Varicose veins of the pelvis or chronic pelvic pain syndrome is still exotic diseases, with clear diagnostic boundaries for many doctors.
This explains the fact that some of the doctors for a long time, do not "notice" this disease in their patients, while the other got almost every other man suffering from constant unexplained pain in the abdomen.
Meanwhile, from the early detection of varicosity of the pelvic veins depends largely on the quality of life of the patient, his ability to enjoy the intimate side of the relationship with the loved one and the ability to procreate.
The occurrence of chronic pelvic pain it is known to doctors for a long time. But only relatively recently became known the most probable reason is varicose veins of the pelvis. This disease was first described in 1975 and is still not well understood.
Most likely, this pathology evolves according to the following algorithm:
- Venous plexus in the pelvis is a complex structure, which consists of large vascular trunks, and the waste from these smaller vessels. Thus the venous system of small pelvis in men and women varies depending on their structure, which allows the sexual specification of the disease is much more common in the fairer sex.
- Due to compression of vessels, complete or partial closing of the venous bed, changes the tone in the vascular wall impaired outflow of blood from the deep pelvic veins.
- In the result, the blood vessels cease to perform their tasks in full: progressing insufficiency of venous valves , and normal outflow of blood.
- In pelvic veins commence congestion associated with back reflux of blood through the veins– it provokes dilatation and varicosity development.
Symptoms of varicose (varicosity) in the veins of the internal organs of the pelvis, is much more common in women of childbearing age than in men. Among the most frequently suffer from cysts on the veins in 85% of cases.
The leading symptom is pain, which is registered in more than 90% of patients. However, the prevalence of these diseases among the population, which is still not clear: according to different studies ranges from 6% to 80%. Such a big difference in "reading" can only be explained by insufficient qualification of medical techniques in diagnosis.
Causes and risk factors
Causes of pelvic varicosity all the changes in the body that can trigger the start of a pathological mechanism of this disease:
| Anatomo-physiological cause of varicosity | What can cause this |
| Mechanical pressure on the pelvic veins |
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| The change of tone of vessels |
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| A blockage in the veins of the pelvis |
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Increased risk factors varicosity of the pelvis are:
- intense physical work;
- not enough regular or unsatisfactory sexual life;
- abuse in intimate life interrupted sexual intercourse;
- a large number of pregnancies and births;
- the most common gynecological diseases;
- contraception by means of hormonal medication;
- hormonal disorders in the body;
- the lack of exercise.
The classification and degree of varicosity
In medical circles it is accepted conditional division of the varicosity of the pelvis on the nature of the flow on the varicosity of the veins of perineum and external genitalia (e.g., labia) and the syndrome venous plethoras of small pelvis. This classification has little practical value, since in most cases, patients meeting both of the forms at the same time as triggered the formation of each other.
You can also find the classification of the disease on the root cause of its occurrence. In this regard, the varicosity of the pelvis is divided into:
- primary – due to poor efficiency of the venous valve;
- secondary – develops as a complication of existing inflammation, gynaecological or oncological diseases of internal organs.
There is also an attempt of classification of the disease based on the severity of the pathology. In this connection, shall be allocated to the 3 phases of pelvic varicosity:
| Phase | The characteristics of the affected veins | |
| diameter (mm) | translations | |
| The first | less than 5 | all of the pelvic venous plexus |
| Another | from 6 to 10 | of the ovaries or uterus |
| The third | 10 more | total defeat of the veins of the pelvis |
What is dangerous and or the consequences of
This vascular pathology can not be called deadly disease. Discovered in time, it is good for the medical correction. But the problem is that it detects it is not so easy. In this game of role and lack of awareness of the disease, and low awareness of most doctors-techniques.
It turns out that patients who suffer from this disease without even knowing it. And in their body, meanwhile, is a series of irreversible changes:
- varicosity progresses, the pathological process involved in this area – it is a dilatation of the reproductive organs (such as varicosity of the penis), perineum and lower limbs.
- There is a persistent dysfunction of the internal reproductive organs, which can cause infertility or inability to carry pregnancy in women.
- In the midst of pain, syndrome the development of a variety of psychoemotional disorders by type of neurasthenia.
- Because of chronic pain, exacerbated during intimacy, a person can completely abandon sex.
- The rarest and most severe complications of the pelvic varicosity vein thrombosis and pulmonary thromboembolism. It occurs in approximately 5% of cases, but always deadly.
Symptoms
Typical symptoms of varicose veins and pelvic vessels, which requires treatment by a doctor for treatment are:
- Of chronic pain. The pain is most often localized in the lower part of the abdomen, sometimes "give" in the groin and lower back. Accelerated in the second half of the menstrual cycle in women, after intercourse or prolonged standing on their feet.
- Discharge from the genital tract. This is a typical "female" symptoms. In this case, select normal in appearance and free of foreign odor. The patient is a concern only their unusual number.
- External signs of disease – spider veins, or increased venous pattern on the thighs, in the crotch area occurs in approximately half of the patients. Men may suffer small varicose veins on the penis.
- Menstrual disorders in women and disorders of urination in patients of both sexes, is a rare and evidence advanced form of the illness.
When he went to the doctor and to what?
The reason for going to the doctor can be any of the above symptoms. Procrastinate this is notso, because to determine the true causes of the discomfort and prescribe the effective treatment will take some time.
Profile a specialist in this disease is the doctor-phlebologist, but for women the initial visit to a gynecologist, who will be sure in the absence of concomitant gynecological diseases.
Diagnosis
According to American researchers, in the beginning of 2000-x years only 2% of patients with varicosity of the pelvis initially gave the correct diagnosis. Sometimes the result of diagnostic errors, which was the removal of the reproductive organs in women, although this could have been avoided if used the most accurate methods of diagnosis of pelvic varicosity:
- Ultrasound and Doppler study of blood vessels – allows to suspect varicosity;
- Phlebography is an invasive study which allows high accuracy to diagnose the presence and extent of the disease;
- Laparoscopy is indispensable in differential diagnosis of varicosity of small pelvis from similar symptoms, gynecological diseases (endometriosis, fibroids, vaginitis).
- Selective variography is the study of the condition of blood vessels with contrast agent, is the most objective diagnostic method.
- Computer or magnetic-resonant tomography allows you to specify details about the disease and differs from other diseases with similar symptoms (joint disease, crohn's disease, etc).
Treatment
In the treatment of varicosity of the pelvis are:
- to normalize vascular tone;
- improving the nutrition of the tissues;
- prevent congestion and possible complications.
The treatment of varicosity of the pelvic vessels at the time, you can go in different directions, while it is a surgical procedure that is only required in stage 3 of the disease.
| Medical direction | Specific activities |
| Therapy without medication |
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| Treatment with medications |
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| Surgery |
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| The treatment of folk ways | with the use of herbal remedia, which is based on the dandelion, chagas and horse chestnut |
Predictions and prevention measures
Completely treatment of varicose veins of the pelvis without surgery is almost impossible. The use of conservative medicine can significantly alleviate and even eliminate most of the unpleasant symptoms , and greatly reduce the risk for complications of the disease. The operation also does not give an absolute guarantee that the disease will not return.
In order to avoid repetition, you should always adhere to proper lifestyle:
- do not smoke;
- it is not for the use of hormonal drugs in an uncontrolled way;
- more moving and less standing on their feet still;
- to comply with the antisclerotic diet with lots of fresh plant foods;
- daily to perform complex medical gymnastics and breathing exercises for maintaining the health of the blood vessels;
- after the conducted surgery concerning varicosity have to wear compression socks and take preventive doses of prescribed drugs-venotonics.
Pelvic varicosity – this is the hidden beaches of women's health, types of diseases of the Spirit, which is difficult to detect, but to suffer from it quite real.
The main symptom of the disease, – chronic pelvic pain, which can interfere with a patient, for a long time and become a source of rejection of a lot of the joy of life. To endure such discomfort and not go to the doctor, this is impossible!
With the onset of specific symptoms should be clearly understood that this is not normal and immediately seek help of an expert.