive system;
  • varicosity can be a contraindication to natural childbirth;
  • feeling, anxiety, and irritability;
  • is the fear of sexual intercourse.

It is also worth noting that the above-mentioned symptoms can be expressed in different ways (weaker or stronger), some women are all signs of the disease, and someone has 1-2 of them.

Diagnostic

The correct diagnosis, a woman must undergo a full comprehensive study.

When a patient complains of pain, which occurs for unclear reasons, the doctor will first identify all the factors that have caused pain. Examine the legs of the patient. So it is possible to detect the appearance of the varicosity. In specific cases, consultation with a vascular doctor.

Diagnosis:

  1. Laparoscopy. Reveal varicosity of the area of the ovaries.
  2. Ultrasound of the venous system of study allows to see the veins.
  3. Dopplerography. Detects the lowering speed of the systole, the veins of the uterus and ovaries.
  4. Range auricularia. The exact research. Performed with injection of contrast through the femoral and subclavian vein.
  5. Computed tomography. You can rule out pathology, to identify varicose veins in the uterus and ovaries, displays them on the screen.

Such methods can be used to determine more accurately the symptoms of the disease.

Varicose veins of small pelvis in women3

Degrees

To standardize the diagnosis and try a difference approach to the treatment of A. E. Volkov classified varicosity of the veins of small pelvis depending on the diameter of the dilated vessels, and localization of venous ectasia.

There are 3 degrees of this disease:

  • 1 the degree — diameter veins up to 5 mm (all of the venous plexus of the small pelvis), "corkscrew-shaped" course of the ship;
  • 2 degree — diameter veins 6-10 mm total type of varicosity;
  • 3 degree — diameter veins >10 mm total type BP type parametrului localization.

Depending on the severity of the pathological process in the hip it is possible to use conservative therapies and surgical intervention.

Treatment of varicose veins of the pelvis

If a woman was diagnosed with varicose veins of small pelvis, the goal of treatment is to achieve the following objectives:

  1. Termination of reverse blood flow in the veins of the ovaries.
  2. Normalizing venous tone, improving blood flow to the tissues.
  3. Withdrawal symptoms: pain, bleeding and so on.

Treatment VRM includes two main components:

  1. The course of medication during exacerbation.
  2. Continued use of physiotherapy to prevent the recurrence of.

At varicose illness of veins of the pelvis 1 or 2 degrees, commonly used conservative methods of treatment ( non-specific anti-inflammatory drugs, physical therapy). Conservative treatment of the syndrome of venous blood in the pelvic symptoms, such as the normalization conditions on labor and rest, with the exception of considerable physical exertion and prolonged stay in an upright position.

It is clear that even the best treatment is not possible to completely cure the varicosity of the veins of the pelvis. But however, proper treatment allows to get rid of the greater part of the clinical symptoms and significantly improve the patient's condition.

Conservative treatment

Because of the internal location of the affected veins, oral medications have been determined, use the venous gels and creams is not possible. Apply the following tools:

  1. Diosmin to eliminate the increased flexibility of blood vessels, reduce their permeability, to prevent fractures;
  2. Take horse chestnut relieves the swelling and inflammation;
  3. Troxerutin – enhance the outflow of blood from damaged blood vessels, increase vein tonicity, reduce swelling and inflammation;
  4. Vitamin C strengthens the walls of blood vessels.

Experts recommend combining medication, physical therapy and wearing special compression underwear. In particular, the need for compression arises during pregnancy.

Surgery

Surgery is an extreme measure, which is used when the disease is very neglected, and there is a tendency in BP to the veins. Surgical intervention is chosen depending on the location of major violations, and to provide such procedures:

  • ligation of ovarian veins;
  • ligation genital a vein (often in combination with mini phlebectomy branch);
  • operation Troyanov-Trendelenburg (crossectomy) in the case of injury also in the veins of the lower extremities.

If needed surgical intervention when selecting appropriate measures, it is very individual, as it all depends on the location of the varicosity.

Exercises

Physical treatment of varicosity of small pelvis consists of these exercises:

  1. From a standing position, standing with feet parallel, rise on your toes and down. Repeat up to 30 times.
  2. From a standing position, heels together, toes apart. Rise on socks and fall up to 30 times.
  3. Stand straight, lift your heels from each other, matching socks. Tiptoe up to 30 times.
  4. Make a "wheel" and "birch", watching the whole straightening the legs.

Exercises can be done anywhere. If you want to, you can replace, add, or get any exercise, most importantly, to ensure that the body does not overexert. Exercise therapy should be combined with wearing support socks.

Prevention

Also follow a few simple recommendations, that will not only serve as prevention BRUM, but to improve the Overall condition of the body:

  1. Wearing special medical stockings.
  2. Spend every day breathing exercises.
  3. Take a contrast shower, with special attention to thighs, perineum, lower abdomen.
  4. Sitting or standing work, take breaks, walk for 5-10 minutes every 1-2 hours.
  5. Add in the diet more vegetables that contain fiber and vegetable oil. Avoid spicy, salty and foods that can cause constipation.

In the aftermath of the

The most common complications of this disease are:

  • diseases of the uterus and appendages inflammatory;
  • diseases of the bladder;
  • uterine bleeding.

In conditions of impaired venous outflow, there is a risk of thrombosis of the veins of the pelvis. But the frequency of such complications does not exceed 3-5%.

12.02.2018