At the mention of this disease, such as varicose veins, most people imagine the pathological processes in the lower limbs, which are visible with the naked eye. Varicose veins of the small pelvis – this variety of the disease, speak and write much less. It is often considered as signs of the presence of inflammatory processes in the genital organs, some hormonal disorders, pathology of the urinary system, lumbar sciatica.
In women varicose veins of the small pelvis caused by stretching of the vein walls, reducing their strength. The incidence peaks in the reproductive age from 25 to 50 years. Sometimes expanding can be determined in adolescent girls in a period of rapid growth and the formation of hormones and the menstrual cycle. At this age the disease can be asymptomatic.
Another feature of the pathology – tendency to worsen and active manifestation in the period of carrying a child.
Signs and causes
Obstruction of veins and faults in the system for a normal circulation of the blood in the ovary lead to disorders of the circulatory system. Provoking factor of development of the disease can be the connective tissue dysplasia, which leads to a decrease in the number of collagen and, as a consequence, the elasticity and strength of blood vessels.
Common negative factors and reasons for development of varicose veins of small pelvis:
- pregnancy in connection with the increase of the volume of the blood in the vessels, high content of progesterone, large uterine size;
- regular intense exercise;
- previous multiple pregnancy and childbirth;
- sedentary, mainly sedentary activity;
- gynecological disease: abnormal structure of the uterus, endometriosis, inflammatory processes;
- practice for big-time withdrawal, with the purpose of protection from unwanted pregnancy;
- long-term use of some hormonal methods;
- lack of satisfaction with sex life.
To provoke the development of varicose veins can be hormonal imbalance, especially with the rising level of estrogen.
As already mentioned, the pelvic varicose veins are manifested similarly in the diseases of the female reproductive system. The main symptom that alarming, it is a constant pain. They are felt in the lower abdomen can be weak, frail, and intense sharp. Very often, severe pain originating from the pelvis, extend to the lumbar region or sacrum. The pain becomes sharper after physical exertion or, on the contrary, after a long stay in the same position (sitting or standing).
The following are the symptoms that are manifested varicose veins of small pelvis:
- excessive bleeding after childbirth or gynecologic procedures caused by a thinning of the venous wall to stop this difficult bleeding;
- painful sexual intercourse, feeling of sexual dissatisfaction, fear, and aversion to sexual life, the emergence of a strong spasm of the muscles, when trying to intimacy;
- painful or frequent urination caused by a full-blooded bladder;
- increase of varicose veins of the vulva or perineum, accompanied by severe itching, swelling, burning sensation;
- vein thrombophlebitis, which is characterized by swelling or redness of the skin of the perineum, fever and General weakness.
Distinguish between varicose veins of the vulva and development of the disease, as a result of venous plethora. The disease may have three degrees of intensity.
With varicose veins:
- 1 degree – the vein diameter is 4-5 mm;
- 2 degrees – Vienna increases with 6-10 m;
- 3 degree – diameter veins more than 10 mm.
The definition of the severity of the pathology is one of the main stages of the diagnosis, as it helps to determine treatment methods. In the first two cases, it is usually enough for a conservative treatment, changes in diet, use of physiotherapy. Third, the severity of the disease requires surgery, the ligation of large veins.
During pregnancy
Disease – problem is ever-parous women. Changes veins can occur already during the first pregnancy, and with each subsequent higher risk. In a particular stage of vein bodies cease to function in its entirety, preventing the normal outflow of blood.
The risk increases if the woman:
- diagnosed with abnormal structure of the reproductive organs (especially the uterus);
- there is a genetic predisposition;
- excess weight or quick set up pounds in the course of pregnancy;
- there are bad habits (Smoking);
- things that require little physical effort, long-stay sitting or standing in one place.
This disease affects women in the third trimester because the growing uterus puts pressure on the surrounding organs and hinders their normal activities.
Normal volume of blood which circulates in the body for the time of gestation is increased to almost 50 %. Not always veins cope with an increased workload for them, especially if the situation is difficult by a variety of aggravating factors, which were discussed above.
The characteristic changes in the hormonal background in the body of the mother, also, can be bad for the elasticity of vascular walls.
How dangerous abnormal veins increase during gestation?Varicose veins of the uterus and other organs are faced with a difficult birth with serious consequences. Thin-walled veins may be injured, or even torn, causing pain and bleeding. These phenomena are harmful and dangerous, not only for being women, but for her life.
One of the most frequently occurring disorders – the risk of a blood clot. They block the blood vessels, which reduces or even prevent the normal security of the placenta with blood. How dysfunction leads to aging of the placenta and the oxygen starvation of the fetus.
The 1 and 2 stages of varicose veins of the pelvis after delivery, as a rule, are in a natural way. In the course of the efforts of the medical staff provides a reduction of the pressure in the vessel walls. The simultaneous administration of drugs that thin the blood.
Heavy (3-I) the form requires a cesarean section.
If you have this problem, pregnant should carefully to prepare for future delivery, namely:
- starting from the second trimester wearing prenatal bandage;
- to move actively, to avoid a prolonged stay sitting or standing in one position (for example, a computer);
- to reduce the pressure in the vessels during sleep to take place between the legs of the cushion;
- access to the swimming pool or regularly take a contrast shower.
Expectant mothers need to consider your diet, providing timely movement of the colon.
Diagnosis
External pelvic examination allows you to easily identify the varicose of the vulva and perineum. But how to check whether a similar pathology in the internal genital organs? To determine the exact problem prescribe additional tests, such as ultrasound, phlebography, laparoscopy, CT scan, or MRI.
Treatment
The disease does not belong to the gynecological pathologies. His treatment by the doctor-phlebologist (vascular surgeon). But, because the pathology is often detected during the ultrasound, the woman noticed two specialists – a gynecologist and phlebologist. The treatment of varicose veins of the pelvis, should be comprehensive, including medical therapy and treatment without drugs, the use of therapeutic exercises, the normalization of the power system and revision of the way of the day.
Medications effectively resolve the symptoms in the initial phase. Patients prescribed medications in the period of exacerbation. Long-term use of such means are undesirable, because they tend to cause side effects. Drugs to improve circulation, reduce inflammation and pain, reduce the risk of blood clots.
How to treat varicose veins of the pelvis in pregnant women, and as a viable therapy in this case?Given the potential harm to the fetus and the high risk of side effects, drugs are prescribed not earlier than the second trimester and only in exceptional cases. If before the pregnancy the woman has never had such medical problems, it is often recommended to be limited to non-medicamental methods of therapy, for example, by wearing special underwear.
To eliminate congestion in the pelvis will help gymnastics. Most exercises performed in the supine position. It can be known "birch", "Bicycle", "scissors". If their work is enough of a load on the lower part of the abdomen, which promotes the flow of blood. Physiotherapy is complemented with the wearing of compression hosiery.
Among the methods of treatment are used hirudotherapy, leech therapy, which I put in the coccyx.
Folk remedies
Traditional medicine effective for reducing the symptoms of the disease, when applied in the early stages. Great efficiency have teas and broths of the fungus and the root of the dandelion, use of the medicinal product on the basis of horse chestnut.
The most affordable way to use chaga – tea is based on it. To do this, 3 tablespoons of dried chaga pour 0.5 liters of boiled water and insist in a warm place for a few hours. Take half an hour before meals, 2 to 3 times a day.
A dessert spoon of crushed roots of dandelion pour a glass of boiled water for a few hours, and drink three times a day 10-15 minutes before meal. This tea is contraindicated for people suffering from gastritis or disease of the biliary tract.
To prepare the tincture of the horse chestnut fruit peel from the skin, finely chop, put in a bottle of dark glass and pour vodka in the ratio of 1:10. The duration of infusion – 14 days. 25-30 drops of the tincture obtained is mixed with a small amount of water and take three times a day. The duration of intake should not be longer than 30 days.
Diet
Of great importance in the treatment of the disease is a balanced diet with the exception of fatty foods and alcoholic drinks. The menu should include meals with a high content of fiber, fats of vegetable origin. The main products in the diet should be vegetables, fruits, natural juices, green tea. Not recommended for sweet pastry dishes with lots of spices, fast food. Meals should be frequent, but small portions.
Useful products with a high content of vitamin C (citrus, blackcurrant), seafood (mussels, shrimp, and algae). The dishes you need to cook with a minimal amount of salt.
Prevention
Conservative therapy significantly facilitate the condition of patients and to eliminate the risk of serious consequences. The main goal of treatment is to prevent relapse and the need for surgical intervention. Of great importance is the prevention of the disease and its recurrence.
Among the medical recommendations need to be highlighted:
- To use the hormonal drugs only on prescription and under his control.
- To have an active lifestyle with moderate exercise.
- Eliminate bad habits such as Smoking and intake of alcoholic beverages.
- Regularly perform complex gymnastic exercises for the support of vascular health.
- Stick to a healthy diet with plenty of vegetables and fruit.
- Wear compression socks when the first signs of varicose veins.
The implementation of preventive recommendations, it is also important during pregnancy, especially in its second half.
A review of diet, an active way of life, regular visits to a doctor, the treatment of varicose veins of the pelvis immediately after the discovery of the disease will eliminate the painful symptoms and avoid surgery for a long time.