Female small pelvic varicose veins

Female small pelvic varicose veins

Varicose veins (dilation, parauterine tumors, dilation, or venous stasis) of the female pelvis are caused by the reflux of blood through the ovarian arteries. This condition occurs due to pressure on the blood vessels.

The exacerbation of the development of the disease is pregnancy.

The internal varicose veins of the small pelvis are manifested by severe and prolonged pain in the lower abdomen.

In the literature, small pelvic varicose veins are also called "pelvic venous congestion syndrome", "female varicocele", "chronic pelvic pain syndrome".

In the vast majority of cases (80%), varicose veins affect the ovarian veins, and it is extremely rare (1%) to observe the veins of the broad ligament of the uterus.

According to modern medical methods, the treatment of VVMT should not be done from the perspective of gynecology, but first from the perspective of phlebology.

Causes of pathology

In most cases, the expansion of pelvic veins is determined by the woman. In addition, usually, this gynecological disease is diagnosed in patients aged 20-40.

Usually, patients with small pelvic varicose veins first try to be treated at home. Folk methods used without doctor’s advice and recommendations may cause negative side effects, so you must see a phlebologist for consultation after a while.

The main factors leading to this pathology include:

  1. Excessive increase in physical activity.
  2. Passive lifestyle.
  3. Congenital diseases of the blood vessel wall-weakening, plasticity, dysplasia.
  4. Inflammatory process of pelvic organs.
  5. hormone imbalance.

The pathology of sexual planning-the appearance of anhedonia, pain and discomfort during intercourse, which have external psychological causes, and they often practice interrupted sexual contact.

Varicose veins of the legs, small pelvic veins

At the same time, small pelvic varicose veins, the treatment and symptoms of this disease are similar to varicose veins of the legs. In this case, the valves in the veins begin to disrupt the work of the valves that help blood circulate to the heart muscle.

Valve dysfunction occurs, which protects the blood flow from the reverse flow.

If their work is interrupted, then the blood will stagnate in the veins. The blood-filled veins increase in volume, which further exacerbates the stasis.

Pelvic venous congestion usually occurs near the vulva, fallopian tube, uterine area, and may even dilate the veins in the vagina.

First signs and symptoms

Many basic clinical symptoms indicate the development of varicose veins. The most important symptom of this disease is unreasonable pain in the lower abdomen and pelvic area, usually they start to radiate to the perineum or waist. Patients are also annoyed by the large amount of vaginal mucus, especially in the middle of the monthly cycle.

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

Pain in the lower abdomen, small pelvic varicose veins
  1. In some cases, women will experience infertility.
  2. Dysmenorrhea. The manifestation of pain during menstruation.
  3. The premenstrual symptoms disappeared significantly.
  4. Irradiation of pain in the groin, lower back and sacrum.
  5. Symptoms of dyspareunia (a manifestation of discomfort in the vagina or vulva during and after sexual intercourse).
  6. The manifestation of painful crisis (due to severe hypothermia, excessive physical fatigue, psychological and emotional stress).
  7. Abdominal pain after prolonged overload (dynamic or static).

Faced with such clinical symptoms, it is necessary to consult a doctor as soon as possible, because this pathology will produce a large number of unpleasant complications:

  • Varicose veins may be a contraindication to natural childbirth;
  • Interference with the work of the reproductive organs;
  • Fear of sexual contact;
  • Irritability and anxiety appear.

It must also be pointed out that all the above symptoms can be expressed in different ways. In some patients, all signs of the disease will be noticed, and in some cases, only a few symptoms.

Methods of Diagnosing Disease

In order to establish a correct diagnosis, the patient must undergo a comprehensive examination. If a woman complains of unexplained pain, the expert first determines all the factors that cause the symptoms of pain. Carefully examine the patient's lower limbs. So you can recognize the manifestations of varicose veins. In some cases, the diagnosis is made by a vascular doctor.

Ultrasonic diagnosis of pelvic varicose

The main diagnostic methods are as follows:

  1. Ultrasound of the venous system. This test can check for twists and varicose veins.
  2. Laparoscopy. Identify the varicose veins in the ovarian area.
  3. CT. It can rule out diseases, identify varicose veins in the ovaries and uterus, see enlargements, and their twists and turns on the monitor.
  4. Selective ovarian radiography. The most accurate inspection. It is performed by injecting contrast medium into the subclavian vein and femoral vein.
  5. Doppler ultrasound examination. The decrease in the contraction rate of this process is determined in the veins of the ovary and uterus.

Using these methods can more clearly define the symptoms of the disease.

Degree and differentiation

In order to standardize the possibility of diagnosis and identification of treatment methods, A. E. Volkov classifies varicose veins according to the location of the venous dilation and the size of the dilated blood vessel.

This disease is divided into three stages:

  • The first stage-the "spiral" movement of the blood vessels, the size of the veins does not exceed 6 mm;
  • The second stage-the total type of varicose veins does not exceed 7-11 mm, arcuate uterine plexus VR, paravenous VR, ovarian plexus loose expansion;
  • The third stage-during the main form of parameter formation or the total type of VR, the size of the vein exceeds 11 mm.

Taking into account the severity of the pathological process, medication or surgery can be used.

Methods of treating varicose veins

During stage 1-2 varicose veins, conservative treatments (remedial gymnastics, NPS drugs, venotonics) are most often used.

Gymnastics and small pelvic varicose veins

Conservative treatment during venous congestion syndrome is symptomatic and includes rest and normalization of physical activity, elimination of excessive activity load and prolonged standing.

When a patient is diagnosed with varicose veins, the treatment program mainly aims to achieve the following tasks:

  1. Relieve symptoms such as bleeding and pain.
  2. Restore venous tone and increase blood circulation in the tissues.
  3. Stop the reverse blood flow through the ovarian venous system.

It is necessary to realize that even very high-quality treatments for this pathology cannot completely cure varicose veins.

However, proper treatment will prevent the main clinical symptoms and significantly improve the patient's condition.

The treatment of EMCT includes several main components:

  1. Regular medical gymnastics exercises to prevent the occurrence of diseases.
  2. Of course use drugs during exacerbations.

Conservative treatment of affected veins

Due to the internal location of the infected pathological vein, the drug is taken orally, and it is impossible to apply intravenous ointment and gel at all.

During this disease, the following drugs are used:

  1. Horse Chestnut Extract-Relieves inflammation and swelling.
  2. On the basis of Diosmin-get rid of high blood vessel elasticity, prevent damage and reduce permeability.
  3. Vitamin C-Strengthens the walls of blood vessels.

The doctor recommends combining conservative treatment with exercise therapy and using pressure underwear. It is especially necessary to wear tights during pregnancy.

operation treatment

Small pelvic varicose vein surgery

Surgical intervention is an extreme treatment method, which is used if the disease is very advanced and the vein is assumed to be in a VR state.

Considering the location of the main rupture of the vein, the surgical operation is selected, and the following interventions are involved:

  • Surgical cross resection-also used for leg vein diseases;
  • Genital vein ligation (usually performed at the same time as perineal venuleectomy);
  • Ligate the ovarian vein.

If surgery is required, choosing the right technique is very personal, because everything depends on the location of the varicose veins.

Sports and therapeutic gymnastics

Exercise for small pelvic varicose veins

If the necessary physical exercise is taken into account, then women during this disease need to do at least one exercise every day-"birch", "bicycle", "scissors".

Contrasting showers and breathing exercises in the pelvic area are also very useful. At the same time, performing gymnastics correctly and effectively is the fastest way to restore a healthy and normal life.

The simplest but effective exercises are as follows:

  1. When lying on your back, raise your legs, then bend and raise them as high as possible. Do the exercises about 10 times.
  2. Lie on your back, stretch your legs, then bend and pull to the chest area. Run at least 10 times.
  3. For half an hour, you need to walk around the room. First-on the toes, then-on the heels, then-raise the knees as high as possible.
  4. Lie on your stomach and lift your legs in turns. In the maximum position, the legs must be fixed for a few seconds. Each leg has at least 7 entries.

Folk recipes and remedies

Varicose veins can be treated at home.

Dandelion Root Decoction in Treating Varicose Veins of Small Pelvis

The most famous and common folk remedies:

  1. Horse chestnut infusion.
  2. Kombucha tincture.
  3. Dandelion root tincture.
  4. Leech treatment, applied to the coccyx and sacrum area.

Diet plays an important role in the treatment of varicose veins. The daily diet must be balanced and have enough fiber and natural protein.

Precaution

You also need to use some simple techniques to prevent VVMT. Moreover, if you observe them frequently, you can also improve the overall condition of your body:

  1. Practice every day.
  2. Use special tights for treatment.
  3. Add more vegetables to your daily diet. Avoid foods that cause constipation.
  4. In sedentary work, take a break and you need to walk at least 10 minutes every two hours.
  5. Don't abuse alcohol or smoking.
  6. Don't take hormone drugs uncontrollably.
  7. After VVMT surgical intervention, you need to take a preventive dose prescribed by your doctor.

Possible prediction

If varicose veins are not treated at all, the veins start to increase more (90% increase) after a while, which can cause serious side effects, including thrombosis. In the remaining 10% of varicose veins after pregnancy, the disease will not progress to a more severe stage, but it will never go away on its own.

If pathological treatment is started, complete recovery (15-25%, considering the severity) or significant improvement (55-60%) can be achieved, especially when surgery and conservative methods are combined at the same time. However, in any case, inAfter complex treatments, life-long prevention must be carried out. This includes adhering to the correct lifestyle, regular medication or intravenous compression support.