There are more and more professions that require a person to remain in the same position for an extended period of time throughout the working day.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 the beautiful part of the population suffers 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 and 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 causing the appearance of the other.
- According to the fundamental cause of the formation:a primary variant of varicose veins caused by unsatisfactory activity of the valves of venous structures, or formed as a complication of other existing pathologies in the pelvic area, a secondary variant of varicose veins.
- Depending on the severity of the pathological changes.– The calculation measure is the width of the affected vessel in diameter, 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 predisposition.
Most often, varicose veins of the pelvic veins in men occur due to the following reasons:
- an uncorrected diet that causes a tendency to constipation;
- work activities that are carried out sitting, 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, for example, 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 relations as a contraceptive method;
- lack of orgasms during sexual intercourse;
- Prolonged compression of the vascular systems by the formation of tumors, for example, uterine fibroids.
For the above reasons, experts have formed risk groups for the disease:
- multiparous women;
- people 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 from varicose veins of the small pelvis can be combined with other symptoms:
- premenstrual syndrome, which is difficult for women;
- significantly increased tenderness in the vagina or perineum;
- abundant pathological discharge;
- discomfort accompanying urination;
- the appearance of significant discomfort when remaining 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 and severe cases, varicose nodules can be visually noticed on the inner thighs, in the anus area.That is why experts call for timely treatment of the pathology.Many women experience discomfort after childbirth.
The danger of varicose veins during pregnancy
In addition to great joy, the period of having a baby can also cause unpleasant sensations in a woman.It is during this period that various pathologies can aggravate 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 obstruction of venous outflow, causes intrauterine fetal hypoxia - a rather serious complication of pregnancy.
The most serious 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 pregnancy planning stage.Find out in advance which doctor treats the pathology, how childbirth will proceed and what consequences varicose veins will have for the fetus.
Diagnosis
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 complete examination of the uterus and appendages;
- the characteristics of local blood circulation in the vascular structures of the pelvis are observed using Dopplerography;
- To fully visualize the area of the formed thrombus, transuterine venography is used.
In especially severe cases, a complete diagnosis is impossible without laparoscopy.
Treatment tactics
How to treat pelvic varicose veins is decided by a vascular surgeon or phlebologist in each case on a strictly individual basis.
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 the 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 gym and pool 2 or 3 times a week.
All of the above measures help not only to improve the trophism of the organs and normalize the tone of the veins, but also to prevent further venous congestion.They may well serve as a guide for the prevention of pathologies.
A specialist recommends drug therapy only during periods of exacerbation of pathology.The main medications for pelvic varicose veins are venotonics, which help to significantly reduce the intensity of painful impulses and relieve other unpleasant symptoms.
In pharmacy chains you can buy suppositories, tablets or ointments to eliminate varicose veins.Modern medications: 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 has proven to be excellent: it promotes the complete outflow of stagnant venous blood from dilated and damaged veins.
The question of surgical treatment is decided strictly on an individual basis.
Basic myths about varicose veins
Varicose veins form only in the legs,– this is far from true.The entire human body is crossed by arteries and veins, so 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 an erroneous opinion: the pathology was not formed 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 does only one phlebologist deal with all vascular injuries.
Self-medication is absolutely prohibited: the risk of serious complications, including venous 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 older people.Timely identification and elimination of unpleasant sensations is possible only with close interaction between the patient and the specialist.