Small pelvic varicose veins: treatment

Causes of pelvic varicose veins

Although thousands of observations about diagnosis and follow-up treatment have been described, little is known about the disease.

The diversity and non-specificity of the clinical manifestations of small pelvic varices can lead to serious errors in diagnosis, which will affect the consequences in the future.

Characteristics of small pelvic varicose veins

The veins of the pelvis are several times longer than the arteries, which makes them more capable. This is due to the phylogeny of the vascular system in the pelvic area. The pelvic veins are highly adapted and may be easily reshaped, which helps to form a dense interwoven network.

The speed and direction of blood flow are controlled by valves, which are controlled by complex body fluid mechanisms. The valve balances the pressure in different parts of the venous network.

When the valve stops performing its function, the blood will stagnate, which can lead to vascular pathology and the formation of varicose veins. The uniqueness of the pelvic veins is that the broad ligament of the uterus, which makes the vascular cavity wide, can narrow the blood vessels and cause pathology.

Cause of occurrence

Pathological pelvic vein dilation may be due to the following reasons:

  • Rupture of the blood outflow tract;
  • Eliminate the trunk of the vein;
  • Changes in the position of the uterus, such as compression of the contralateral trunk during reversion;
  • Ovarian venous valve insufficiency (congenital or acquired);
  • Post-obstructive hemophilia syndrome;
  • Connective tissue pathology;
  • Arteriovenous vascular hyperplasia;
  • Sitting for a long time, hard physical labor;
  • Varicose veins of the lower extremities;
  • Pregnancy (3 or more) and childbirth (2 or more);
  • Diseases of the female genital area (chronic salpingophoritis, ovarian tumor, uterine fibroids and genital endometriosis);
  • Adhesion of pelvic organs;
  • Obesity.

Classified by disease severity

By expanding the size of the vein, the following degrees can be distinguished:

  • The longest 0. 5 cm, "corkscrew" vessel;
  • 0. 6-1 cm;
  • More than 1 cm.

Variations in the course of the disease

  • Varicose veins of the perineum and vaginal vestibule;
  • syndrome of small pelvic venous congestion;

Symptoms

  1. The most common-after long-term static and dynamic hypertension, pain in the lower abdomen and perineum is often seen. After hypothermia, fatigue, stress, and various diseases aggravate, the pain intensifies in the second phase of the cycle.
  2. Feeling "untimely", pain during and after sex.
  3. Dysmenorrhea-Irregular menstruation, including pain.
  4. The secretion of genital glands exceeds normal levels.
  5. Blood stagnation leads to infertility, miscarriage, miscarriage.
  6. Irregular urination due to bladder vein dilation.

Diagnosis

The disease can be diagnosed only through complaints, and it is only successful in 10% of cases.

Palpate the inner wall of the pelvis, you can feel the oval seal and venous nodules. When looking in a mirror, vaginal mucosa hair can be seen.

Diagnosis options for pelvic varicose

The selection process is to use color Doppler positioning ultrasound, which can not only detect ovarian veins for varicose veins, but also detect venous thrombosis and venous obstruction after thrombosis. Ultrasound showed a tortuous, "worm-like" structure with no signal reflection, located on the side of the uterus.

The Doppler effect is based on the "hues" in blue and red, venous and arterial blood flow, respectively.

The equipment used for ultrasound examinations recognizes the blood movement from the sensor with a special program and recognizes the blood flow speed and blood vessel type from the other direction.

But doctors still retain the exact definition of vein or artery. The Doppler method is effective in almost all situations. The exceptions to the rule are determined by our body, because the blood flowing from the heart is not always arterial blood, and vice versa.

Therefore, the ultrasound diagnostician will see the artery or vein, its size, the blood flow velocity in it, and many indicators that ordinary people don’t need, but they play an important role in the diagnosis. For this, transabdominal and transvaginal sensors are used.

In 5. 7% of cases, the disease was accidentally discovered through screening. Under normal circumstances, the diameter of the ovary is 0. 4 cm.

CT and MRI are highly accurate. Using these methods, the accumulation of varicose veins in the uterus, ovaries, and ligaments surrounding these organs can be detected. The accompanying pathology can be determined.

A very reliable method is venography research.

The comparison was performed at the height of the Valsalva test to reverse blood flow. This allows you to accurately see the valve failure.

also used left renal pelvic nephroscopy, renal venography, superselective intravenous endoscopy, and bilateral intravenous varicose vein examination. These methods can determine the hemodynamic and anatomical changes at the location where the renal vein and gonadal vein flow into it.

Super-selective intravenous tuboscopy is performed by inserting the contralateral femoral artery or contralateral subclavian vein into the gonadal vein, and then injecting a contrast agent.

Most of the blood from the varicose veins of the sheep plexus is discharged through the ovarian veins. But in the case of high blood pressure, it occurs through the extra-organ uterine vein into the intra-into vein. The venous nerve plexus that can flow out through it includes the and bladder nerve plexus.

In the left venous angiography, there are 3 stages of venous stasis in the oval plexus of the left ovary:

  1. The left ovarian plexus does not flow out, or it follows an extra short path.
  2. There is still a long way to go.
  3. You can see two additional outflow paths, or one additional auxiliary path.

In the second and third stages, varicose veins of the oval plexus of the right ovary are formed.

Laparoscopy is used for differential diagnosis. The pathologically tortuous vein is located in the ovarian area, along the direction of the round ligament and the broad ligament. They look like large cyanide groups, thin and tense.

The complexity of the diagnosis is that the disease is usually hidden behind signs of the inflammatory process, and its clinical manifestations are varied, disguised as endometriosis, internal organ prolapse, postoperative neuropathy and many extragenital diseases.

Treatment

The main purpose of treatment is to eliminate venous return. In the initial stage of the disease, conservative treatment is adopted. In the later stages of the disease, surgery is the preferred treatment.

Conservative treatment

Treating small pelvic varicose veins with drugs

It includes normalizing venous sounds, improving hemodynamics and nutritional processes.

Prescribe the right medicine. Non-steroidal anti-inflammatory drugs, used for pain relief, hemostasis-hemostatic therapy.

The main drugs in conservative treatment are venotonic drugs and antiplatelet drugs.

Phlebotonics-Improve the tone of blood vessel walls and increase blood flow. For this disease, it is best to consult a gynecologist about certain medications.

Physical therapy is an important method.

Surgical treatment

  1. Removal of varicose veins.
  2. Gonado cavalry diverted.
  3. Sclerosis during laparoscopy.
  4. Ovarian vein occlusion using X-ray endovascular method.

Folk remedies

Since the main factor for the onset of the disease is the weak function of the valve device, all folk remedies for varicose veins of the lower extremities are also used for this pathology.

The most commonly used: hazel, hops, nettle, horse chestnut, dandelion root, kombucha, willow, oak, St. John's wort, twine, pollen and many other plants.

The following are valid: use oak, chestnut, willow, chamomile, pharmacy, cayenne herb, St. John's wort, and a string to bathe.

Prevention

  1. If you have the above-mentioned troubles, predictors or diseases, the first thing to do is to contact your gynecologist.
  2. It is necessary to normalize the work style and rest, try not to stay upright for a long time and overwork the body.
  3. Do preventive exercises "pedal", "standing birch", "scissors legs"
  4. Adhere to diet: eat more foods rich in vitamin E, P, C, try to eat only white meat, eat less fatty meat, and replace with fruits, vegetables, and grains.
  5. Drink plenty of liquids, but not less than 1. 5 liters per day.
  6. Get rid of excess weight and bad habits.
  7. Consult your doctor for information about wearing compression clothes, which will improve blood flow from the lower limbs, thereby reducing pelvic congestion.
  8. Avoid using baths, saunas, steam baths and hot baths.

To prevent yourself from developing this difficult-to-diagnose disease, you need to follow the preventive advice listed above. Treat your health as the most precious thing in life.

For the slightest suspicious symptoms that cannot be eliminated within a few days, you should see a doctor. He must provide you with high-quality help and save you from pain.