Pelvic varicose veins are a difficult to diagnose disease that occurs mainly in women during the fertile period.The disease is characterized by dilation of the veins in the pelvis, which makes the reverse flow of blood difficult.Before the introduction of the latest examination methods into medical practice, the diagnosis was rarely made and women were treated for years for other suspected pathologies of the genital area, without success.
Causes of pelvic varicose veins
Varicose veins in the pelvis usually occur in women who have had one or more pregnancies.During childbirth, the growing uterus compresses the blood vessels of the organs, which causes circulatory problems in them.Pregnancy serves as a kind of trigger;Furthermore, the following reasons predispose to the onset of the disease:
- Constantly carry heavy objects, which may be associated with professional activities.
- A job that requires you to stand or sit all day.
- Change in the location or shape of the uterus.
- Hereditary predisposition.Relatives have a tendency to weaken blood vessel walls.
- Sexual dysfunctions – lack of orgasm, pain during sexual intercourse.
Dilation of the pelvic veins is often combined with venous insufficiency of the lower extremities.Therefore, if a woman suffers from varicose veins in the legs, it is necessary to carry out a detailed examination of the pelvic cavity;Identifying the disease in the early stages will help in the positive outcome of treatment.
Signs of pelvic varicose veins
Symptoms of varicose veins of the small pelvis at the initial stage of the development of the disease are not determined.As the blood vessels undergo pathological changes and blood flow worsens, constant aching pain in the lower abdomen may be observed.A woman may suspect a disease based on the following signs:
- Pain of varying intensity in the lower abdomen.There is a transition of pain to the groin and lower back, to the perineum and sacrum.The pain intensifies during sexual intercourse and when the body remains in an upright position for a long time.
- The severity of premenstrual syndrome with pain and nervous symptoms.
- Menstrual irregularities.
- Discharge of copious secretions from the genital tract.
If the disease persists for a long time without adequate therapy, the patient may be replaced by the presence of spider veins on the buttocks, upper thighs and perineum.The symptoms of the disease are similar to other gynecological problems, and therefore, without a complete examination of the body, a woman can be treated for many years with drugs from an unnecessary group of drugs, which can also increase vasodilation.
The consequences of pelvic varicose veins left untreated for a long time can be very sad.The main ones:
- Reproductive dysfunction.Women suffering from varicose veins cannot get pregnant for a long time.
- Varicose veins in the pelvis are contraindications for natural childbirth.A woman with this diagnosis must have a cesarean section.
- The disease significantly worsens the quality of sexual life, which occurs due to pain and the inability to relax during intimate contact.
Pelvic varicose veins are often combined with hemorrhoids and dilation of large and small veins in the legs.An extreme complication of varicose veins is the appearance of a blood clot, which can break off and obstruct the vessel.
Treatment
Treatment of varicose veins in the pelvis is carried out after a complete examination of the patient.Any woman suffering from vague, persistent pain in the lower abdomen should undergo an ultrasound examination.Modern equipment analyzes the pelvic organs in three projections, which makes it possible to more accurately determine the cause of the pain.In addition to ultrasound, Doppler ultrasound is used - a study that allows you to identify the characteristics of blood circulation.Diagnostic laparoscopy is performed if the examination cannot accurately identify the cause.
Prescribing conservative therapy or surgical intervention depends on the stage of the disease.In the first stages, as a result of treatment it is necessary to achieve:
- Stabilization of venous tone.
- Prevent stagnation of pelvic vessels.
- Improvement of metabolic processes in tissues.
To treat the disease, venotonics, physiotherapy and the use of compression belts are used.Special stockings tighten the walls of blood vessels, thereby improving blood flow to the extremities and therefore to all organs and vessels of the pelvis.Compression stockings should be worn if you have varicose veins in the small pelvis during pregnancy, when lifting weights and when standing for long periods of time.Surgeries are used in the last stages of the disease, when drug therapy is ineffective.Modern medicine uses mini-interventions during surgery, which reduces the risk of developing adhesive disease and is less traumatic for patients.
Medications are prescribed during the acute phase of the disease;during remissions, it is necessary to follow the recommendations proposed by the phlebologist.This is a diet rich in plant foods, which helps prevent constipation.A daily contrast bath aimed at the perineal region is recommended.When playing sports, you should definitely wear special socks.The doctor should recommend a series of exercises aimed at unloading the pelvic veins.Breathing exercises also help improve blood flow.The patient must give up alcohol and smoking.