More and more professions require a person to stay in one position for a long time during the entire working day.This negatively affects the whole body - in the 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 a good part of the population suffer from debilitating pain in the lower abdomen, caused by enlarged vascular structures.If treatment is not started on time, serious consequences occur, for example, venous thrombosis, bleeding.
Classification
Experts adhere to the following classification of varicose veins - enlargement of 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 vein damage are identified as mutual provoking.
- According to the root cause:primary variant of varicose veins caused by unsatisfactory valve activity of venous structures, or caused as a complication of existing other pathologies in the pelvic region - 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 a vessel diameter over 10 mm.
The first two stages of varicose veins of the pelvic vessels can be treated with the help of venotonics, dietary adjustments and the development of a complex of exercise therapy.A more severe course requires other measures: embolization of large veins or venectomy.
Causes of diseases and risk groups
Experts point to both common reasons for the appearance of varicose veins of the pelvis in the male and female part of the population, for example, excessive physical overload, physical inactivity, negative hereditary predisposition and sexual predisposition.
Varicose veins of the pelvic veins in men occur more often for the following reasons:
- an uncorrected diet that causes 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;
- the 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 incomplete sexual intercourse as a method of contraception;
- lack of orgasms during sex;
- long-term compression of the vascular system by tumor formation, for example, uterine fibroids.
Based on the above reasons, experts formed risk groups for the disease:
- multiparous women;
- people who lead a sedentary lifestyle;
- have chronic inflammatory pathologies in the pelvic area;
- who underwent surgery on the internal organs of the pelvis.
Up to 90% of identified cases of pathology are caused by enlarged pelvic veins during pregnancy.
Symptoms
A person may not even suspect the presence of varicose veins in the pelvic area until they begin to be tormented by causeless impulses of pain in the lower abdomen, without 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;
- abundant pathological discharge;
- discomfort accompanying urination;
- the appearance 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 with only one of the above symptoms or a combination of them.
In advanced, severe cases, varicose veins can be visually noticeable on the inner side of the thighs, in the area of the anus.That is why experts call for timely treatment of the pathology.Many women feel discomfort after giving birth.
Danger of varicose veins during pregnancy
In addition to great joy, the period of childbirth can also give a woman unpleasant sensations.During this period of time, 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 impaired venous outflow, causes intrauterine fetal hypoxia: a rather serious complication of pregnancy.
The most serious complication is, of course, 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 delivery will proceed and what consequences varicose veins will have on the unborn baby.
Diagnostics
Thanks to modern diagnostic techniques, it is now possible to identify the pathology in the early 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 observed using dopplerography;
- Transuterine venography is used for complete visualization of the area of the formed thrombus.
In particularly difficult cases, a complete diagnosis is impossible without laparoscopy.
Treatment tactics
How to treat varicose veins of the pelvis is decided by a vascular surgeon or a phlebologist in each case strictly individually.
If negative changes in vascular structures of the first degree are detected, it is possible to use conservative methods of therapy:
- buy compression clothing that corrects vascular tone;
- adjust your diet - avoid the tendency to constipation, for example, you can drink kefir every evening;
- perform special exercises for enlarged pelvic veins;
- adjust work and rest schedule;
- give up existing negative habits;
- avoid prison;
- try to visit the gym and swimming pool 2-3 times a week.
All of the above measures help not only to improve organ trophism and normalize vein tone, but also to prevent further venous congestion.They can serve as a guide for the prevention of pathology.
The specialist recommends drug therapy only in periods of worsening pathology.The main drugs for varicose veins of the pelvis are venotonics, which significantly reduce the intensity of painful impulses and alleviate other unpleasant symptoms.
In pharmacy chains, you can buy suppositories, tablets or ointments to deal with varicose veins.Modern drugs: Venarus, Detralex, Phlebodia, Troexerutin vramed, Phlebodia 600. It is recommended to entrust the selection of the optimal drug to a specialist.
Special gymnastics for varicose veins of the small pelvis has proven to be excellent - it encourages the complete outflow of stagnant venous blood from damaged, varicose veins.
The question of surgical treatment is decided strictly individually
Basic myths about varicose veins
Varicose veins occur only on the legs,– this is far from the truth.The entire human body is permeated with arteries and veins, so pathological changes can affect any area of the body, and even the pelvic organs.
Another misconception is that varicose veins can be removed immediately.And this is a wrong opinion - pathology did not form in one day, and therapeutic measures will take time.It is worth being patient and following the recommendations of experts.
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 serious complications, including vein thrombosis and death, is very high.Varicose veins of the venous structures of the pelvis can be detected in a person of any age;it should not be considered a disease reserved for the elderly.Timely recognition and removal of unpleasant sensations is possible only with close interaction between the patient and the specialist.