Symptoms of varicose veins of the pelvis and preventive measures

Varicose veins of the pelvis or chronic pelvic pain syndrome is another exotic diseases with unclear diagnostic boundaries for many doctors.

This explains the fact that some medical practitioners for a long time did not "notice" this disease in their patients, while others got almost every other man suffering from constant unexplained pain in the abdomen.

In the meantime, from early detection varicosity of the pelvic veins is largely dependent on the quality of life of the patient, his ability to enjoy the intimate side of the relationship with the loved one and the ability to procreate.

The phenomenon of chronic pelvic pain is known to doctors for a long time. But, only relatively recently became known the most probable cause is a varicose veins of the pelvis. This disease was first described in 1975 and is still not well understood.

varicose veins of the pelvis

Most likely, this pathology evolves according to the following algorithm:

  1. Venous plexus in the pelvis is a complex structure, which consists of large vascular trunks, and the waste from these smaller veins. Thus the venous system of small pelvis in men and women differ according to their structure, which makes the sexual specification of the disease is much more common in the fairer sex.
  2. Due to compression of vessels, complete or partial blockage of the venous bed, change the tone of the vascular wall impaired outflow of blood from the deep pelvic veins.
  3. In the result, the veins cease to perform their functions in full: progress lack of venous valves , and normal outflow of blood.
  4. In pelvic veins begin the gridlock associated with the backward reflux of blood through vessels – this causes dilatation and varicosity development.
Symptoms of varicose (varicosity of the veins of the internal organs of the pelvis is much more common in women of reproductive age than in men. While most often suffer from the ovarian vein in 85% of cases.

The leading symptom is pain, which is registered in more than 90% of patients. But the frequency of this disease among the population is still not clear: according to different studies it ranges from 6 to 80%. Such a big difference in "readings" can only be explained by the insufficient qualifications of medical diagnosticians in the diagnosis.

Causes and risk factors

Causes of pelvic varicosity any changes in the body, which can cause the launch of the pathological mechanism of this disease:

Anatomo-physiological cause varicosity What can cause this
Mechanical pressure on the pelvic veins
  • inguinal hernia
  • the tumor in the pelvis
  • increased pressure in the abdomen due to constipation
  • pregnancy and childbirth
  • gynecological diseases (displacement of the cervix, ovarian cysts)
The change of tone of vessels
  • connective tissue disease, especially dysplasia
  • congestion in the vessels of the pelvis, associated with his sexual life
  • genetic predisposition and the innate weakness of the venous walls
A blockage in the veins of the pelvis
  • prolonged use of oral contraceptives
  • tendency for thrombosis
varicose veins in the pelvis symptoms

Increased risk factors varicosity of the pelvis are:

  • intensive physical work;
  • is not sufficiently regular or unsatisfactory sexual life;
  • abuse in intimate life, discontinued sexual intercourse;
  • a large number of pregnancies and births;
  • the most common gynecological diseases;
  • contraception by means of hormonal medication;
  • hormonal disorders in the body;
  • the lack of exercise.

Classification and stage of varicosity

In medical circles it is accepted conditional division varicosity of the pelvis on the nature of the flow of the varicosity of the veins of perineum and external genitalia (e.g., labia) and the syndrome of venous plethoras of small pelvis. This classification is of little practical value, because in most cases the patients satisfy both of these forms at the same time as well as causing the appearance of each other.

You can also find the classification of the disease at the root cause for its occurrence. In this regard, the varicosity of the pelvis is divided into:

  • primary – caused by the poor performance of the venous valve;
  • secondary – develops as a complication of existing inflammatory gynaecological or oncological diseases of internal organs.

There is also an attempt for classification of the disease based on the severity of the pathology. In this connection allocate 3 stages of pelvic varicosity:

Phase Characteristics of the affected veins
diameter (mm) localization
The first less than 5 any pelvic venous plexus
Second from 6 to 10 of the ovaries or uterus
Third 10 more total defeat of the veins of the pelvis

What is dangerous and whether the consequences

This vascular pathology can not be called a deadly disease. Discovered in time, it is good to medical correction. But the problem is that to reveal it is not so easy. In this play the role and insufficient knowledge of the disease, and low awareness of most doctors-diagnosticians.

varicose veins of the pelvis from the threat

It turns out that patients who suffer from this disease without even knowing it. And in their body, meanwhile, is a series of irreversible changes:

  • varicosity progresses, the pathological process involved associated with the area – there is a dilatation of the reproductive organs (for example, varicosity of the penis), perineum and lower limbs.
  • There is a persistent dysfunction of the internal reproductive organs that may cause infertility or inability to carry pregnancy in women.
  • Due to the pain syndrome develop a variety of psychoemotional disorders on the type of neurasthenia.
  • Because of chronic pain, worsens during intimacy, a man can completely give up on sex.
  • Of the rarest and at the same time and the most severe complications are pelvic varicosity vein thrombosis and pulmonary thromboembolism. They occur in about 5% of the cases, but always deadly.

Symptoms

Typical symptoms of varicose veins and pelvic vessels that require treatment to the doctor for treatment include:

  • Chronic pain. The pain is most commonly localized in the lower abdomen, sometimes "give" in the groin and lower back. Acceleration in the second half of the menstrual cycle in women, after intercourse or prolonged standing on his feet.
  • Discharge from the genital tract. This is a typical "female" symptoms. In this case, select in the normal appearance and have no foreign smell. The patient is alarming just their unusually large number.
  • The external signs of the disease – spider veins or an increased venous pattern on the thighs, in the crotch area – occurs in about half of the patients. Men may experience a small varicose veins of the penis.
  • Menstrual disorders in women and disorders of urination in patients of both sexes is uncommon and the evidence advanced form of the disease.

When to go to the doctor and to what?

The reason for going to the doctor can be any of the above symptoms. Procrastinate this is notbecause figuring out the actual causes of the discomfort and prescribe an effective treatment will take time.

Profile a specialist in this disease is the doctor-phlebologist, but for women the initial visit to the gynecologist, who will be convinced in the absence of concomitant gynecological diseases.
varicose veins in the pelvis diagnosis

Diagnosis

According to American researchers, in the beginning of 2000-x years only 2% of patients with varicosity of the pelvis initially put the correct diagnosis. Sometimes are the result of diagnostic errors was the removal of the reproductive organs in women, although it could have been avoided if used the most accurate methods of diagnosis of pelvic varicosity:

  • Ultrasound and Doppler study of the veins – allows to suspect varicosity;
  • Phlebography is an invasive study which allows high accuracy to determine the presence and extent of the disease;
  • Laparoscopy is indispensable in differential diagnosis of varicosity of small pelvis from the similar symptoms of gynecological diseases (endometriosis, fibroids, vaginitis).
  • Selective variography is a study of the condition of the veins with contrast agent, is the most objective diagnostic method.
  • Computer or magnetic-resonant tomography allows to define the details of the disease and to differentiate it from other pathologies with similar symptoms (joint disease, crohn's disease, etc.).

Treatments

In the treatment of varicosity of the pelvis are as follows:

  • to normalize vascular tone;
  • to improve the nutrition of the tissues;
  • the prevention of downtime and possible complications.

The treatment of varicosity of the pelvic vessels at the same time you can go in several directions, while surgical intervention is only necessary in stage 3 of the disease.

Medical direction Specific activities
Therapy without drugs
  • regular therapeutic exercises
  • diet
  • contrast water procedures
  • the varicosity of the compression when wearing lingerie and stockings
  • hirudotherapy
Therapy
  • the epidural nonsteroid anti-inflammatory drugs
  • recommendations for the maintenance of the venomous (phlebotonics, angioprotectors)
  • the use of drugs to improve blood circulation (Pentoxifylline)
  • hormone therapy if necessary, correction of hormonal background
  • symptomatic treatment of related pathologies
Surgery
  • sclerotherapy is the most effective method with minimal complications
  • phlebectomy – crossing and ligation of the venous plexuses
  • laser or radiofrequency coagulation – a modern minime psidium method
Treatment of folk ways using herbal remedia on the basis of the dandelion, chagas and horse chestnut
varicose veins of the pelvis prevention methods

Predictions and prevention measures

To completely cure the varicose veins of the pelvis without surgery is almost impossible. The use of conservative medicine can significantly alleviate and even eliminate most of the unpleasant symptoms , and greatly reduce the risk of complications of the disease. The work also does not give an absolute guarantee that the disease will not return.

In order to prevent a recurrence, you should always adhere to the proper way of life:

  • do not smoke;
  • do not use hormonal drugs uncontrollably;
  • more moving and less standing on my feet still;
  • to comply with the antisclerotic diet with a lot of fresh plant foods;
  • a daily basis to perform complex medical gymnastics and breathing exercises for maintaining the health of the blood vessels;
  • after the conducted surgery concerning varicosity need to wear compression stockings and to take preventive doses of prescribed drugs-venotonics.

Pelvic varicosity – this is a hidden beach women's health, type of disease Spirit, which is difficult to detect, but to suffer from it quite real.

The main symptom of the disease – chronic pelvic pain, which may interfere with the patient for a long time and became a source of rejection of the many joys of life. To endure such discomfort and not to go to the doctor, it is impossible!

With the appearance of specific symptoms should be clearly understood that this is not normal and immediately seek assistance from a specialist.