Varicose veins the pelvic organs in women: symptoms and treatment

In this article you will learn: why varicose veins the pelvic is considered a disease, and not a sort of varicose veins of the legs; those who have this disease can occur and why. Manifestations and diagnosis of this disease, how to treat properly, the chances of a cure.

Varicose veins basin is the weakening of the internal walls or external venous vessels the pelvic area, which leads to an excess of expanding their diameter. Of the change the veins are not able to guarantee the outflow of blood from the pelvis, which leads to stagnation and the total destruction of the vascular wall. As a result of the breach structure and functions of the female genital apparatus.

The early stages of the disease cause only a mild discomfort on the external genitalia and the lower abdomen. Women with the running of forms the pelvic varicose veins suffer from persistent severe pain, various gynecological diseases, are sterile, have a defect in the aesthetic as twisted extended venous nodes on the perineum, labia or at the entrance of the vagina.

The disease can be completely cured, but to avoid relapse is necessary throughout the life of the prevention. Deal with this problem together with the vascular surgeons obstetrician-gynecologists.

Varicose veins the pelvic for men as well as women do not exist. But such a disease exists – varicocele. The mechanisms of the onset and manifestations are similar to those for pelvic varicose veins. Varicose occurs in the egg and in the course of the spermatic cord, which left vienna eggs stagnates the blood. She comes out from the left renal vein, which empties into vienna.

The essence of the disease, how severe

Internal and external female genitalia well krovosnabjaemah. In order to ensure a proper outflow of the blood has need of a powerful network of venous vessels. Then the venous system pelvic for women is well developed. Vienna has a strong wall, has valves, is connected with the neighbor that is held in the veins. All this together form a functional venous network of the pelvis, which collects the blood of a horse's reproductive organs on the outside (vulva, vagina), special structures (ovaries, uterus), and carries her in the bottom Polow vienna.

Of modified veins of the pelvis that are different from healthy ones, which are:

• Expanded diameter;
• Full of blood;
• Excessively twisted;
• Have a bulge in the shape of the nodes;
• A flaccid and weak.

Pelvic of vienna, the affected varicose veins can collect the blood of the external genitalia and other organs, but these are not normally capable of carrying more large blood vessels (vena cava). This leads to the fact that the blood stagnates in the pelvis, and penetrating through the vein wall, and strikes those tissues, from which it must to scroll. Become swollen, inflamed and lose their function.

But most of all the varicose veins pelvic dangerous:

• Various ovarian disorders;
• Uterine bleeding, and other disorders;
• The sterility, the threat of termination of pregnancy, and the inability of natural childbirth;
• The formation of blood clots in the lumen of the modified veins, which is a threat to their room for a place for the formation and migration in the heart and blood vessels of the lungs. This is the most dangerous complication, danger to life, pulmonary embolism (PE).

Causes

Above all, varicose veins basin is a Mature women:

• Up to 20 years – 20%;
• 20-30 years – 30%
• 30 – 45 years – 50%

The mechanisms of the rebirth of the venous system of the pelvis:

1. (80%). They are the largest vertical veins which collect the blood from the uterus and to the ovaries and bring directly to the quarry (to the right) or kidney (left) of vienna. If a fault occurs, completely blocks the venous outflow.
2. Uniform the weakening or destruction of the venous wall all the pelvic veins – all are at the same time dilate and are not able to contract to push the blood in the above departments.
3. A return of blood shot from a deep vein of the thigh in the area of sexual vienna, that the collection of blood from the perineum and of the external genitalia, prevents the outflow. Accordingly, the pressure in it increases, and its trunk and all tributaries of the varicose veins dilate.

Direct causes of the starting of these mechanisms may be:

• Congenital weakness or dysplasia (underdevelopment) of the venous wall and valves.
• Hormonal adjustment in the female body (puberty, pregnancy, menopause, diseases of the ovaries).
• Frequent inflammatory processes, endometriosis, operations, adhesive process in the pelvis.
• Transferred thrombosis or thrombophlebitis of the pelvic veins.
• The heavy physical work.
• Prolonged stay in a lying or sitting position.
• The excess of weight.
• The pregnancy and childbirth.
• New the interruption of sexual intercourse in the course of the years, especially in the absence of orgasm.
• The curvatures of the uterus of the front or rear.
• Pelvic tumors.
• Uterine prolapse.

Degree of varicose veins – classification

For anatomical base (head) of the varicose veins pelvic are divided into three types:

1. The plethora of the basin;
2. Perineal varicose veins, etc;
3. Combined form.

To reflect the nature of the pathological changes of the disease divided into three degrees:

1. The first – advanced vessels of any organ plexuses the pelvic do not exceed the diameter of 0.5 cm, which is overly convoluted.
2. The second – the diameter of the veins increases up to 1 cm, the common process not only in the plexus of organs(royal jelly, ovaries), but around them (okolomatocnah cellulose).
3. The third expansion (ectasia) of more than 1 cm, which affects all the blood vessels – intraorganic, around the organs, and the trunk (the trunk of the vein to the ovarian).

The higher the degree of illness, worse extended, vienna and more heavy stagnation of the blood in the basin.

The characteristic symptoms

Women with varicose veins pelvis stress:

• Persistent or recurring pain in the lower abdomen, increasing in the evening or after the loads mainly in the second half of the cycle (the nearest month). With 3 degrees of pain can be very strong.
• Itching, burning, swelling and lividore genitals.
• Painful menstruation and sexual intercourse.
• Menstruation abundant and uterine bleeding, irregular cycle.
• The inability to conceive.
• The thickened convoluted of vienna, in the groin area, and genital.
• Often painful urination.
• Pronounced manifestations of the premenstrual syndrome.

Diagnostics

To confirm the diagnosis pass:

• ULTRASONOGRAPHY through the stomach and through the vagina (transvaginal) with the use of special sensors – ultrasound and duplex treatment of the veins of the pelvis. The most simple and informative method.
• Endovascular phlebography – introduction of special medications in ovarian vienna.
• The ct scan with contrast.
• The diagnostic laparoscopy.

Methods of treatment

Varicose veins the pelvic along with take care of a vascular surgeon or obstetrician-gynecologists. According to modern concepts of treatment consists of the areas:

1. The normalization of life style;
2. Conservative pharmacological treatment;
3. Compression and the other therapy;
4. The surgical treatment.

Treat varicose veins of the pelvis. This is why experts constitute an individual treatment plan and the sick, women must always comply with treatment and prevention recommendations.

1. The normalization of life-style

Because the wrong image of life is the prerequisite and cause varicose of pelvic veins, its normalisation will help to heal:

• Eliminate the long stay in the upright or sitting position (more than 2-3 hours without interruption).
• Do not lift weights, and refuse of hard physical work.
• During the day, run material of gymnastics for the basin (exercises of birch, biking or simply soaking for 10-15 minutes with a high above the level of the body of the basin.
• To reduce the weight (obesity).
• Do not take a hot bath, replace it with a shower contrast.
• Refrain from alcohol and smoking.

2. Medical therapy

The treatment of varicose veins of the pelvic veins, in any degree is not possible without medical treatment and support. In the first instance is the main therapeutic event, during the second and the third integrates a complete treatment.

These medications are used:

• Particular medicines – strengthen the venous vessels.
• Anticoagulants – blood-thinning, facilitate its promotion through the vessels.
• Drugs that improve the microcirculation.

Additional groups of medicines prescribed, in consideration of the available anomalies in the body:

• Drugs female sex hormones (when dishormonal violations).
• Painkillers and anti-inflammatory.
• Medicines to stop the blood – hemostatic drugs for the treatment of uterine bleeding.

3. Compression therapy

One of the most effective tools in the treatment of varicose veins in the area vulvo-perineal area is compression impact. The principle of this method is similar to the use of elastic bandages in varicose veins of the legs. Compression (compression) of the superficial veins from the outside contributes to their emptying blood. To create an effect that can special tights or compression shorts therapeutic knitting. They can be purchased in pharmacy or specialized shops, salons, health care products, individually, by choosing the desired format and compression force.

Sclerotherapy – puncture of the varicose veins with the introduction into the lumen, special medicines that cause she attacks. This treatment takes place in the outer (subcutaneous) pelvic varicose veins without hospitalization. The interior of vienna can be treated, but this procedure is technically more complex and is held in operating conditions.

4. The surgical treatment

Varicose veins pelvic better to treat surgically when:

• 2-3 degrees of the disease;
• The rapid progression of the disease;
• Planning a pregnancy;
• Expressed painful syndrome;
• Persistent uterine bleeding and other gynecological disorders.

The main types of operations with pelvic varicose veins:

1. Laparoscopic – special operation through the bites of belly. Run the dressing, intersection, or removal of vein ovarian. This eliminates a return of blood to throw on it.
2. Removal of varicose veins of the varicose veins through small punctures or cuts in the skin are removed, modified subcutaneous vienna, tied outdoor sex vienna, at the point of confluence in the femoral blood.
3. Gynecological surgery – removal of tumors, the elimination of the curvatures of the uterus.

Forecast

If you do not treat varicose veins pelvic, with the passage of time are still more dilate (95%), which is in danger of complications. The remaining 5% of women with subcutaneous varicose veins horse of 1-2 degrees, which arose after the birth, the disease is not improved, but will never in and of itself.

If you cure the disease, it is possible to obtain a complete recovery (10-50% depending on the degree) or a significant improvement of the state (45-50%), in particular in the case of a combination of surgical techniques with the conservatives. But in any case, after a comprehensive treatment, which should be for life prevention, which is in keeping with the recommendations of style of life, regular medication or compression support fragile veins.