Pelvic varicose veins in women

Varicose veins in the pelvis of women (ectasia, parametria, dilatation, or phlebostasis) are triggered by this condition due to the reverse blood flow through the ovarian artery that occurs as a result of vascular compression.

Pregnancy is an intensification of the disease.

The internal varicose veins in the pelvis are expressed by intense and prolonged pain in the lower abdomen.

In the literature, pelvic varicose veins are also referred to as "pelvic venous stagnation syndrome, " "female varicocele, " and "chronic pelvic pain syndrome. "

In the vast majority of cases (80%), varicose transformation affects the veins of the ovaries and is extremely rare (1%) in the veins of the broad band of the uterus.

According to the modern medical approach, the treatment of VVMT should be performed not so much from a gynecological point of view, but primarily from a phlebological point of view.

Causes of pathology

Most commonly, pelvic venous ectasia is defined in women. In addition, in gynecology, this disease is usually diagnosed in patients aged 20 to 40 years.

It is often the case that patients with varicose veins in the small pelvis first try treatment at home. Folk methods used without the advice and recommendation of a doctor can lead to negative side effects, so after a while you should go to a phlebologist for a consultation.

The main factors leading to the pathology are:

1. Excessive physical activity.
2. Passive lifestyle.
3. Congenital diseases of the vessel wall - weakening, plasticity, underdevelopment.
4. Inflammatory processes in the pelvic organs.
5. Hormonal imbalance.

Pathology of sexual plan - the appearance of anorgasmia, pain, and discomfort during intercourse that have a psychological etiology while very often having an interrupted sexual relationship.

However, pelvic varicose veins, the treatment and symptoms of this disease are similar to varicose veins in the legs. In this situation, the valves in the veins begin to interfere with the work of the valves that promote blood circulation to the heart muscle.

A malfunction of the keys that protects the reverse blood flow is displayed.

If their work is interrupted, blood stagnation begins in the blood vessels. The volume of blood-filled veins increases, further exacerbating the phenomenon of congestion.

Pelvic venous congestion usually occurs near the vulva, fallopian tubes, uterine region, and can even dilate the veins in the vagina.

First signs and symptoms

Several basic clinical symptoms indicate the development of varicose veins. The most important symptom of this disease is unreasonable pain in the lower abdomen, the pelvic region, often radiating to the perineum or lumbar region. The patient is also annoyed by the copious discharge from the vagina, especially in the middle of the menstrual cycle.

In addition to the main symptoms, there are other very important symptoms of varicose veins:

1. In some cases, infertility is observed in women.
2. Dysmenorrhea. Manifestation of pain during menstruation.
3. Perceived passage of premenstrual symptoms.
4. Irradiation of pain in the groin, lower back and sacrum.
5. Symptom of dyspareunia (a discomfort in the vagina or vulva, both during and after intercourse).
6. Manifestation of a painful crisis (due to severe hypothermia of the body, excessive physical fatigue, psychoemotional stress).
7. Appearance of pain in the abdomen after prolonged overload (dynamic or static).

You should see a doctor as soon as possible against this clinical symptom, as this pathology can have a number of unpleasant complications:

• varicose veins may be a contraindication to natural childbirth;
• the work of the reproductive organs is interrupted;
• afraid of sexual contact;
• irritability and anxiety appear.

It should also be said that each of the above symptoms can be expressed in several ways, some patients have all the symptoms of the disease, and some have only a few.

Methods of diagnosing the disease

To make a correct diagnosis, the patient must perform a comprehensive examination. If a woman complains of pain of an unknown cause, the specialist will first of all determine the causes of the pain symptom. The patient's lower extremities are carefully examined. This is how you can identify the manifestations of varicose veins. In some situations, the diagnosis is made by a vascular doctor.

The main diagnostic methods are:

1. Ultrasound of the venous system. The test allows the examination of curvature and varicose veins.
2. Laparoscopy. Identify varicose veins in the ovarian region.
3. CT. It allows you to rule out the disease, identify the ovaries and uterine varicose veins, and view the enlargement and curvature on the monitor.
4. Selective ovariography. The most accurate test. This is done by injecting a contrast agent into the subclavian and femoral veins.
5. Doppler ultrasound. It determines the decrease in the rate of systolic process in the veins of the ovaries and uterus.

The use of these methods allows a more accurate definition of the symptoms of the disease.

Degrees and differential approach

In order to standardize the possibility of diagnosis and differentiated treatment, A. E. Volkov divided the varicose veins, taking into account the location of venous ectasia and the size of the dilated vessels.

The disease is classified into three stages:

• the first stage - the "corkscrew" movement of the vessel, the size of the vein does not exceed 6 mm;
• the second stage - the size of the vein does not exceed 7-11 mm during the whole type of varicose veins, the arched uterine plexus VR, the parametric veins VR, the ovarian plexus loose ectasia;
• the third stage - the size of the vein exceeds 11 mm during the main form of the parametric formation or the complete type of VR.

Depending on the severity of the pathological process, you may use pharmacological or surgical methods.

Methods for treating varicose veins

Varicose veins 1-2. Conservative therapies (physiotherapy, NPS drugs, venotonics) are most commonly used in this stage.

Conservative therapy during venous stagnation syndrome is symptomatic in nature, involving normalization of rest and physical activity, which precludes excessive active exercise and prolonged standing.

When a patient is diagnosed with varicose veins, treatment procedures are primarily aimed at achieving the following tasks:

1. Bleeding, pain, etc. relief of symptoms.
2. Restoration of vein tone, increased blood circulation in the tissues.
3. Stopping reverse blood flow through the venous system of the ovaries.

It must be recognized that not even a very good quality therapy will completely cure varicose veins.

However, proper treatment will allow the prevention of major clinical symptoms and significant improvement in the patient's condition.

The treatment of EMCT consists of several main components:

1. Regular exercises in medical gymnastics to prevent the development of the disease.
2. Use of the drug course during exacerbation.

Conservative treatment of affected veins

Due to the internal location of the veins infected with the pathology, the drugs are administered orally, it is simply impossible to use venous ointments and gels.

The following medicines are used during the disease:

1. Horse chestnut extract - to relieve inflammation and swelling.
2. Based on diosmin - get rid of high vascular elasticity, prevent damage, reduce permeability.
3. Vitamin C - strengthens blood vessel walls.

Doctors advise combining conservative treatment with exercise therapy as well as the use of compression underwear. Compression clothing is especially needed during pregnancy.

Surgical intervention

Surgery is an extreme treatment method that is used when the disease is at a very advanced stage and there is a presumption of VR in the veins.

Surgery is selected based on the location of the main venous disorder and includes the following interventions:

• surgery crossectomy - also used in diseases of the veins of the legs;
• genital venous ligation (usually concomitantly with perineal miniflebectomy);
• ligation of the ovarian vein.

If surgery is required, the selection of appropriate manipulations is quite unique, as it all depends on the location of the varicose veins.

Exercise and physiotherapy

If we take into account the physical exercises required, women should do at least one exercise every day during the illness - "birch", "bicycle", "scissors".

Also very useful is a contrast shower in the pool area and breathing exercises. At the same time, doing gymnastics correctly and effectively is the fastest way to restore a healthy and normal life.

The simplest but most effective exercises are:

1. Lie on your back, lift your legs, then bend and lift as high as possible. The exercise should be done about 10 times.
2. Lie on your back, stretch your legs, then pull them to the chest area. Run at least 10 times.
3. You have to walk in the room for half an hour. First - on the toes, then - on the corners, then - raise the knee as high as possible.
4. Lying on your stomach, take turns raising your legs. In the maximum position, the foot should be fixed for a few seconds. At least 7 approaches per foot.

Folk recipes and cures

Varicose veins can also be treated at home.

The most popular and common folk treatment methods:

1. Horse chestnut infusion.
2. Kombucha tincture.
3. Dandelion root tincture.
4. Treatment with leeches applied to the coccyx and sacrum region.

Diet plays an important role in the treatment of varicose veins. Your daily diet should be balanced and contain enough fiber and natural protein.

Preventive measures

It is also necessary to follow some simple tips to prevent VVMT. In addition, if they are constantly monitored, they can improve the general condition of the body:

1. Train every day.
2. Use special tights for treatment.
3. Add more vegetables to your daily diet. Avoid foods that cause constipation.
4. Take a break from sedentary work, you should walk for at least 10 minutes every two hours.
5. Do not reuse alcohol or smoke.
6. Do not take hormonal medications uncontrollably.
7. After surgery for VVMT, you should take prophylactic doses of medicines prescribed by your doctor.

Possible forecast

If the varicose vein is not treated at all, after a while the veins start to grow even more (90%), threatening severe side effects including thrombosis. In the remaining 10% of varicose veins who developed it after pregnancy, the disease does not progress to a more severe stage, but it never goes away on its own.

By starting treatment for the pathology, you can achieve complete recovery (15-25%, depending on severity) or significant improvement (55-60%), especially with a combination of operative and conservative methods. . But one way or another, after complex therapy, lifelong prophylaxis should be performed, consisting of adherence to a proper lifestyle, regular medication, or compression support for veins.