When it comes to this disease, such as varicose veins, the majority of people imagine the pathological processes at the level of the lower limbs, which are visible to the naked eye. Varicose veins pelvic – this type of disease say and write much less. Often the signs are considered to be the presence of inflammatory processes in the organs of the sexual sphere, some hormonal disorders, pathology of the organs of the urinary system, lumbar, sciatica.
Women have varicose veins pelvic caused by stretching of the walls of the veins, reducing their strength. Peak incidence of reproductive age from 25 to 50 years. Sometimes varicose veins can be defined in teenage girls in a period of rapid growth and the formation of hormones and the menstrual cycle. At this age, the disease may pass asymptomatic.
Another feature of pathology – tendency to the worsening and active the event in a period of gestation of a child.
The signs and causes
Obstruction of the veins and the system crashes normal blood circulation in the ovaries lead to errors in the circulatory system. Causing a factor in the development of the disease can be the dysplasia of the connective tissue, which leads to reduce the amount of collagen and, as a consequence, the elasticity and strength of blood vessels.
Common negative factors and reasons for development of varicose veins pelvic:
- during pregnancy because of an increase in the volume of blood in the blood vessels, a high content of progesterone, the large size of the uterus;
- regular intense physical exercise;
- many previous pregnancy and childbirth;
- sedentary life-style, predominantly sedentary activities;
- gynecological diseases: pathological structure of the uterus, endometriosis, inflammatory processes;
- practice and for a time of interruption of intercourse with the goal of protecting against unwanted pregnancies;
- long-term intake of some hormonal funds;
- the lack of satisfaction in sexual life.
Result in the development of varicose veins can be hormonal imbalance, especially the increased level of estrogen.
As already mentioned, pelvic varicose veins is manifested in the same way diseases of the female genital apparatus. The main feature that makes the guard, is a persistent pain. They are felt in the lower part of the abdomen, may be weak, almost palpable, and intensely crisp. Very often a sharp pain that rises in the basin, and apply to the area of the lumbar or sacrum. The pain becomes stronger after physical exertion or, on the contrary, after a long stay in the same position (sitting or standing).
It is necessary to highlight the following symptoms, which manifests as varicose veins pelvic:
- reinforced the bleeding after childbirth or procedures, gynaecological, called thinning of the venous wall, stop this bleeding difficult;
- painful sexual act, the sense of sexual dissatisfaction, fear and disgust for sexual life, in general, the emergence of a strong muscle spasm when you try to get in close proximity;
- painful or frequent urination, caused by the thoroughbred bladder;
- the increase of the veins of the vulva or perineum, accompanied by severe itching, swelling, burning;
- thrombophlebitis of the veins, which is characterized by swelling or redness of the skin of the perineum, the increase of the temperature and general weakness.
Distinguish between varicose veins vulva and the development of the disease in consequence of plethora. The disease may have three degrees of intensity.
In varicose veins:
- 1 degree – diameter of the vein is 4-5 mm;
- 2 degree – vienna increases up to 6-10 m;
- 3 degrees – the diameter of the vein more than 10 mm.
The determination of the degree of severity of the disease – one of the main stages of diagnosis, as it helps to determine treatment methods. In the first two cases, it is usually enough a conservative treatment, changes to the power system, the application of medical gymnastics. The third degree of severity of the disease requires surgical intervention, ligation of large veins.
During pregnancy
The disease, the problem is most times they give birth to women. The changes of the veins can occur already during the first pregnancy, and with each consequent increased risk. At a certain point of the vein the organs stop to work completely, preventing the normal outflow of blood.
The risk increases if the woman:
- diagnosed with abnormal configuration of the reproductive organs (in the first place, the uterus);
- there is a genetic predisposition;
- the excess weight or impetuous set of kg throughout the pregnancy;
- there are bad habits (smoking);
- a job that requires less physical exertion, a longer stay seated or standing in a single place.
This disease affects women in the third trimester of pregnancy, because the uterus exerts pressure on nearby organs, creating obstacles for their normal activities.
The normal volume of blood circulating in the body during the gestation period increases by nearly 50 %. It is not always a vein of cope with higher for their load, especially if the situation is worsened by several predisposing factors, which we discussed above.
Characteristic changes in the hormonal background in the body of the future mother also can severely affect the elasticity of the walls of the blood vessels.
That dangerous pathological increasing of the veins during pregnancy?Varicose veins of the uterus and other organs runs the risk of heavy birth with serious consequences. Thin the walls of the veins can hurt and even break, causing pain and bleeding. These phenomena are harmful and dangerous, not only for the well-being of women, but also for his life.
One of the most frequent violations – the risk of formation of blood clots. They block the blood vessels, thus reducing or preventing even a normal placenta blood. This dysfunction leads to the aging of the placenta and the lack of oxygen starvation of the fetus.
1 and 2 stages varicose veins pelvic childbirth usually takes place in a natural way. During any attempt of the medical staff shall ensure that, to lower the pressure in the walls of the blood vessels. It is necessary for the co-administration of blood-thinning medications.
Heavy (3) the form requires the execution of a caesarean section.
In the presence of this problem, the pregnant woman should carefully prepare for the future motherhood, that is to say:
- starting from the second quarter wearing a bandage prenatal;
- move actively, exclude a longer stay seated or standing in the same position (for example, when you are at the computer);
- to reduce the pressure in the blood vessels during sleep to insert between the feet of a special pillow;
- access to the swimming pool or regularly take a shower contrast.
Future moms, you need to review your diet, taking care of timely evacuation of the bowels.
Diagnostics
External examination allows you to easily find varicose veins of the vulva and of the perineum. But how to verify if the pathology of internal genitals? To determine with accuracy the problem is prescribed, further tests such as diagnostic ULTRASOUND, phlebography, laparoscopy, ct scan or magnetic RESONANCE imaging.
Treatment
The disease does not belong to gynecological diseases. The treatment produces a doctor-phlebologist (vascular surgeon). But because the disease is often detected during the passage of ULTRASOUND, then the woman has observed the two professionals – a gynecologist and phlebologist. The treatment of varicose veins pelvic must be global, including drug therapy and treatment without the use of drugs, the application of medical gymnastics, the normalization of the power system and the revision of the mode of the day.
Drugs effectively eliminate the symptoms in the initial phase. Patients prescribe medication in a period of exacerbation. The long-term use of these funds is not desirable, because they are prone to cause side effects. Medications to improve circulation, relieve inflammation and pain, reduce the risk of formation of blood clots.
How to treat advanced vein pelvic in pregnant women, and to the extent justified to the pharmacological therapy in this case?Considering the potential harm to the fetus and high risk of appearance of side effects, prescribed drugs not before the second trimester, and only in exceptional cases. If before the pregnancy the woman has ever had similar health problems, often recommend limiting methods of drug-free therapy, for example, wear underwear special.
Eliminate the pelvic congestion will help gymnastics. Most of the exercises are performed in the supine position. This can be known "birch", "bicycle", "scissors". When you run is enough load on the stomach, to increase the flow of blood. Therapeutic exercise integrated wear compression stockings.
Among the methods of treatment use and hirudotherapy, the treatment of the leech, which put the region of the coccyx.
Folk remedies
The remedies of the folk medicine effective to overcome the symptoms of the disease, if they're applied in the initial stages. Great efficiency, possession of herbal teas and decoctions of mushrooms and dandelion root, tinctures horse chestnut.
The most accessible way for applications of fungi – the health of tea on its base. To this 3 tablespoons of flour chaga pour 0.5 liters of boiling water and insist in a warm place for hours. Take half an hour before eating not more than 2-3 times per day.
Tablespoon of chopped dandelion root, pour a glass of boiled water, a couple of hours and drink three times a day for 10-15 minutes before a meal. This tea is contraindicated in people who suffer from gastritis or disease of the bile ducts.
For the preparation of tinctures horse chestnut fruit peel, finely cut, lay in a dark glass bottle and pour the vodka in a ratio of 1:10. The duration of the maceration of 14 days. 25-30 drops obtained dyes mixed with a small amount of water and take three times a day. Duration of treatment should not exceed 30 days.
Diet
Of great importance in the treatment of the disease has a well-balanced diet with the exception of fatty foods and alcoholic beverages. In the menu must include foods with high fiber content, and fats of vegetable origin. The main products of the diet needs to become vegetables, fruits, fruit juices, green tea. Are not recommended sweet muffins, dishes with lots of spices, fast food. Meals should be frequent, but in small portions.
Useful products with a high content of vitamin c (citrus, blackcurrant), seafood (oysters, shrimp, seaweed). Dishes need to cook with a minimum of salt.
Prevention
Conservative therapy techniques greatly facilitate the condition of patients and eliminate the risk of heavy consequences. The main task of the treatment – relapse prevention, and the need for surgery. Of great importance is the prevention of the disease and its recurrence.
Between the medical recommendations, it is necessary to highlight:
- Take hormonal drugs only on doctor's prescription and under his control.
- Lead a sedentary lifestyle with moderate physical exercise.
- Eliminate bad habits, such as smoking and the intake of alcoholic beverages.
- Regularly perform a series of gymnastic exercises to support the health of blood vessels.
- Follow a healthy diet with lots of fruits and vegetables.
- Wear compression stockings when the first signs of varicose veins.
The execution of the prevention recommendations is important during pregnancy, especially in its second half.
Review of diet, an active lifestyle, regular visiting of a doctor, the treatment of varicose veins pelvic immediately after the diagnosis of the disease to eliminate the painful symptoms and will help you avoid surgery for a long time.