Varicose veins of 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 arising on the background of compression of blood vessels.
The starting mechanism of development of disease is considered pregnancy, and that is observed in this period hormonal changes and the growing pressure of the uterus on the pelvic vessels.
This is evident varicosity of long and intense pain in the abdomen, usually occurring after regular heavy physical exertion, or before menstruation.
Why there is varicose veins of 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 to 45 years.
Very often, these patients first try to self-cure varicose veins folk remedies that apply without an appointment and the consultation of a specialist can lead to unwanted side effects, so you still have to go to the doctor.
The factors provoking development of this disease include:
- Sedentary lifestyle.
- Not a feasible exercise.
- Problems of hormonal nature.
- Inflammatory diseases of the pelvic organs.
- Congenital abnormalities of the vascular walls — the underdevelopment, weakness.
- Problems of a sexual nature anorgasmia, pain and discomfort during 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, suffer the valves in the veins that help the blood to the heart. Disturbed function of the valves to prevent 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 of the pelvis
The presence of varicose veins of small pelvis in women may indicate a number of symptoms. The most important of them are the devil of cause pain in the lower abdomen, pelvic area, often they are given in the lower back or in the crotch. Also the woman can bother mucous discharge in 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 varicosity of small pelvis organs in women:
- Dysmenorrhea. The appearance of pain during menstruation.
- In some cases, impaired function of procreation.
- Pain radiating to the area of the sacrum and lower back and in groin area.
- A tangible flow of so-called pre menstrual syndromes.
- Painful crisis (as a result of suffering emotional stress, physical exhaustion, hypothermia).
- The phenomenon of dyspareunia (dis appearance, comfortable feeling in the area of the vulva or vagina, both during intercourse and at the end).
- The occurrence of pain in the abdomen after a lengthy loads (both static and dynamic).
Faced with these symptoms, you should immediately contact a specialist. As this disease can have numerous unpleasant consequences:
- impaired activity of the reproductive system;
- varicosity can be a contraindication to natural childbirth;
- a feeling of anxiety and irritability;
- there is fear of sexual relations.
It is also worth noting that the above symptoms may be expressed differently (weaker or stronger), some women are all signs of the disease, and someone has 1-2 of them.
For correct diagnosis, the woman will undergo a full comprehensive survey.
When the patient complains of pain that occurs for unclear reasons, the doctor first identifies all the factors that have caused pain. Inspects the legs of the patient. So it is possible to detect the appearance of the varicosity. In special cases a consultation with a vascular doctor.
Methods of diagnosis:
- Laparoscopy. Reveal varicosity in the area of the ovaries.
- Ultrasound of the venous system The study allows to see the veins.
- Dopplerography. Detects the lowering speed of the systoles in the veins of the uterus and ovaries.
- Selective auricularia. The most accurate study. Is performed by injection of contrast through the femoral and subclavian veins.
- Computer tomography. Allows you to exclude pathology, to identify varicose veins in the uterus and ovaries, show them on the screen.
The use of such methods allows to determine more precisely the symptoms of the disease.
To standardize the diagnosis and attempt a differential approach to treatment A. E. Volkov classified varicosity of the veins of small pelvis depending on the diameter of dilated vessels and localization of the venous ectasias.
There are 3 degrees of this disease:
- 1 the degree — diameter veins up to 5 mm (any venous plexus of the small pelvis), "corkscrew-shaped" course of the vessel;
- 2 degree — diameter veins 6-10 mm in total type varicosity;
- 3 degree — diameter veins >10 mm in total type BP type parametrului localization.
Depending on the severity of the pathological process in the pelvis is possible to use conservative therapies and surgical interventions.
Treatment of varicose veins of the pelvis
If a woman was diagnosed with varicose veins of small pelvis, the treatment is aimed at achieving the following goals:
- The termination of a reverse blood flow through the veins of the ovaries.
- Normalizing venous tone, improving blood supply to the tissues.
- Withdrawal symptoms: pain, bleeding and so on.
Therapy VRMT includes two main components:
- A course of medication during exacerbation.
- Constant use of physiotherapy to prevent the recurrence.
At varicose illness of veins of the pelvis 1 or 2 degrees, generally used conservative methods of treatment ( non-specific anti-inflammatory drugs, physiotherapy). Conservative treatment of the syndrome of venous full blood pelvic symptoms, including normalization of conditions of labor and rest, with the exception of considerable physical exertion and prolonged stay in an upright position.
It is understood that even the best treatment does not allow to completely cure the varicosity of the veins of the pelvis. But, nevertheless, adequate treatment allows to get rid of the greater part of the clinical manifestations and significantly improve the patient's condition.
Because of the internal location of the affected veins, oral medications are assigned, use the venous gels and ointments is not possible. Apply the following tools:
- Diosmin to eliminate the increased elasticity of blood vessels, reducing their permeability, prevent breakage;
- The extract of horse chestnut to relieve swelling and inflammation;
- Troxerutin – to improve the outflow of blood from damaged blood vessels, increase vein tonicity, reduce swelling and inflammation;
- Vitamin C to strengthen the walls of blood vessels.
Experts recommend combining medication with physical therapy and wearing special compression underwear. A particular need for compression arises during pregnancy.
Surgery is an extreme measure which is applied when the disease is very neglected and there is a predisposition to BP veins. Surgical intervention is chosen depending on the location of major violations, and provides for such procedures:
- ligation of the ovarian vein;
- ligation genital vein (often in conjunction with miniphlebectomy crotch);
- operation Troyanov-Trendelenburg (crossectomy) in the case of injury also veins of the lower extremities.
In case of need for surgical intervention the selection of appropriate actions is highly individual, as all depend on the location of the varicosity.
Physical therapy for the varicosity of small pelvis consists of these exercises:
- From a standing position, standing with feet parallel, rise on toes and down. Repeat up to 30 times.
- From a standing position, heels combined, toes apart. To rise on socks and fall up to 30 times.
- Stand straight, raise your heels apart, matching socks. Tiptoe up to 30 times.
- To make a "bike" and "birch", watching the full straightening of the legs.
Exercises can be performed anywhere. If you wish, you can substitute, add to or get any exercise, most importantly, to ensure that the body does not overexert. Exercise therapy should be combined with wearing compression hosiery.
Also follow a few simple recommendations that will not only serve as prevention BRUMT, but will improve the General condition of the body:
- Wearing special medical stockings.
- Spend every day breathing exercises.
- Take a contrast shower, with special attention to thighs, perineum, lower abdomen.
- While sitting or standing work, take breaks, walk for 5-10 minutes every 1-2 hours.
- Add in the diet more vegetables that contain fiber and vegetable oil. Avoid spicy, salty and foods that can cause constipation.
The most frequent 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 veins of the pelvis. But the frequency of such complications does not exceed 3-5%.