More and more professions require a person to remain in one position for a long time throughout the working day.This negatively affects the entire body - during reproductive age, stagnation of venous blood leads to pathology such as varicose veins of the pelvic organs in women.
According to medical statistics, more than 35-45% of representatives of the beautiful part of the population suffer from debilitating pain in the lower abdomen, caused precisely by varicose vascular structures.If treatment is not started in a timely manner, serious consequences arise, for example, vein thrombosis, bleeding.
Classification
Experts adhere to the following classification of varicose veins - enlargement of the pelvic veins:
- By localization– in the venous structures of the perineum and external genitalia or venous congestion of the internal organs of the small pelvis: in most cases, both forms of pathological damage to the veins are identified as provoking the appearance of each other.
- According to the root cause of formation:a primary variant of varicose veins provoked by the unsatisfactory activity of the valves of venous structures, or formed as a complication of existing other pathologies in the pelvic area - a secondary variant of varicose veins.
- According to the severity of pathological changes– the calculation measure is the width of the affected vessel in diameter, as well as the localization of the pathological focus: from the first to the third degree, with the vessel diameter exceeding 10 mm.
The first two stages of varicose veins of the pelvic vessels can be treated with the help of venotonics, nutritional adjustments, and the development of exercise therapy complexes.A more severe course requires other measures: embolization of large veins or venectomy.
Causes of the disease and risk groups
Experts point to both common reasons for the formation of pelvic varicose veins for the male and female parts of the population, for example, excessive physical overload, physical inactivity, negative hereditary predisposition, and gender predispositions.
More often, varicose veins of the pelvic veins in men occur due to the following reasons:
- an uncorrected diet that provokes a tendency to constipation;
- work activities that take place in a sitting position, for example, at a computer screen;
- congenital weakness of the venous wall;
- presence of sexual dysfunction;
- inflammatory damage to the internal organs of the pelvis, for example, hemorrhoids, prostatitis.
The main causes of pelvic varicose veins in women:
- history of frequent childbirth;
- inflammatory pathologies of a gynecological nature;
- the use of unfinished sexual intercourse as a method of contraception;
- lack of orgasms during sex;
- long-term compression of the vascular systems by tumor formation, for example, uterine fibroids.
Based on the above reasons, experts have formed risk groups for the disease:
- multiparous women;
- persons leading a sedentary lifestyle;
- having chronic inflammatory pathologies in the pelvic area;
- who have undergone surgery on the internal organs of the pelvis.
Up to 90% of identified cases of pathology are due to pelvic varicose veins during pregnancy.
Symptoms
A person may not even suspect the presence of dilated veins in the pelvic area until he begins to be bothered by causeless pain impulses in the lower abdomen, without any visible prerequisites.
Pain with varicose veins of the small pelvis can be combined with other symptoms:
- premenstrual syndrome, which is difficult for women;
- significantly increased sensitivity in the vagina or perineum;
- copious pathological discharge;
- discomfort accompanying urination;
- the occurrence of significant discomfort when staying in a static position for a long time.
Each person is unique, so internal varicose veins of the small pelvis can manifest themselves only by one of the above symptoms or a combination of them.
In advanced, severe cases, varicose nodules can be visually noticeable on the inner thighs, in the area of the anus.That is why experts call for timely treatment of pathology.Many women experience discomfort after childbirth.
The danger of varicose veins during pregnancy
In addition to great joy, the period of bearing a baby can also give a woman unpleasant sensations.It is during this time period that various pathologies can worsen or form, for example, varicose veins of the small pelvis during pregnancy.
When detected late, varicose veins of the uterus can have serious consequences and pose a direct threat to the baby and its normal development.Malnutrition of the placenta, caused by obstructed venous outflow, provokes intrauterine fetal hypoxia: a fairly serious complication of pregnancy.
The most severe complication, of course, is placental abruption and spontaneous termination of pregnancy.To prevent this from happening, you should undergo a comprehensive diagnostic examination in advance at the stage of pregnancy planning.Find out in advance which doctor treats the pathology, how the birth will proceed, and what consequences varicose veins will have for the unborn baby.
Diagnostics
Thanks to modern diagnostic techniques, it is now possible to identify pathology in the early stages of its formation.
Basic diagnostic methods:
- Ultrasound is used for a full examination of the uterus and appendages;
- characteristics of local blood circulation in the vascular structures of the pelvis are viewed using Dopplerography;
- To fully visualize the area of the formed thrombus, transuterine venography is used.
In especially severe cases, a full diagnosis is impossible without laparoscopy.
Treatment tactics
How to treat pelvic varicose veins is decided by a vascular surgeon or phlebologist in each case strictly individually.
If negative changes in the vascular structures of the first degree are detected, it is possible to use conservative therapy methods:
- purchase compression garments that correct vascular tone;
- adjust your diet - avoid the tendency to constipation, for example, you can drink kefir every evening;
- perform special exercises for pelvic varicose veins;
- adjust work and rest schedules;
- give up existing negative habits;
- avoid constipation;
- try to visit the fitness room and swimming pool 2-3 times a week.
All of the above measures help not only improve the trophism of organs and normalize the tone of the veins, but also prevent further venous congestion.They may well serve as a guide for the prevention of pathology.
Drug therapy is recommended by a specialist only during periods of exacerbation of the pathology.The main medications for pelvic varicose veins are venotonics, which help to significantly reduce the intensity of pain impulses and relieve other unpleasant symptoms.
In pharmacy chains you can buy suppositories, tablets or ointments to get rid of varicose veins.Modern drugs: Venarus, Detralex, Phlebodia, Troexerutin vramed, Phlebodia 600. It is recommended to entrust the choice of the optimal remedy to a specialist.
Special gymnastics for varicose veins of the small pelvis have proven themselves to be excellent - it promotes the complete outflow of stagnant venous blood from damaged, dilated veins.
The issue of surgical treatment is decided strictly individually
Basic myths about varicose veins
Varicose veins form only on the legs,– this is far from true.The entire human body is penetrated by arteries and veins, therefore pathological changes can affect any area of the body, even the pelvic organs.
Another misconception is that varicose veins can be eliminated instantly.And this is a wrong opinion - the pathology did not form in one day, and therapeutic measures will take time.It is worth being patient and following the recommendations of specialists.
Varicose veins in women should be treated by a gynecologist.In no case - only a phlebologist deals with all vascular lesions.
It is absolutely forbidden to self-medicate - the risk of severe complications, including vein thrombosis and death, is very high.Varicose veins of the venous structures of the pelvis can be detected in a person at any age; it should not be considered a disease reserved for the elderly.Timely identification and elimination of unpleasant sensations is possible only with close interaction between the patient and the specialist.