Both men and women are susceptible to varicose diseases, but the weaker sex often suffers from the consequences of this disease. Most often, associations with the mention of varicose veins arise with swelling of the veins in the legs below the knee, but there is such a thing as varicose veins of the small pelvis in women. This is a fairly common disease, which all women of the childbearing period are at risk of contracting.
Most often, varicose veins in the small pelvis occurs in women doing heavy physical work, or during pregnancy. This is due to the increased stress on the female body, which causes increased venous pressure, which provokes hip varicose veins.
Sudden pain in the lower abdomen is the first symptom of varicose veins in the small pelvis.
Varicose veins of internal organs are especially dangerous for pregnant women, and is one of the main reasons for prescribing a cesarean section. Doctors explain this by the fact that natural childbirth can provoke bleeding, and the lives of the mother and child will be at risk. The incidence of this disease during pregnancy is due to the fact that the enlarged uterus is compressed and interferes with normal blood circulation. Increased hormone levels are also a contributing factor for the occurrence of varicose veins in the small pelvis.
Due to changes in hormonal levels in mature women, the disease can begin to develop during puberty. The situation is complicated by the fact that it is quite difficult to detect varicose veins of the pelvic veins, because the disease that arose during this period of life rarely proceeds with obvious symptoms. An indirect reason for visiting a specialist may be an increased discharge from the organs of the female reproductive system.
Quite often, varicose veins of the small pelvis in women occurs during sedentary work in the office. This is caused by the loss of plasticity of the venous walls, due to the low mobility of a person. Men are also susceptible to this disease, but much less often than women.
The most obvious symptom of varicose veins in the small pelvis can become more frequent pain in the lower abdomen, especially when they are standing, when the body is upright. Often, pain can be caused by intercourse or other strong stress on the body. Also, from the small pelvis, varicose veins can spread to the perineum and gluteal region.
Experts refer to internal varicose veins of the small pelvis as a complex disease. This is due to the difficulties in diagnosis, because there are not so many symptoms of the onset of the disease and they do not manifest themselves clearly. Timely detection of varicose veins gives hope for a full recovery. There is also a high chance of misdiagnosis at an early stage of the development of the disease.
The main causes of the disease
Poor heritability may be the problem.
Dysplasia of connective tissues is considered a harbinger of their pathology, which causes varicose veins of the pelvic vessels. Often these problems are caused by poor heredity, but people whose life is combined with the following factors can also suffer from varicose veins:
- Office work or other sedentary occupation;
- Heavy physical activity, if the body is not prepared for them in advance;
- Irregular sexual activity;
- High estrogen hormone;
- Women's gynecological diseases, frequent inflammation;
- Tumors located near internal organs.
The studies carried out prove the connection with the use of contraceptives and other hormonal drugs with the occurrence of varicose veins in the small pelvis.
The coverage of this disease in pregnant women requires special attention. Unfortunately, up to 30% of all cases, diseases are observed in women during this period. Doctors are inclined to believe that pregnancy can give an impetus to the emergence of connective tissue dysplasia in a woman's body, which lead to varicose veins.
Varicose veins of the small pelvis in women occurs due to an increase in the number of female hormones in the body, their effect has a similar effect on the body with the use of contraception. This is aggravated by the fact that during the development of the fetus, pressure is exerted on the internal veins of the pelvis, causing increased compression. Additional pathways for blood outflow are formed, which after childbirth are no longer needed, and a recovery procedure is required to eliminate them.
In the antenatal clinic for those who are registered, there is a risk group, which includes women with a predisposition to inflammation of the reproductive organs. Pregnant women with high estrogen levels also require special attention.
Symptoms of the disease
The main symptoms of varicose veins of the pelvic organs include more frequent pain in the lower abdomen, as well as abundant mucus discharge from the genitals. But these signs may have other reasons, which is why it is so difficult to diagnose such varicose veins of the small pelvis in the early stages.
Indirect signs include the detection of swollen veins in the buttocks and perineum. In some patients, pain in the lower abdomen increases during the first days of the menstrual cycle.
Among the main symptoms indicating pelvic varicose veins in women are:
- Pain before menses is stronger than usual;
- Menstrual irregularities;
- Enhancement of sensitive sensations in the perineal region;
- Pain radiating from the lower abdomen to the lower back;
- Increased vaginal sensitivity;
- Frequent urination;
- Severity in the lumbar spine when standing or sitting for a long time.
Depending on the stage of development of pelvic varicose veins and on the individual characteristics of each woman, several symptoms can be observed at once, or each of them separately. In any case, if one of the listed signs is detected, you should visit the gynecologist's office.
Diagnostic methods
There are several methods for detecting and diagnosing varicose veins of the pelvic organs, but Doppler ultrasound is considered the main one. When using this procedure, it is possible with ultrasound waves to identify the contours of the veins and project them onto the screen of the apparatus or take a photo. The picture allows you to detect all places of deformation of the veins, the blood flow in which is reduced.
For a clearer picture, doctors use phlebography in diagnostics. The uterine veins are filled with a substance that gives contrast during fluoroscopy.
Difficulty in diagnosis, along with mild symptoms, is the absence of a specific site of localization, varicose veins of the small pelvis.
When diagnosed by a doctor, varicose veins can be confused with a common inflammatory process, the likelihood of such a mistake is especially high in the early stages.
Important!If the gynecologist diagnosed Inflammation and prescribed therapy, but it does not help to cope with the symptoms, one must understand that such an effect is not normal and it is imperative to make a second visit to the specialist.
With a great deal of confidence, you can make a correct diagnosis using the following methods:
- Doppler ultrasound;
- Phlebography - quite accurately diagnoses varicose veins of the small pelvis;
- Ultrasound of the venous system - in different situations, vaginal examination or transabdominal scanning is used;
- Laparoscopy - thanks to this method, you can also identify varicose formations in the ovaries;
- Selective ovarycography - with this diagnostic method, you can most likely detect varicose veins in the small pelvis. For this, contrast fluid is injected into the veins of the thighs and subclavian region.
If the diagnosis does not give accurate results, the patient may be sent for additional examination. A blood test is prescribed.
Classification of the degree of disease
Depending on the stage and severity of pelvic varicose veins, it can be divided into three categories. An important parameter in this regard is also the location of the venous dilatation.
- Varicose veins in the small pelvis at the first stage inflate the veins up to 5 mm due to the appearance of a small number of deformed areas;
- In the second stage, the veins become 6 to 10 mm in diameter, and loose ectasia of the plexus occurs in the ovary;
- The last degree is the most dangerous, the patient's venous swelling exceeds 10 mm in volume. The third degree of damage is characterized by parametric localization of the main type.
After successful diagnosis and determination of the stage of the disease, appropriate treatment of varicose veins is prescribed.
Conservative treatment methods
It is best to contact the appropriate specialists after an accurate diagnosis has been established. Diseases associated with varicose veins are treated by a phlebologist. You can get a referral to it only after the diagnosis is made by a gynecologist, and the expansion of the pelvic veins in men is confirmed by a urologist.
The main tasks that the doctor put on the path to the patient's recovery are:
- Restoration of damaged vein walls and returning them to their usual tone;
- Prevention of the formation of subsequent stagnation of blood in the veins of the small pelvis;
- Improving the condition of the veins tissue.
To solve the set tasks, complex therapy is used, which includes a special diet, rehabilitation exercises, drugs for the treatment of varicose veins, and the use of special shaping underwear.
Therapeutic phase of treatment
The main goal of therapy for small pelvic varicose veins is to restore blood flow and normalize the tone of elastic tissues. The stages of removing unpleasant symptoms of the disease and increasing blood circulation in the veins are no less important.
Preparations for varicose veins should be prescribed only by a phlebologist. There are two groups of medications prescribed for this disease. The first (venotamic drugs) - improves the tone of the tissues of the veins, and the second (angiagregants) - prevents the formation of new blood clots.
In case of exacerbation of varicose veins of the small pelvis, taking medications in courses is an important part of therapy. The main role in the treatment is assigned to venotonic drugs, which improve vascular tone. To prevent recurrence of the disease, these drugs are prescribed for prophylaxis.
Preparations for the treatment of varicose veins of the small pelvis can be prescribed only by a doctor, self-medication is unacceptable!
In general, preparations for varicose veins contribute to:
- Stop the backflow of blood;
- Normalization of venous tone;
- Help blood supply to tissues;
- Reducing discomfort from symptoms of the disease.
It should be remembered that the use of drugs must be combined with special exercises and a prescribed diet.
Traditional medicine
For the treatment of varicose veins of the small pelvis, they often resort to folk methods, among the main remedies of which are herbal infusions that restore the normal tone of the veins. The most popular decoctions are horse chestnut, chaga, and dandelion roots.
Hirudotherapy has proven itself well among the people: leeches should be applied in the region of the sacrum and coccyx.
Important to know!It is impossible to let the revealed varicose veins in the small pelvis drift or trust only the means of traditional medicine. This rather dangerous disease should be treated in a comprehensive manner, with the obligatory intake of medicines, and the use of infusions and decoctions can only be an additional means.
Preventive gymnastics
There are several physical training techniques to restore tissue tone.
- Raising and lowering on toes, the exercise is done in a standing position, the number of repetitions is at least 30, the toes and heels are parallel;
- The same thing, just spreading the socks apart and aligning the heels, 30 times will be enough;
- Repeat the toe lift, spreading the heels to the maximum and bringing the toes together;
- Pelvic varicose veins can be treated with breathing exercises by slowing it down by imagining how all the abdominal muscles are involved;
- In the prone position, raise the pelvis, propping it up with your hands, and make a "bicycle" movement, for those who find this exercise difficult, you can replace it with a "birch" or alternate them.
Physiotherapy exercises well if the veins of the small pelvis are dilated, besides, it is convenient to do it anywhere. The main condition for success will be the regularity of performing special exercises, but in no case should you overexert yourself during classes.
It is equally important to follow a healthy lifestyle if you have been diagnosed with venous dilatation. During physical work, regular breaks should be taken, and if it is associated with a long stay in a static position, it is necessary to periodically pause, warm up and walk.
A good solution would be to use a contrast shower, varicose veins cause unpleasant sensations in the perineal area, so it will not be superfluous to direct the stream of water to this area.
Proper nutrition
It is important to develop a diet in such a way that there are no problems with stools, especially constipation. With these, venous expansion can be aggravated by an increase in internal pressure during bowel movements. It is also better to avoid eating too spicy and fatty foods, since they affect the formation of blood clots.
Nutritional correction for pelvic varicose veins implies the exclusion of foods high in saturated fat, any alcoholic beverages. Preference in the diet should be given in favor of foods high in fiber (vegetables and fruits, cereals), healthy fats (vegetable oils).
After learning from the doctor how to treat varicose veins of the small pelvis, and what restrictions on food to apply, you should take care of the general condition of the body, for this it is better to quit bad habits (smoking and alcohol) during rehabilitation.
Possible complications
Varicose veins of the pelvic organs can cause serious complications for the female body, especially in the later stages of the disease. Sometimes the inflammation spreads to neighboring organs, bleeding of the uterus looks more frightening.
For better protection, you should understand how dangerous pelvic varicose veins are. Frequent bleeding in the uterus can contribute to the formation of thrombosis, as well as develop into an extensive inflammatory process.
Forecasting
Varicose veins of the small pelvis in women can contribute to the development of serious consequences, but most often it occurs in the later stages, due to the late detection of the disease. Therefore, you should pay attention to pain with varicose veins of the small pelvis, because they are the most obvious symptom, signaling the need to go to the doctor.