More and more professions require a person to remain in the same position for a long time during 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 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 occur, for example, venous thrombosis, bleeding.
Classification
Experts adhere to the following classification of varicose veins - enlargement of 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 each other.
- According to the root cause of formation:a primary variant of varicose veins provoked by unsatisfactory activity of the valves of the venous structures, or formed as a complication of other pathologies existing in the pelvic area - a secondary variant of varicose veins.
- According to the severity of pathological changes– the calculation measurement 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 physical therapy complexes.A more severe course requires other measures: embolization of large veins or venectomy.
Causes of the disease and groups at risk
Experts point out both common reasons for the formation of pelvic varicose veins for the male and female part of the population, for example, excessive physical overload, physical inactivity, negative hereditary predisposition and gender predispositions.
Most often, varicose veins of the pelvic veins in men occur for the following reasons:
- an incorrect diet that causes a tendency to constipation;
- work activities that take place in a sitting position, for example in front of a computer screen;
- congenital weakness of the venous wall;
- presence of sexual dysfunctions;
- 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 unfinished sexual intercourse as a contraceptive method;
- lack of orgasms during sex;
- long-term compression of vascular systems due to 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 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 painful impulses 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;
- copious pathological discharge;
- discomfort accompanying urination;
- the occurrence of considerable 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 with only one of the above symptoms or with a combination of them.
In advanced and severe cases, varicose nodules may be visually evident on the inside of the thighs, in the area of the anus.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 great joy, the period of childbirth can also give a woman unpleasant sensations.It is during this period that various pathologies can worsen or form, for example, varicose veins of the small pelvis during pregnancy.
If detected late, varicose veins of the uterus can have serious consequences and pose a direct threat to the baby and his normal development.Placental malnutrition, caused by obstruction of venous outflow, causes intrauterine fetal hypoxia: a fairly serious complication of pregnancy.
The most serious complication, of course, is placental abruption and spontaneous termination of pregnancy.To prevent this from happening, it is necessary to undergo a comprehensive diagnostic examination in advance at the planning stage of pregnancy.Find out in advance which doctor treats the pathology, how the birth will proceed and what consequences varicose veins will have for the unborn child.
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 visualized by dopplerography;
- To completely visualize the area of the formed thrombus, transuterine venography is used.
In particularly 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 strictly individually.
If negative changes in the vascular structures of the first degree are detected, methods of conservative therapy can be used:
- purchase compression garments that correct vascular tone;
- adjust your diet - avoid the tendency to constipation, for example you can drink kefir every evening;
- perform special exercises for pelvic varicose veins;
- adjust working and rest times;
- 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 further venous congestion.They could serve as a guide for the prevention of the disease.
Drug therapy is recommended by a specialist only during periods of exacerbation of the pathology.The main drugs for pelvic varicose veins are venotonics, which help to significantly reduce the intensity of pain impulses and relieve other unpleasant symptoms.
In pharmacy chains you can buy suppositories, tablets or ointments to eliminate varicose veins.Modern drugs: Venarus, Detralex, Phlebodia, Troexerutin vramed, Phlebodia 600. It is advisable 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 damaged and dilated veins.
The question of surgical treatment is decided strictly individually
Fundamental myths about varicose veins
Varicose veins form only on 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 a wrong 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, only the phlebologist deals with all vascular lesions.
It is absolutely forbidden to self-medicate: 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 the elderly.Timely identification and elimination of unpleasant sensations are possible only with close interaction between the patient and the specialist.