More and more professions require a person to remain in the same position for a long time during the workday.This negatively affects the entire body - during reproductive age, stagnation of venous blood leads to pathologies 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, venous thrombosis, bleeding.
Classification
Experts adhere to the following classification of varicose veins - enlarged pelvic veins:
- By location– 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:primary variant of varicose veins, caused by the unsatisfactory activity of the valves of venous structures, or formed as a complication of other pathologies existing in the pelvic region - secondary variant of varicose veins.
- According to the severity of pathological changes– the calculation measurement is the width of the diameter of the affected vessel, as well as the location of the pathological focus: from the first to the third degree, with a vessel diameter greater than 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 out common reasons for the formation of pelvic varicose veins in the male and female 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:
- uncorrected diet that causes a tendency to constipation;
- work activities that occur in a sitting position, for example, in front of a computer screen;
- congenital weakness of the venous wall;
- presence of sexual dysfunction;
- inflammatory damage to the internal organs of the pelvis, e.g. hemorrhoids, prostatitis.
The main causes of pelvic varicose veins in women:
- history of frequent births;
- inflammatory pathologies of a gynecological nature;
- the use of unfinished sexual intercourse as a contraceptive method;
- lack of orgasms during sex;
- long-term compression of vascular systems by the formation of tumors, for example, uterine fibroids.
Based on the above reasons, experts have formed risk groups for the disease:
- multiparous women;
- people who lead a sedentary lifestyle;
- have chronic inflammatory pathologies in the pelvic region;
- who underwent surgery on the internal organs of the pelvis.
Up to 90% of identified pathology cases are due to pelvic varicose veins during pregnancy.
Symptoms
A person may not even suspect the presence of enlarged veins in the pelvic region until he begins to be bothered by causeless pain impulses in the lower abdomen without any visible prerequisites.
Pain in 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;
- abundant pathological discharge;
- discomfort accompanying urination;
- the occurrence of significant discomfort when remaining in a static position for a long time.
Each person is unique, therefore, internal varicose veins of the small pelvis can be manifested by only one of the above symptoms or a combination of them.
In advanced and severe cases, varicose nodules may be visually noticeable on the inner thighs, in the anus region.That is why experts call for timely treatment of the pathology.Many women experience discomfort after giving birth.
The danger of varicose veins during pregnancy
In addition to being very happy, the pregnancy period can also cause discomfort to women.It is during this period that various pathologies can worsen or form, for example, varicose veins of the small pelvis during pregnancy.
When detected late, uterine varicose veins can have serious consequences and pose a direct threat to the baby and its normal development.Malnutrition of the placenta, caused by obstruction of venous flow, causes intrauterine fetal hypoxia: a very serious complication of pregnancy.
The most serious complication, of course, is placental abruption and spontaneous termination of pregnancy.To prevent this from happening, you must undergo a comprehensive diagnostic examination in advance at the stage of pregnancy planning.Find out in advance which doctor treats the pathology, what the birth will be like and what consequences varicose veins will have for the fetus.
Diagnosis
Thanks to modern diagnostic techniques, it is now possible to identify pathology at the initial stages of its formation.
Basic diagnostic methods:
- Ultrasound is used for a complete examination of the uterus and appendages;
- the characteristics of local blood circulation in the vascular structures of the pelvis are visualized by Dopplerography;
- To completely visualize the area of the formed thrombus, transuterine venography is used.
In especially severe cases, a complete diagnosis is impossible without laparoscopy.
Treatment tactics
The treatment of pelvic varicose veins is decided by a vascular surgeon or phlebologist, in each case, strictly individually.
If negative changes in 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 a tendency to constipation, for example, you can drink kefir every night;
- perform special exercises for pelvic varicose veins;
- adjust work and rest schedules;
- abandon existing negative habits;
- avoid constipation;
- try to visit the fitness room and pool 2-3 times a week.
All of the above measures help not only to improve the trophism of organs and normalize the tone of the veins, but also to prevent new venous congestion.They may well serve as a guide for preventing pathologies.
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 painful impulses and alleviate other unpleasant symptoms.
In pharmacy chains you can buy suppositories, tablets or ointments to get rid of varicose veins.Modern medicines: Venarus, Detralex, Phlebodia, Troexerutin vramed, Phlebodia 600. It is recommended to entrust the choice of the ideal remedy to a specialist.
Special gymnastics for varicose veins of the small pelvis has proven itself excellently - it promotes the complete outflow of stagnant venous blood from dilated and damaged veins.
The question of surgical treatment is decided strictly individually
Basic myths about varicose veins
Varicose veins only form 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 experts’ recommendations.
Varicose veins in women should be treated by a gynecologist.In no case - only one phlebologist treats all vascular injuries.
It is absolutely forbidden to self-medicate - the risk of serious complications, including venous thrombosis and death, is very high.Varicose veins in the venous structures of the pelvis can be detected in people of 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.