A fairly common diagnosis in medical practice recently became the varicose veins of small pelvis, and it is found both in men and women. However, statistical data show that the women face this problem more often of the opposite sex. On varicose veins of the pelvis affects all age groups of women, but with age, and increases proportionally the risk of this disease. In the reproductive age varices of the vessels of the small pelvis can be detected in 15-20% of women and in menopause is diagnosed, it is already at 75-80% of patients. In men the initial symptoms of varicose veins in the pelvic area most often occur in the range from 12 to 30 years.
CAUSES OF VARICOSE VEINS OF THE PELVIS AND THE PARTICULARITIES OF THE DEVELOPMENT IN WOMEN AND MEN
The development of these diseases contributes to a number of reasons. Some of them are dependent on heredity and overall health, while others are the result of lifestyle and habits. Factors that cause the appearance of varicose veins of the pelvis, are:
- pathological dilatation of the rectum and lower extremities;
- genetic predisposition;
- congenital weakness of the connective tissue and venous walls;
- the development of tumors, tumors and hernias in the urogenital system;
- inflammatory diseases of the pelvic organs in the chronic form;
- sedentary and static sport;
- heavy physical exertion;
- forced, prolonged sitting or standing;
- lack of regular sexual life;
- diseases of the nervous system and often lack of sleep;
- poor diet and excess body weight;
- bad habits.
In terms of gender the above list is complemented by a variety of factors. For example, in men, this factor may be a non-standard feature of the structure of the blood vessels in the genitals. This condition is called varicocele – varicose veins in the spermatic cord. According to the characteristics of the male anatomy, we can say that most of the disease is localized to the left side.
Features of the development of varicose veins of small pelvis in women (the so-called female varicocele) are due to the presence of the following risk factors:
- inflammatory gynecological diseases;
- mechanical compression of the veins by the enlarged uterus;
- sexual dysfunction (discomfort during sex, and anorgasmia);
- polyhydramnios and multiple pregnancy;
- many and heavy work;
- hormonal changes;
- hormonal therapy and contraception.
It is worth noting that, despite the greater prevalence of varicose veins of the pelvis are poorly understood, and there may be other reasons for his emergence.
VARICOSE VEINS OF SMALL PELVIS, THE SYMPTOMS AND THEIR CHARACTERISTICS IN WOMEN AND MEN
Signs of varicose veins of small pelvis in the early stages of the disease do not show symptoms. In male patients who have it have symptoms, which often can be detected only by using the methods of palpation, ultrasound, functional tests, and physical examination. Only when the rate of damage to the veins is very high, varicose veins can manifest deformity of the penis, and severe pain, even at rest.
Patients of both genders pain in the varicose veins of the pelvis begin to appear with the development of pathological changes in the blood vessels and reduces blood flow. It is located in the lower part of the abdomen and having different intensities, the majority of patients report painful and annoying pain, which is given in the sacrolumbar area. They occur or become more pronounced, when walking, after a prolonged static and dynamic loads.
Varicose veins of small pelvis in women symptoms is more pronounced than in men:
- pain attacks in the abdomen, which is spread on the area of the perineum and increase usually after a long stay in the standing or sitting; in the first days of menstruation, after exposure;
- unpleasant sensations in the genitals and the pelvis during sexual intercourse, and some time after ;
- a pronounced premenstrual syndrome;
- the failure of the menstrual cycle (dysmenorrhea): an increase in the duration and abundance of the menstrual period;
- increased secretion of the glands of the external genital organs;
- venous nodules in the crotch area;
- a special zone of sensitivity of the perineum;
- disorders of urination.
VARICOSE VEINS OF SMALL PELVIS IN PREGNANCY
Pregnancy is a unique indicator of the health of women. The disease is asymptomatic, in the period of pregnancy.
During pregnancy, a rapidly growing uterus takes up more space in the pelvis. At the end of the third trimester, reaches a maximum size and compresses other organs, constricting the venous vessels. Their walls, due to the reduction of uterine tone, in this period, much weaker than usual. This physiological process is harmful to health and pregnancy may be complicated by rupture of the vessels, the bleeding. And postpartum anemia and painful feelings, which leads to problems with veins.
With the growth of the fetus, the outflow of blood from the uterus increases approximately 15-20 times, and the valve apparatus of the vessels of the uterus are not always able to deal with it. This is a violation of the unidirectional flow of blood, causing venous congestion and inflammation. The bloodstream begins to take place in a circuitous way, that goes for the weak and the small vessels of the pelvic organs. This leads to excess of blood, and, as a result of this, the varicose veins of the pelvis. It is possible that after the birth of a child can occur in the reverse process, and the disease will retreat.
Due to impaired blood flow to the varicose veins of the pelvis leads to a lack of oxygen for the baby. Hypoxia of the fetus, sometimes is the reason for the caesarean section.
During pregnancy it is particularly important not to confuse varicose veins of the uterus and the pelvis. To establish an accurate disease will only survey-based methods with a high level of diagnostic skills: ultrasound (us), computed tomography (CT), magnetic resonance imaging (MRI). In this period of life women is a preference for ultrasound and MRI, because CT involves radiation exposure. MRI is completely safe, but it is not recommended, if not in the first trimester. Indications for MRI with varicose veins of the pelvis are the results of the ultrasound.
During pregnancy for the treatment of varicose veins of the pelvis, using only conservative methods of treatment. So completely get rid of the disease, can after the birth. In very critical situations, the possibility that the surgical procedure. Then use minimally invasive techniques – radio-frequency and laser coagulation.
In the treatment without surgery all the recommendations relate mainly to changes in lifestyle:
- increase your physical activity. That would be Hiking at least two hours per day, with a mandatory rest period;
- to eliminate lifting;
- you will need to stick to a diet that includes products rich in fiber (cereals, fruits and berries, vegetables) and with a high content of healthy fats;
- to take a contrast shower, a welcome swimming pool;
- from the second trimester, to be sure, to wear certain types of socks of compression or prenatal bandage;
- sleep better on his side with a slightly raised feet;
- exercises and breathing therapy.
If there is an imminent threat of premature birth, treatment is held stationary, under the auspices of the medical staff.
TREATMENT OF VARICOSE VEINS OF SMALL PELVIS: THE USE OF DRUGS AND THERAPEUTIC EXERCISES
Varicose veins of the pelvis treatment consists of therapy, different medications and a special gymnastic exercises.
The use of essential drugs in the acute stage of the disease. The main active ingredients are: diosmin, hesperidin, troxerutin, pentoxifylline. Vitamins and pills that contain juice, extracts and vegetable oils, will also give a modest improvement in the health status of the patient.
Pregnant women, doctors try to prescribe the way (with varicose veins of small pelvis) only on the basis of natural ingredients: extract of horse chestnut, green tea extract, vitamins, oils, etc., Then are those drugs that have fewer side effects. Often visit the doctor for a holistic therapy provides a reference for physiotherapy or remedial gymnastics.
Gymnastics with varicose veins of small pelvis have a wide range of activities. They are the main form of treatment, which at the same time has preventive value. Exercises include the back muscles, peritoneum, pelvis and hips, are having a positive effect on improving the flow of blood. Depending on the intensity of the load, especially health, employment and at home, you can pick up a reasonable set of exercises.
Exercises for at home, you can include the following complex:
- the exercise "Bike": the rotation of legs, lying on his back. 15-20 approaches;
- exercise "knee": the rise of the chest to the knees, with fingers up, to secure this position for a few seconds. 10 reps on each leg;
- exercise "Scissors": in supine position, keep arms at sides, legs straight, toes stretched itself, in turn, across the legs. 15 approaches;
- exercise "Candle": the head, neck and shoulders are on the floor, the body must be installed in a vertical position, back, you can hold hands, not to 5-7 minutes;
- exercise on the flexibility of the back support should be on her hands and knees, first bend, then straighten your back. 10 approaches.
At work, for example, you can perform the following exercises:
- on the prompt, and the handling of the toes;
- the circular rotation of the leg in sitting position, 10 times;
- the alternate transfer of body weight on one leg, then the other.
In the early stages of the disease to complement the treatment of varicose veins of the pelvis can folk remedies. These measures include the adoption of tonic baths, the use of anti-inflammatory extracts and promote blood decoction.
Most of the tools that are easy to prepare at home. Settings in the treatment of the disease is given: fruit and flowers of horse chestnut, birch chaga, dandelion roots, chamomile flowers.
The special place in treatment is prevention:
- the observance of a healthy lifestyle (quitting Smoking and alcohol consumption);
- regime diet (eating small portions 5 times a day, in equal intervals);
- the optimal ratio between exercise and rest;
- sexual life after of varicose veins of the pelvis must be moderate;
- regular monitoring of blood parameters;
- a visit to the phlebologist.
After recovering from the disease, the patient will note improve not only physical, but also emotional state.
