Varicose veins of the small pelvis in women

Small pelvic varicose veins in women (extent, parametrium, dilatation or venipuncture) are triggered by this condition due to the reverse flow of blood through the ovarian artery, which occurs due to vascular compression.

Intensifying the development of the disease is pregnancy.

The internal varicose veins of the small pelvis are expressed with intense and prolonged pain in the lower abdomen.

In the literature, small pelvic varicose veins are also referred to as "pelvic venous congestion syndrome", "varicose veins in women", "chronic pelvic pain syndrome".

In the vast majority of cases (80%), varicose vein metastasis affects the ovarian veins and is extremely rare (1%) seen in the veins of the broad ligament of the uterus.

According to modern medical approaches, the treatment of VVMT should be carried out not so much from the point of view of gynecology, but, first of all, from the point of view of phlebology.

The causes of the appearance of pathology

Most often, the extent of the pelvic veins is determined in women. In addition, as a rule, this disease in gynecology is diagnosed in patients aged 20-40 years.

Patients with small pelvic varicose veins often try to get treatment at home first. Folk remedies, used without the advice and recommendations of a doctor, can lead to the appearance of negative side effects, so after a while you should go to a venologist for consultation.

The main factors that lead to the appearance of this pathology include:

1. Excessive physical activity.
2. Passive lifestyle.
3. Congenital diseases of the walls of blood vessels - weakening, plasticity, underdevelopment.
4. Inflammatory processes in the pelvic organs.
5. Hormonal imbalance.

Pathology of sexual plan - anorgasmia, pain and the appearance of discomfort during sexual intercourse, which have a psychological reason for the appearance, while very often they practice intermittent sexual intercourse.

At the same time, the varicose veins of the pelvis, the treatment and the symptoms of this disease are similar to the varicose veins of the legs. In this condition, the valves in the veins begin to disrupt the work of the valves that help the blood flow to the heart muscle.

There is a malfunction of the valves, which act as protection for reverse blood flow.

If their work is disturbed, then the stagnation of blood in the veins begins. The veins that fill with blood increase their volume, which further increases the phenomenon of stagnation.

Venous congestion of the pelvis usually occurs near the vulva, fallopian tubes, uterine area and may even dilate the veins in the vagina.

The first signs and symptoms

A number of basic clinical symptoms indicate the development of varicose veins. The most important of the signs of this disease is the unexplained pain in the lower abdomen, in the pelvic area, often starting to radiate to the perineum or lumbar region. The patient is also bothered by copious discharge of mucus from the vagina, especially in the middle of the menstrual cycle.

In addition to the main symptoms, there are other very important symptoms of varicose veins:

1. In some cases, infertility is observed in women.
2. Dysmenorrhea. Manifestation of pain during menstruation.
3. Perceived passage of premenstrual symptoms.
4. Radiation of pain in the groin, waist and sacrum.
5. Symptom of discomfort (the manifestation of a feeling of discomfort in the vagina or vulva, both during sexual intercourse and after its completion).
6. Manifestation of a painful crisis (as a result of severe hypothermia of the body, excessive physical fatigue, psycho-emotional stress).
7. The appearance of abdominal pain after prolonged overload (dynamic or static).

Faced with this clinical symptom, it is necessary to consult a doctor as soon as possible, as this pathology can have a large number of unpleasant complications:

• Varicose veins can be a contraindication to natural childbirth.
• the work of the reproductive organs is disturbed.
• there is a fear of sexual intercourse.
• irritability and anxiety appear.

It should also be noted that all of the above symptoms can be expressed in different ways, in some patients all the signs of the disease are noted and in some only some of them.

Methods for diagnosing the disease

To make the correct diagnosis, the patient must undergo a comprehensive examination. If a woman complains of pain that occurs for an unknown reason, then the specialist first of all determines all the reasons that are factors in the manifestation of the pain symptom. The patient's lower extremities are carefully examined. This way you can identify the manifestation of varicose veins. In some cases, the diagnosis is made by a vascular pathologist.

The main diagnostic methods are:

1. Venous system ultrasound. The examination makes it possible to examine the distortion and varicose veins.
2. Laparoscopy. Identify the varicose veins in the ovarian area.
3. CT. It makes it possible to rule out the disease, to locate the varicose veins in the ovaries and uterus, to show the magnification on the screen, as well as their distortion.
4. Selective ovulation. The most accurate examination. It is performed by injecting a contrast agent into the subclavian and femoral veins.
5. Doppler ultrasound. It determines in the veins of the ovaries and uterus reduction of the systolic speed of the process.

The use of these methods makes it possible to more clearly identify the symptoms of the disease.

Degrees and differential approach

To standardize the diagnosis and the approach to differential therapy, A. E. Volkov divided the varicose veins taking into account the location of the venous extension and the size of the dilated vessels.

Three stages of this disease are classified:

• the first stage - "corkscrew" movement of the vessel, the size of the vein is not greater than 6 mm.
• the second stage - the size of the vein is not more than 7-11 mm during the total type of varicose veins, VR of the arcuate veins of the uterine plexus, VR of the parametric veins, loose extension of the ovarian plexus.
• the third stage - the size of the vein is more than 11 mm in the main form of parametric formation or total type VR.

Depending on the severity of the pathology process, you can use medical methods of treatment or surgery.

Methods for the treatment of varicose veins

During stage 1-2 varicose veins, conservative treatment methods are used more often (strengthening gymnastics, NPS drugs, venotonics).

Conservative treatment of venous congestion syndrome is symptomatic, which includes normalization of rest and physical activity, which eliminates overactive loads and prolonged standing.

When a patient is diagnosed with varicose veins, the treatment procedures are mainly aimed at achieving the following tasks:

1. Relief from symptoms of bleeding, pain, etc.
2. Restoration of venous tone, increased blood circulation to the tissues.
3. Interruption of reverse blood flow through the venous system of the ovaries.

It is necessary to realize that even a very high quality treatment for this pathology will not completely cure varicose veins.

However, adequate treatment will enable the prevention of the main clinical symptoms and the significant improvement of the patient's condition.

EMCT treatment includes several main components:

1. Regular exercise in medical gymnastics to prevent the onset of the disease.
2. Course of use of drugs during the exacerbation.

Conservative treatment of affected veins

Due to the internal location of the veins infected with pathology, the drugs are used orally, it is simply impossible to apply venous ointments and gels.

During this disease, the following drugs are used:

1. Horse chestnut extract - for relief of inflammation and swelling.
2. Diosmin-based - to get rid of high vascular elasticity, to prevent damage, to reduce permeability.
3. Vitamin C - strengthens blood vessel walls.

Doctors advise to combine conservative treatment with exercise therapy, as well as the use of compression underwear. Compression garments are especially in demand during pregnancy.

Surgery

Surgery is an extreme method of treatment, which is used if the disease is at a very advanced stage and there is a case of VR of the veins.

The surgery is selected taking into account the location of the main vein rupture and includes the following operations:

• Transverse resection - also used for diseases of the leg veins.
• ligation of a vein in the genitals (usually performed simultaneously with a perineum minifectomy).
• ligation of the ovarian vein.

If an operation is necessary, the choice of appropriate manipulations is quite individual, as everything will depend on the location of the varicose veins.

Exercise and supportive gymnastics

If we take into account the necessary physical exercises, then women during this disease must do at least one of the exercises every day - "birch", "bicycle", "scissors".

A contrast shower in the pelvic area and breathing exercises are also very helpful. At the same time, proper and effective exercise is the fastest way to restore a healthy and normal life.

The simplest but most effective exercises are:

1. While lying on your back, lift your legs, then bend and lift as high as possible. The exercise is done about 10 times.
2. In a supine position, stretch your legs and then, bending, pull up to the chest area. Run at least 10 times.
3. For half an hour, you will need to walk around the room. First - on the toes, then - on the heels, then - raising the knees as high as possible.
4. Lie on your stomach, alternately lift your legs up. At the maximum position, the foot should be fastened for a few seconds. At least 7 approaches for each leg.

Folk recipes and treatments

Varicose veins can be treated at home.

The most famous and common folk remedies:

1. Horse chestnut infusion.
2. Kombucha tincture.
3. Dandelion root tincture.
4. Treatment with leeches, which are applied to the coccyx and the sacrum.

Diet plays an important role in the treatment of varicose veins. The daily diet should be balanced and have enough fiber and natural proteins.

Precautions

It is also necessary to use some simple tips that serve to prevent VVMT. In addition, if observed continuously, they can also improve the overall condition of the body:

1. Exercise every day.
2. Use special tights for treatment.
3. Add more vegetables to your daily diet. Avoid foods that cause constipation.
4. During sedentary work, take breaks, you should walk for at least 10 minutes every two hours.
5. Do not abuse alcohol or tobacco.
6. Do not take hormonal drugs uncontrollably.
7. After surgery for VVMT, you should take prophylactic doses of medication prescribed by your doctor.

Possible prediction

If varicose veins are not treated at all, then after a while the veins begin to grow even more (by 90%), this threatens serious side effects, including thrombosis. In the remaining 10% of patients with varicose veins, which appeared after pregnancy, the disease does not progress to a more serious stage, however, it never resolves on its own.

If you start the treatment of the pathology, you can achieve complete recovery (15-25%, taking into account the severity) or significant improvement (55-60%), especially in the case of the simultaneous combination of the surgical and conservative method. But, one way or another, after complex treatment, lifelong prophylaxis must be carried out, which consists of adhering to a proper lifestyle, regular medication or support for compression of the veins.