Pelvic varicose veins drug treatment and surgical options

Varicose veins of the small pelvis have several treatment options, much depends on the cause of the disease and the stage of its development.

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

Causes of the disease and risk groups

leg pain with pelvic varicose veins

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

  1. Vascular diseases of various etiologies.
  2. An increase in blood pressure.
  3. Pelvic infections (including endometriosis).
  4. Varicose veins of the lower extremities.
  5. Hard work involving lifting weights.
  6. Improper diet, 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 lead to pathological changes. So women during pregnancy often face a similar pathology. Also at risk are:

  • overweight people;
  • menopausal women;
  • people with alcohol or nicotine addiction;
  • women who have had difficult births.

A serious role is played by the hereditary factor, problems with hormones, systematic overvoltage and a sedentary lifestyle. Alcohol and nicotine also do not have the best effect on the state of blood vessels, they cause their spasm, which leads to the development of varicose veins.

Most often, the pathology is diagnosed in women, it develops against the background of pregnancy, labor, changes in hormonal levels during menopause. To provoke the appearance of varicose veins can:

  • Taking hormonal drugs.
  • Taking oral contraceptives.
  • A sharp decrease or increase in the level of estrogen in the blood.

Often, problems in women are diagnosed during pregnancy, the birth of a child aggravates the course of the disease.

In men, the disease is diagnosed less frequently and develops mainly for the following reasons:

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

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

Symptoms of the disease

Varicose veins of the small pelvis have different symptoms, the treatment of the disease depends on it. Since therapy is mainly aimed at eliminating unpleasant symptoms, these include:

  1. Pain and tingling in the pelvic area.
  2. Abundant 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 sex.

The main symptom is pain, it worries on an ongoing basis or occurs from time to time. The pain syndrome has varying degrees of severity and women are concerned only during menstruation, when the hormonal background changes.

ultrasound diagnostics for pelvic varicose veins

The lack of oxygen and nutrients carried by the blood can lead to the development of infertility or impotence, often against the background of varicose veins, hemorrhoids develop.

If the disease is actively progressing, then a person may be disturbed by unpleasant sensations in the form of tingling in the lumbar region, abdomen and legs. This also indicates that varicose veins are actively progressing and causing damage to the vessels of the lower extremities.

In men, against the background of varicose veins of the small pelvis, impotence often develops, erectile function is disturbed, and unpleasant sensations appear during sexual intercourse. And in women, the disease can lead to disruption of blood flow to the uterus and appendages. Against this background, infertility develops, the uterus increases in size, the first signs of endometriosis and other diseases of the reproductive system appear.

Classification by degree of disease

Varicose veins of the small pelvis has only 3 main stages of development, the severity of the signs and the magnitude of pathological changes depend on what stage the disease is at.

So, the main stages of the development of the disease:

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

Varicose veins of the small pelvis of the 3rd degree cannot be treated. Drug therapy in this case is not able to eliminate pathological changes. Its purpose only allows you to get rid of some unpleasant symptoms, reduce their severity.

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

When the disease has passed into the 2nd stage of development, its treatment is aimed at stopping pathological changes. It is important to prevent the formation of blood clots and prevent the transition of varicose veins to the final stage of development.

If the pathology was detected on time, its treatment was carried out under the supervision of a specialist, the patient carefully followed the recommendations of the doctor, then the disease will progress extremely slowly. Progress can stop, slow down significantly, and a person will not face unpleasant signs of varicose veins soon. But, if measures are not taken in time, then the likelihood of complications is high.

Diagnostic methods

The disease is diagnosed by several methods, most often carried out:

  1. Ultrasound of the vessels of the pelvic organs.
  2. Ultrasound of the uterus with appendages (through the abdominal cavity and transvaginally).
  3. Collecting an anamnesis (questioning the patient for complaints).
  4. MRI of the pelvic organs (rarely performed due to the high cost of the examination).
  5. Dopplerography (often in conjunction with ultrasound of the pelvic organs).

Ultrasound is considered the most informative and common, if it is carried out in conjunction with dopplerography, then it is possible to accurately diagnose the patient. Since Doppler ultrasound helps to track blood flow to the pelvic organs.

Less often, CT or MRI of blood vessels is performed, since these studies are expensive. But if necessary, the doctor can prescribe these examinations. The results obtained at the end of the studies are quite enough to make a diagnosis.

But the doctor can suspect the presence of varicose veins in a patient already when collecting an anamnesis. If characteristic signs of pathology are observed, then a preliminary diagnosis is made, the above examinations can confirm it.

Main tasks and overall 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, to avoid thrombosis. This will help to cope with the main signs of pathology and avoid complications.

Conservative treatment

Involves taking medications. These can be drugs of various spectrums of action. Most often, doctors prescribe venotonic drugs, they are taken orally.

The dosage of drugs is determined individually, the course of treatment is long. Various medicines, including vitamins, can enhance the effect of medicines.

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

Antispasmodics are prescribed to reduce pain.

Diet and Nutrition

If varicose veins of the small pelvis are detected, it is recommended to refuse:

  1. From foods high in fat.
  2. from semi-finished products.
  3. From salty and smoked food.

Fatty and salty foods cause the greatest harm to the vascular system. Salt leads to the accumulation of fluid in the body, increasing the level of blood pressure in the body. Vessels suffer from this, they sharply narrow, then expand. With varicose veins, such a load can provoke the progress of the disease.

Fat settles on the walls of the vessel, leads to the development of atherosclerosis, reduces the lumen of the arteries, leads to the formation of blood clots.

The diet needs to be diversified:

  • products with fiber;
  • drinks and foods with antioxidants;
  • products that lower blood pressure.

The diet includes fresh fruits, dairy products, lean meats and fish. It is recommended to avoid overeating and drinks with high levels of caffeine.

Caffeine roughly treats the vessels, dilates them, and then narrows them sharply - this leads to spasm, increased load. As a result, the arteries do not withstand, varicose veins begin to progress, and the risk of complications increases.

Gymnastics, recommended exercises

exercises for varicose veins

Sports activities stimulate blood flow to the pelvic organs. To normalize blood circulation, it is recommended to perform exercises in which the legs are in an extended state.

Doctors advise doing:

  1. Bicycle (perform circular movements with your legs, lying on your back).
  2. Scissors (it is worth stretching your legs and performing crossed movements with them, reminiscent of the movements of scissors).
  3. Raising the pelvis up (lying on your back, raise straight legs up, tear off the pelvis from the surface).

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

Surgical intervention

Surgery is considered a last resort, operations are performed only if there are indications:

  • if drug treatment did not bring the desired result;
  • if the risk of complications is high;
  • if varicose veins are at the final stage of development.

Most often, arterial embolism, sclerosis is performed:

  1. If we talk about arterial embolism, then this is their ligation. The arteries are pulled with special fixing 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 introduction of a special substance into the vessel, which sticks it together and does not allow blood to move through the modified arteries. This helps to avoid pathological changes.

Prevention of relapses

As a preventive measure, we recommend:

  • take regular walks;
  • take venotonic drugs 2 times a year;
  • eat right and exercise;
  • stop drinking alcohol and smoking;
  • regularly conduct preventive examinations (visit a doctor and do an ultrasound scan;
  • avoid nervous tension and stressful situations.

It is necessary to lead a correct lifestyle, eat well, wear compression underwear, use special preparations. This will help prevent recurrence of the disease.

Criteria for the effectiveness of treatment

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

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

13.02.2022