Varicose veins of small pelvis in women: who will help – phlebologist or gynecologist

At the mention of this disease, such as varicose veins, most people imagine that the pathological processes in the lower limbs, which are visible with the naked eye. Varicose veins of small pelvis – these are different diseases, who speak and write much less. This is often considered as signs of the presence of inflammatory processes in the genital organs, some hormonal disorders, pathology of the urinary tract, lumbar sciatica.

In women varicose veins of small pelvis causes the stretching of the venous walls, reducing their power. The incidence peaks in the reproductive age from 25 to 50 years. Sometimes varicose can be determined in adolescent girls in the period of rapid growth and the formation of hormones and the menstrual cycle. In this age, the disease can be asymptomatic.

Another feature of the pathology – tendency to worsen, and the active manifestation of the period that bears the child.

Signs and causes

Signs and causes

The obstruction of veins and faults in the functioning of the system, the normal blood circulation in the cysts can lead to disturbances in the circulatory system. Provoking factor for the development of the disease can be the connective tissue dysplasia, leading to a decrease in the number of collagen and, consequently, the elasticity and strength of blood vessels.

The total of the negative factors and reasons for development of varicose veins of small pelvis:

  • pregnancy in relation to the increase in the volume of blood in the veins, the high content of progesterone, large uterine size;
  • regular intense exercise;
  • previous multiple pregnancy and childbirth;
  • sedentary, mainly sedentary activities;
  • gynecological disease: abnormal structure of the uterus, endometriosis, inflammatory processes;
  • practice for big-time withdrawal for the purpose of protection from unwanted pregnancy;
  • long-term use of some hormonal methods;
  • lack of satisfaction with sex life.

In order to encourage the development of varicose veins can be hormonal imbalance, especially the increase in estrogen levels.

As already mentioned, pelvic varicose veins is manifested, similarly as the disease of the female reproductive system. The main symptom that alarming, that there is a constant pain. Are felt in the lower abdomen may be weak, brittle and intensely sharp. Very often, severe pain originating in the pelvis, extending to the lumbar region or sacrum. The pain becomes sharper after physical exertion or, on the contrary, after a long stay in the same position (sitting or standing).

The following are the symptoms that manifest varicose veins of small pelvis:

  • excessive bleeding after childbirth or gynecologic procedures cause thinning of the venous wall to stop this bleeding difficult;
  • painful sexual intercourse, feeling of sexual dissatisfaction, fear and aversion to sex life, the emergence of a powerful spasm of the muscle, when trying to intimacy;
  • painful or frequent urination, caused by a full-blooded bladder;
  • the increase in the veins of the vulva or perineum, together with severe itching, swelling, burning sensation;
  • vein thrombophlebitis, which is characterized by swelling or redness of the skin of the perineum, fever and General weakness.

Distinguish between varicose veins of the vulva and development of the disease due to venous plethora. The disease may have three stages of intensity.

With varicose veins:

  • 1 degree – the vein diameter is 4-5 mm;
  • 2 degrees – Vienna, increases to 6 to 10 m;
  • 3 degree – diameter veins more than 10 mm.

The definition of the severity of the pathology is one of the main stages of the diagnosis, as this helps in determining the treatment methods. In the first two cases, it is usually sufficient conservative treatment, changes in diet, use of physiotherapy. Third, the severity of the disease, which requires surgery, ligation of large blood vessels.

During pregnancy

Disease – the problem of repeatedly parous women. Changes the blood vessels can occur already during the first pregnancy, and with each of the following a higher risk. At a certain stage the vein of the authorities, ceases to function entirely, which prevent the normal outflow of blood.

The risk increases if the woman:

  • diagnosed with an abnormal structure of the reproductive organs (particularly the uterus);
  • there is a genetic predisposition;
  • excess weight or quickly set the pounds in the entire pregnancy;
  • there are bad habits (Smoking);
  • work which require little physical effort, long-stay sitting or standing in one place.
Why the disease is so often diagnosed for pregnant women?

This disease affects women in the third trimester because the growing uterus puts pressure on the nearby organs and interfering with their normal activities.

The normal quantity of blood circulating in the body during pregnancy increased by almost 50 %. Not always the blood vessels to cope with increased workload for them, especially if the situation is aggravated by various aggravating circumstances, which were discussed above.

The characteristic changes of the hormonal background in the body of the mother, which is also bad for the elasticity of vascular walls.

How dangerous abnormal veins increase during pregnancy?

Varicose veins of the uterus and other organs, which is faced with a difficult birth with serious consequences. The thin wall of the blood vessels can be damaged and even torn, causing pain and bleeding. These phenomena are harmful and dangerous, not only for women, but for her life.

One of the most frequently occurring disorders, the risk for blood clots. They block blood vessels, reducing or even preventing the normal security of the placenta with blood. Such interference leads to aging of the placenta and the oxygen starvation of the fetus.

On 1. and 2. stages of varicose veins of the pelvis the birth of the child, as a rule, are in a natural way. Between the attempts of medical staff ensures that reduce the pressure on the vessel walls. The simultaneous placing of medicinal products the blood thinning.

Heavy-duty (3-I) form requires a cesarean section.

If you have this problem, pregnant women should carefully prepare for the future birth of the child, namely:

  • from the second trimester wearing prenatal bandage;
  • to move actively, to avoid prolonged stay sitting or standing in one position (such as a computer);
  • in order to reduce the pressure in the veins during sleep, to place between the leg pads;
  • access to the swimming pool or regularly take a contrast shower.

Pregnant women need to review your diet, ensuring timely bowel movement.

Diagnosis

External pelvic examination allows you to easily identify the varicose of the vulva and perineum. But how to check whether a similar pathology in the internal sexual organs? The exact problem prescribe additional tests, such as ultrasound, phlebography, laparoscopy, CT or MRI.

Treatment

The disease does not belong to gynecological diseases. His treatment by the doctor-phlebologist (vascular surgeon). But, because the pathology is often detected during the passage of ultrasound, the woman observed two specialists – a gynecologist and phlebologist. Treatment of varicose veins of the pelvis must be comprehensive, including medical therapy and treatment without drugs, the use of therapeutic exercises, the normalization of the power system and change the mode of the day.

Medications effectively resolve the symptoms in the initial phase. Patients prescribed the drug in the period of exacerbation. Long-term use of such means, which are undesirable, because they tend to cause side effects. Medications to improve circulation, reduce inflammation and pain, reduce the risk for blood clots.

How to treat varicose veins of the pelvis in pregnant women, and how to rightly treatment with medications in this case?

Depending on the potential harm to the fetus and high risk for the adverse effects of the medications, which are prescribed not earlier than the second trimester, and only in exceptional cases. If before pregnancy a woman has never had such health problems, it is often recommended to be limited to non-medicamental methods of treatment, for example, by wearing special underwear.

To eliminate congestion in the pelvis will help to gymnastics. Most exercises performed in the supine position. This can be known "birch", "Bicycle", "scissors". If their performance is enough load on the lower part of the abdomen that promote the flow of blood. Physiotherapy is complemented with the wearing of compression hosiery.

Among the methods of treatment using hirudotherapy, leech therapy, which I put in the coccyx.

Folk remedies

Traditional medicine effective for overcoming the symptoms of the disease, when used in the early stages. A lot of the efficiencies are teas and broths of the fungus and the root of the dandelion, tincture on the basis of horse chestnut.

The most affordable way to use chaga – tea, which is based on it. If you want to do this, 3 tablespoons of dried chaga pour 0.5 liters of boiling water and insist in a warm place for a few hours. It takes half an hour before meals, 2-3 times a day.

Dessert spoon of crushed roots of dandelion pour a glass of boiling water for a few hours and drink three times a day 10-15 minutes before meal. This tea is contraindicated for people suffering from gastritis or disease of the biliary tract.

For the preparation of a tincture of horse chestnut fruit peel from the skin, finely chop, put in a bottle of dark glass and pour vodka in the ratio of 1:10. The duration of infusion – 14 days. 25-30 drops of the tincture obtained is mixed with a small amount of water and take three times a day. The duration of intake should not exceed 30 days.

Diet

Diet

Great importance in the treatment of diseases is a balanced diet excluding fatty foods and alcoholic beverages. The menu should include meals with a high content of fiber, fat of plant origin. The main products in the diet should be vegetables, fruits, natural juices, green tea. It is not advisable for sweet pastry dishes with lots of spices, fast food. Meals should be frequent, but small portions.

Useful products with a high content of vitamin C (citrus fruits, black currants, blueberries), seafood (oysters, shrimp, algae). Dishes you need for cooking with a minimum amount of salt.

Prevention

Conservative therapy significantly facilitate the condition of patients and eliminate the risk of severe consequences. The main goal of treatment is to prevent relapse and the need for surgical intervention. It is very important to prevent the disease and its recurrence.

Between the medical recommendations, should be marked:

  1. For the use of hormonal drugs only on prescription and under his supervision.
  2. To have an active lifestyle with moderate physical exercise.
  3. Eliminate bad habits like Smoking and consumption of alcoholic beverages.
  4. Regularly perform complex gymnastic exercises to support vascular health.
  5. Stick to a healthy diet with lots of vegetables and fruits.
  6. Wear compression socks when the first signs of varicose veins.

The implementation of preventive recommendations, it is also important during pregnancy, especially in its second half.

Revision of the diet, active lifestyle, regular doctor visits, treatment of varicose veins of the pelvis immediately after the detection of the disease, which will eliminate the painful symptoms and avoid surgery for a long time.