The syndrome of chronic uterine pain is also known as varicose veins of the pelvic organs or varicose veins in the uterus. This disease is more common in women of childbearing age, is difficult to diagnose and can be almost asymptomatic, but you should know its signs in order to avoid misdiagnosis of female diseases.
What is varicose veins of the uterus
Varicose veins are congestion of blood in the veins, which has led to the loss of their elasticity due to hormonal changes or genetic predisposition. The vessels of the lower extremities and the pelvic organs are more often susceptible to disease. Varicose veins of the small pelvis are more dangerous than the manifestation of a similar disease on the legs in that it cannot be visually determined, and infertility, inflammation in the ovaries, uterus and vagina can become a consequence of internal varicose veins.
Causes of varicose veins in the small pelvis
There are several theories of the appearance of this pathology in women of childbearing age. Pregnancy is considered to be the main trigger for varicose veins of the uterus. conditions appear for the progression of the disease:
- increasing the concentration of progesterone in the blood, which relaxes the walls of blood vessels;
- an increase in the load on the pelvic organs (OMT), a violation of their normal blood supply;
- reverse blood flow through the ovarian vein;
- chronic inflammatory processes of the uterus, appendages;
- artificial termination of pregnancy.
Not all pregnant women are at this risk. this disease is genetically determined. Before planning a pregnancy, you must definitely undergo a serious examination in order to exclude risks to your health and possible complications during childbirth. Varicose veins of the uterus are detected using ultrasound diagnostics, and confirmation of the diagnosis using trans-uterine phlebography, ovarycography.
Symptoms of varicose veins
The disease can be identified mainly by two symptoms:
- chronic pain in the lower abdomen, aggravated by physical exertion, during intercourse, in the second half of the menstrual cycle and during gestation;
- increased vaginal discharge.
The pain intensifies if a woman leads an inactive, sedentary lifestyle, during inflammatory processes of the genitourinary system. Often, varicose veins of the uterus are closely associated with sexual dysfunction. Symptoms may be minor or absent, depending on the stage of development of the disease:
- the first stage - the size of the vein (diameter) up to 5 mm, the tortuous course of the vessels (minor symptoms);
- the second - a vein up to 10 mm, varicose enlargement of the parametric veins of the uterus;
- the third - a diameter of more than 10 mm, a total type of varicose veins.
What is dangerous during pregnancy
If the diagnosis is made before conception, then during pregnancy, symptoms may worsen due to hormonal changes. Many women wonder why varicose veins are dangerous and how to deal with it during pregnancy? If a woman is under the constant supervision of a doctor and monitors her health, then the violation of blood flow during pregnancy is not dangerous. In rare cases, varicose veins of the small pelvis can be a reason for prescribing a cesarean, less often - it can cause placental insufficiency.
Diet for varicose veins
In the treatment, prevention of varicose veins of various etiologies, nutrition plays a very important role. Doctors recommend giving up coffee, strong tea, and limiting the use of sugar and salt. It will be useful to fill the diet with fresh vegetables, fruits, vegetable oils. Such a diet has a beneficial effect on blood flow, the condition of the walls of blood vessels, prevents stagnation of fluid in the body, which relieves the load from the veins. It is important for pregnant women to limit the amount of fluid they drink, since hormones provoke blood stagnation.
Treatment of varicose veins of the small pelvis
Having identified the signs of varicose veins, after confirming the diagnosis, patients begin to be treated with conservative methods with the help of medications and physiotherapy. If the treatment does not improve and the pain persists, they resort to surgery. An important question for many is how to treat varicose veins during pregnancy? At this time, a woman needs to be under the supervision of a doctor on supportive therapy, and after childbirth - to undergo intensive treatment.
Taking venotonics
The first thing to treat varicose veins of the uterus stage 1-2 is venotonic. Phlebologist appoints them after a comprehensive examination. Venotonic drugs are prescribed. Taking pills lasts from two to three months under the supervision of a doctor. During this time, the soreness of the OMT should be significantly reduced, the pain syndrome during menstruation should decrease. It is better to combine such treatment with health-improving gymnastics.
Exercises
Compulsory physical activity involves long walks and unloading exercises that relax the cervix and muscles of the perineum - these are exercises "birch", "bicycle". Special respiratory therapeutic exercises are useful - even deep breathing with the inclusion of muscles in the lower abdomen. Also shown is the wearing of compression underwear and tights that support the legs, vascular plexuses of the perineum and buttocks. An additional beneficial effect is provided by a contrast shower.
Surgical treatment of varicose veins
If drug treatment does not help, pain is not relieved, or the third stage of varicose veins of the small pelvis is diagnosed, then surgical intervention is provided, the degree of which is selected, taking into account the location of the reverse blood flow:
- ligation of the ovarian vein;
- ovarian vein embolization;
- angiography (administration of contrast agents);
- open removal of the gonadal veins.
If the patient's varicose veins are observed not only in the pelvic organs, but also on the legs, then the Troyanov-Trendelenburg operation is used, which consists in removing the great saphenous vein. This method is common in the fight against the third stage of varicose veins of the uterus and total venous dilatation. With early diagnosis, it is possible to avoid surgical intervention, to stop its development in the early stages. It is necessary to exclude factors that are companions of varicose veins and complications:
- smoking;
- alcohol;
- sedentary lifestyle;
- self-medication during hormonal changes, gynecological diseases;
- improper nutrition.