Varicose veins of the pelvis causes, signs and treatment

7 January 2021

Varicose veins of the pelvis, in contrast to a similar disorder of the lower extremities, are not always noticeable, but are very harmful to health. This can lead to a deterioration in blood flow to the internal organs and a deterioration in their function.

The difference between varicose veins and healthy veins

The wall of a healthy vessel is always in good shape - this allows it to maintain blood flow.

The walls shrink, though not as much as in the arteries. This effect is enhanced by contractions of smooth and skeletal muscles.

All veins under the heart, ie in the limbs, abdomen, small pelvis, chest, have valves on their walls. They are "pockets" formed by the vascular endothelium.

Arranged in such a way that the blood flowing to the heart passes unimpeded. In retrograde motion, it fills the valves and closes the vessel.

Blood always flows from the periphery to the heart, even against gravity.

Varicose veins undergo a number of changes in the valvular apparatus. The tone of their wall is reduced and its permeability is increased. This creates conditions for blood stagnation.

Some of the fluid flows around, causing healthy vessels to overflow. And also provoking tone disorders already in them.

What is and what is dangerous

Varicose veins can affect peripheral vessels in any area of the body.

The manifestations of pathology on the legs are the most noticeable - this creates a significant aesthetic defect. But the same phenomenon in the organs of the abdomen or pelvis is asymptomatic for a long time.

Most dangerous for the female reproductive organs, less often for the bladder. Dilated lesions of the rectum are manifested by hemorrhoids.

Pelvic varicose veins can have a variety of causes. The disease leads to impaired blood flow in the reproductive system, resulting in deterioration of its function.

The woman may notice a change in the menstrual cycle, soreness, the appearance of signs of hormonal disorders. In case of physical impact, rupture of the vessel and bleeding are possible.

Causes

Refers to a multifactor, ie it arises from the merging of a number of reasons. Among them:

hereditary predisposition;
lack of physical activity;
pregnancy complications;
overweight;
diseases of the urinary system and intestines;
hard physical labor.

The presence of one or even several adverse factors does not mean that the pelvic veins are dilated. This indicates a high risk of such pathology.

Women with children are more likely to suffer from this than men.

The first signs usually appear around the age of 40 or later during pregnancy. The actual onset of the pathology occurs much earlier.

degrees

There are three stages in the development of varicose veins:

Mild - damage to one or more peripheral vessels of the genitals. Most often asymptomatic, may be temporary, re-examination is required.
Moderate - dilation of large veins of the parametrium - the outer lining of the uterus or myometrium - the muscular membrane. Causes menstrual disorders, deterioration of health.
Severe - enlarged lesions and swelling of most organs of the female reproductive system. Causes serious disorders in the genital area, high risk of disease and infertility.

Symptoms

Symptoms vary depending on the location and extent of the lesion. In the initial stages it most often occurs without symptoms.

As the disease progresses, itching in the external genitalia, heaviness and pain appear.

These sensations change in intensity depending on the phase of the menstrual cycle. They may intensify during bleeding and subside after a few days.

The woman may notice that her period has become more painful and profuse. Sexual intercourse becomes painful, there are problems with conceiving and carrying a pregnancy. <

Diagnostic methods

There are several ways to identify a disease.

The first and simplest of these is a gynecological examination. Reveals varicose veins of the skin, vaginal wall and cervix. His data may indirectly indicate the cause - endometriosis, erosion of the cervix.

The most reliable method is gynecological ultrasound. Its advantage is that it allows you to identify the expansion of the parametrium, fallopian tubes and ovaries. The results of this study provide more complete information about the state of the reproductive system.

In controversial cases, MRI scan, vaginal smear, blood test for sex hormones and diagnostic curettage are prescribed.

Which specialist to contact for help

The treatment is performed by a gynecologist in cooperation with a vascular surgeon. In case of hormonal disorders, a consultation with an endocrinologist is required. Medicines As the disease is multifactorial, other specialists can also be involved in its treatment if necessary.

Treatment methods

Before starting treatment, you should undergo a complete examination of the reproductive system. Identify possible pathologies. As a rule, the disease occurs against the background of other disorders.

An integrated approach is used for greater efficiency. Several methods of therapy are used at once, which makes it more successful.

Medicine

Includes taking drugs that increase the tone of the vascular wall - Diosmin.

To reduce the permeability of the vessel wall tissue, appoint:

Ascorbic acid;
Routine.

They can be taken even during pregnancy and after birth, if the first symptoms appeared just then.

In addition, the doctor may recommend blood thinners - acetylsalicylic acid, vitamin K.

During pregnancy, their use is permissible only after consultation with an obstetrician-gynecologist, if the benefits outweigh the potential harm.

Compression and sclerotherapy

Compression tights and belts are worn to prevent complications of varicose veins. They put pressure on the vessels of the external genitalia, preventing them from overflowing.

Therefore, a normal or close to normal venous outflow through the pelvis is maintained. The degree of compression is determined by the doctor. You can also wear such underwear during pregnancy.

Sclerotherapy is a procedure for injecting a special drug into a vessel that stimulates a short-term inflammatory response. And then - complete obstruction of the damaged vein and its transformation into a constriction. The flow of blood in it completely stops.

This procedure can be done in 2-3 trimesters of pregnancy, if there are no contraindications.

Operation

Surgical treatment is the removal of the affected area. It can be done in several ways, depending on the patient's condition.

In some cases it is necessary to perform a partial resection of the ovary. And sometimes complete removal of the uterus / fallopian tubes.

In women of childbearing age, doctors try to preserve the reproductive organs.

Physiotherapy exercises

These are exercises that improve blood flow and reduce venous congestion. Most effective:

"birch";
bending the back in a knee-elbow position;
Exercises for lifting the legs and sacrum.

They promote blood flow by gravity.

Folk remedies

Traditional treatments are less effective than hospital therapy, but can significantly improve patient well-being.

For this we use baths with medicinal plants - willow branches, oak branches, dry grass and chamomile grass.

They have a calming effect, reduce tension and stimulate blood flow.

Prevention Tips

It is impossible to completely eliminate all factors influencing venous outflow. But you can reduce their impact. For example, take time to exercise, keep your weight within normal limits.

Of particular importance is the prevention of disease during pregnancy. During this period, it is imperative to monitor both nutrition and physical activity. And also for a sufficient amount of vitamins.

Varicose veins of the pelvis in women: symptoms and causes, diagnosis and treatment

Pelvic varicose veins are more common in women of childbearing potential.

The disease can be easily confused with a number of gynecological diseases, which is why proper diagnosis and appropriate treatment are needed.

Varicose veins are much more common today than they were decades ago. This is due to a sedentary lifestyle.

The disease itself involves a decrease in the elasticity of the venous wall. It can be called differently: varicose veins of the pelvis, varicocele, chronic pelvic algae syndrome. More often women of childbearing age suffer from the disease.

Occurrence factors

The most common causes of varicose veins in womenare pregnancy and changes in the ratio of hormones in the body.

The following factors also lead to it:

use of hormonal drugs;
constant use of interruption of sexual intercourse for contraception;
sexual dysfunctions: pain during intimate contact and lack of orgasm;
numerous and complex births;
sedentary and sedentary lifestyle or excessive physical activity;
congenital diseases of the connective tissue, weakness of the valves of the veins and walls of blood vessels.

The risk of varicocele increases in women with high concentrations of the hormone estrogen.

About the symptoms and treatment of varicose veins of the pelvic organs in women in this video:

Symptoms

When the disease begins in adolescence, the pathological symptoms are often absent.

The girl may feel completely normal. And the changes in the small pelvis are discovered by chance with detailed research methods.

In adolescents with varicocele, the only symptom will be severe mucosal vaginal discharge, which may lead to treatment of colpitis.

The most characteristic symptom of varicose veins appears after a woman reaches reproductive age. It is a pain syndrome that affects more than 95% of patients.

It can bother a woman periodically or all the time, but it is observed throughout life and is expressed by menopause.

Pain increases after ovulation, in the second phase of the cycle.

Appears in the lower abdomen, may be painful or sharp, may give the lower back or sacrum.

Varicose veins of the pelvis can manifest with the following symptoms:

severe premenstrual syndrome;
regular vaginal discharge. They are whitish, transparent;
hypersensitivity of the skin in the perineum and vaginal mucosa;
menstrual disorders;
feeling of pressure and heaviness in the small pelvis, especially if you stay in one position for a long time;
pain may occur at the end of the day during intercourse;
urinary incontinence sometimes occurs;
pain may occur in late pregnancy;
there is pain when probing the lower abdomen;
swollen veins may appear on the outside of the thigh, external genitalia, buttocks;
possible swelling of the vagina and vulva;
due to outflow of fluids in the pelvic area, body weight may periodically increase by 2-4 kg;
possible apathy, weakness, constant fatigue, depression.

What causes varicose veins in the pelvis

Varicose veins are a common pathology of the circulatory system. Residents of economically developed countries are most susceptible to the disease. In some regions, one in three suffers. In this article you can find useful information about varicose veins of the pelvis: symptoms, treatment and the first manifestations of this form of varicose veins.

What are varicose veins of the pelvis? Varicose veins in the pelvis appear due to poor blood flow. The containers are filled with too much liquid. Excessive pressure causes the walls of the veins to become inflamed. The chronic process leads to excessive dilation of blood vessels.

Although varicose veins of the pelvis mainly affect the vessels of the genitals, the patient should not be observed by a gynecologist or urologist, but by a phlebologist - a specialist in vascular surgery.

In varicose veins of the small pelvis, the enlarged photo clearly demonstrates the excessive elasticity of the vessel walls.

Some people who have such a disease as varicose veins of the pelvis, its symptoms and manifestations can be confused with some diseases of the reproductive system.

Symptoms of small pelvic veins

Many patients receive inadequate treatment before specialists recognize pelvic varicose veins. The symptoms of the disease are non-specific - they cannot be used to make an accurate diagnosis:

Discomfort in and over the pubis, accompanied by painful sensations. The pain is characterized as dull and pulling, the intensity of the manifestation increases with exercise, prolonged sitting and standing, overheating and excessive cooling. Due to the close location of the venous vessels and the spine, patients complain of discomfort in the lumbar region. The pain is often felt in the perineum.
Manifestation of varicose veins in the veins of the external genitalia, buttocks and upper legs.
General weakness.
Depression, apathy, feeling depressed.

Varicose veins of the genitals are unconditional signs of varicose veins of the pelvis. The photos show spider veins and nodular protrusions on the patients' skin.

Symptoms in women

There are symptoms of pelvic varicose veins that are specific to women.

The severity of premenstrual syndrome.
Dysmenorrhea.
Sexually transmitted disease.
Discharge of mucus from the vagina.
Swelling in the external genitalia.

Symptoms in men

Symptoms in men differ from female manifestations of varicose veins in the pelvis.

Varicose veins (varicose veins) of the pelvis in men in most cases are asymptomatic. The only manifestations characteristic of this sex may be: periodic pulling pains and a feeling of heaviness in the scrotum.

Causes

By itself, varicose veins (varicose veins) of the pelvis, the causes are quite prosaic, ranging from the consequences of weight lifting to bad habits and sedentary lifestyle. Women of childbearing age are more likely to suffer from this disease. With the first signs of menopause, the risk of developing this pathology decreases sharply.

Listing the main causes that can cause varicose veins of the pelvis, there are:

Disorder of normal blood circulation in the abdominal organs during pregnancy.
Sedentary lifestyle where a lot of time is spent sitting or standing.
Weightlifting work.
Circulatory disorders in the vessels of the pelvis due to interrupted intercourse.
Use of hormonal contraceptives.
The negative impact of cigarette smoke on the general condition of blood vessels.

If varicose veins of the pelvis are found after a diagnostic examination, treatment is likely to include a range of measures to alleviate the effects, reduce pain and at the same time prevent further development of the disease.

Treatment of pelvic veins

For pelvic varicose veins, treatment consists of taking medication, performing special exercises, using compression products and following the prescribed diet. Surgical intervention is performed when the methods of conservative therapy are ineffective.

When looking to buy compression products, keep in mind that wearing them is not easy without proper practice. Don't make it easy for yourself by buying a larger size than you need. The medical leotard should support blood vessels, not just touch the skin!

In any case, before making your choice in favor of this or that compression knitwear product, it is better to first consult with your doctor and find out his opinion on which model of which manufacturer he recommends in your case. . You can also look for information and reviews on the use of compression knitwear from different manufacturers on special medical thematic forums.

Medicines

The standard treatment regimen uses:

diosmin - to remove the increased elasticity of blood vessels, reduce their permeability, prevent fragility;
horse chestnut extract (escuzan) - to relieve swelling and inflammation;
troxerutin - to improve blood flow from damaged vessels, increase venous tone, reduce swelling and inflammation;
vitamin C (ascorbutin) - to strengthen the walls of blood vessels.

Do not self-medicate for advanced manifestations! This can have serious consequences! If you find the appropriate symptoms, contact a specialist.

Pelvic varicose veins and pregnancy

The greatest risk of this vascular pathology in pregnant women. There are several factors that trigger the disease:

Increased circulating blood volume.
Providing an increased load on the vessels of the developing fetus. It compresses the veins and sometimes completely blocks blood circulation in some areas.
Elevated hormone levels. Some of them cause a decrease in vascular tone.
Rapid weight gain during pregnancy.

Pelvic varicose veins during pregnancy lead to poor blood supply to the fetus. The growing body will feel a lack of oxygen and nutrients. The results of the described disorders may manifest as defects in the child's development.

Varicose veins of the pelvis often become the culprit for female and male infertility. It can interfere with successful fertilization by preventing the embryo from attaching to the uterine wall and disrupting normal placenta formation or reducing sperm production.