Varicose veins of small pelvis in women: symptoms and treatment

In this article, you will learn: why varicose veins of the pelvis are considered to be a separate disease and not a form of varicose veins of the legs, a disease may occur and why. Manifestations and diagnosis of this pathology, as it is properly treated, the chances for recovery.

varicose veins of the pelvis

Varicose veins of the pelvis – is the weakening of the walls of the internal or external veins in the pelvic area, leading to excessive extension of their diameter. Varicose changes veins are not able to provide the outflow of blood from the pelvic organs, which leads to its stagnation, and the complete destruction of the vascular wall. As a result, damage to the structure and functions of the female reproductive system.

The early stages of the disease cause only slight discomfort in the vulva and abdomen. Women with advanced forms of pelvic veins suffer from constant, severe pain, various gynecological diseases, infertile, have a cosmetic defect in the form of tortuous dilated venous nodes of the perineum, labia or entrance of the vagina.

The disease can be completely cured, but to prevent relapse prevention is necessary for life. Dealing with this problem, together vascular surgeons, obstetrician-gynecologists.

Varicose veins of small pelvis in men like in women does not happen. But such a disease there is a varicocele. Mechanisms and manifestations are similar to those in the pelvic varicose veins. Dilatation occurs on the left testicle and spermatic cord are due to the fact that the left Vienna egg stagnates the blood. She is thrown back from the left renal vein, which runs in Vienna.

The essence of the disease, how serious it is

The external and internal female sexual organs are well krovosnabjaemah. In order to provide sufficient blood flow need a powerful network of venous vessels. Therefore, the venous system of the pelvis in women is well developed. Each vein has a solid wall, provided with the valves associated with passes in the vicinity of the veins. It all forms a coherent venous network of the pelvic region which collects blood from the perineum, external genital (vulva, vagina), special structures (ovaries, uterus), and transportorul it at the bottom Polow vein.

Varicose changes veins of the pelvis are distinguishable from healthy in that they:

  • Expanded in diameter;
  • Are filled with blood;
  • Excessively convoluted;
  • Has editions in the form of nodes;
  • Flabby and weak.

Pelvic veins affected by varicose veins, you can collect the blood from the external genitalia and other organs, but not able to transport it to larger vessels (Vena cava). This leads to the fact that the blood stagnate in the pelvis, and penetrating the venous wall affects those tissues, which have to move away. They become swollen, inflamed and lose its function.

But, most of all the veins of the pelvis danger:

  • Various disorders of the ovaries;
  • Uterine bleeding disorders and miscellaneous;
  • Infertility, threatened miscarriage and inability to have a natural birth;
  • The formation of blood clots in the lumen of the varicose changes veins that threatens their distance from the place of education and migration in the heart and pulmonary vessels. This is the most dangerous complications are life-threatening – pulmonary embolism (PE).

Reasons

Basically varicose veins of the pelvis occurs in Mature women:

  • Up to 20 years – 20%;
  • 20-30 years – 30%
  • 30 – 45 years – 50%

Mechanisms of varicose degeneration of the venous system of the pelvis:

signs of varicose veins
  1. (80%). They are the main veins that collect blood from the uterus and ovaries and wear directly in the hollow (right) or renal (left) of Vienna. If you do not succeed, it completely blocks the venous outflow.
  2. Uniform, with the weakening or destruction of the venous wall, all of the pelvic veins – they are all at the same time expand and not be able to enter into a contract to propel blood into the overlying units.
  3. Reverse reflux of blood from the deep vein of the thigh in the superficial sexual vein, as is the collection of blood from the perineum and external genital organs, prevents the outflow. As a result, the pressure in it increases, and its trunk and all tributaries of the varicose expanded.

The immediate reasons for the launching of these mechanisms could be the following:

  • Congenital weakness or dysplasia (underdevelopment) of the venous wall and valves.
  • Hormonal changes in the female body (puberty, pregnancy, menopause, ovarian disease).
  • Frequent inflammation, endometriosis, surgery, adhesions in the pelvis.
  • Moved thrombosis and thrombophlebitis of the pelvic veins.
  • Heavy physical labor.
  • Continues lying down or sitting.
  • With excessive weight.
  • Pregnancy and childbirth.
  • Regular interruption of sexual relations for many years, especially in the absence of orgasm.
  • Bend uterus posteriorly or anteriorly.
  • Pelvic tumors.
  • Prolapse of the uterus.

The extent of the varicose veins classification

The anatomical reasons (prevalence) varicose veins of the pelvis are divided into three types:

  1. Venous congestion in the pelvis;
  2. Perineal varicose veins, etc.;
  3. Combined forms.

To reflect pathological changes of the disease is divided into three levels:

  1. First of dilated blood vessels of any organ plexus of the pelvis does not exceed a diameter of 0.5 cm, excessively convoluted.
  2. The second is the diameter of the veins is increased to 1 cm, the process is extended not only to plexus organs(uterine, ovarian), but some of them (okolomatocnah cellulose).
  3. The third expansion (ectasia) of more than 1 cm, the influence of all the vessels – the blood, in the vicinity of the bodies, and trunk (the trunk of ovarian vein).

The higher the degree of the disease, the worse dilated veins, and severe congestion in the pelvis.

The characteristic symptoms

Women with varicose veins of the pelvis note:

  • Persistent or recurrent pain in the abdomen, worse in the evening or after the effort is mainly in the second half of the cycle (close to a month). In the 3 degrees of pain can be very strong.
  • Itching, burning, swelling and lividity of the genital organs.
  • Painful periods and intercourse.
  • Heavy menstruation and uterine bleeding, irregular cycle.
  • The inability to get pregnant.
  • Thick twisted veins in the region of the perineum and labia.
  • Frequent painful urination.
  • Expressed symptoms of premenstrual syndrome.
pregnancy

Diagnosis

To confirm the diagnosis are performed:

  • Ultrasound through the abdomen and through the vagina (transvaginally) with the use of special sensors – Doppler, and duplex treatment of varicose veins of the pelvis. The easiest and most informative method.
  • Endovascular venography the introduction of special drugs into the ovarian vein.
  • Computed tomography with contrast.
  • The diagnostic laparoscopy.

Treatments

Varicose veins of the pelvis together to treat the vascular surgeons or obstetrician-gynaecologists. According to modern concepts, the treatment consists of the following areas:

  1. The normalization of the living;
  2. Conservative treatment;
  3. Compression and other therapy;
  4. Surgical treatment.

To cure varicose veins of the pelvis. The specialists make an individual plan for treatment, and painful, women need to stick for the life, recommendations for treatment and prevention.

1. Normalization of a way of life

Because the wrong way of life is a prerequisite and a direct cause of varicose pelvic veins, its normalization will help to recover:

  • Off remain long standing or sitting (more than 2-3 hours without a break).
  • Do not lift heavy objects and to refrain from strenuous physical activities.
  • In the course of the day not handling exercises for the pelvis (exercise birch, bike or just lie down for 10-15 minutes with elevated above the level of the body by the pelvis.
  • Reduce weight (excessive weight).
  • Do not take a hot bath, replace it with a cold shower.
  • Abstain from alcohol and Smoking.

2. Therapy

The treatment of varicose veins pelvic any degree is not possible without medical support. The first degree is not a major medical event, while the second and the third complements a comprehensive treatment.

Are used as drugs:

  • Special medicines that strengthen the veins.
  • Anticoagulants – thin blood to ease its progress through the vessels.
  • Drugs that improve the microcirculation.

Additional groups of drugs prescribed in view of the existing deviations in the body:

  • Preparations of female sex hormones (hormonal disorders).
  • Painkillers and anti-inflammatories.
  • Drugs to stop blood styptic medication for the treatment of uterine bleeding.

3. Compression therapy

One of the effective means in the treatment of varicose veins in the vulva and the perineum is a compression effect. The principle of this method is similar to the use of elastic bandages for varicose veins of the legs. Compression (compression) of the surface veins on the outside contributes to their evacuation from the blood. To create this effect you can special tights or shorts with compression therapy hosiery. They can be purchased in specialized pharmacies, shops, salons, medical products individually choose the right size and strength of compression.

Sclerotherapy – the puncture of the veins with the introduction of a special customs clearance of medicinal products that cause sticking. This treatment is performed on the outer (subcutaneous) pelvic veins without hospitalization in the hospital. The internal veins can also be treated, but this procedure is technically more complex and takes place in the operating room.

4. Surgical treatment

Varicose veins of small pelvis may be better to treat with surgery, if:

  • 2-3 degrees of the disease;
  • Rapid progression of the disease;
  • Planning of pregnancy;
  • Expressed pain syndrome;
  • Regular uterine bleeding and other gynecological diseases.

The basic operations in the pelvic veins:

  1. Laparoscopic – a special operation through the punctures of the abdomen. Performing the ligation, the intersection or the removal of the ovarian vein. This eliminates the backward reflux of blood through it.
  2. Removal of varicose veins through small punctures or incisions of the skin are remove the modified saphenous vein is tied off external pudendal vein to the point where the femoral vessels.
  3. Gynecological interventions – removal of tumors, removal of the curvature of the cervix.
diagnosis and treatment

Forecast

If you do not treat varicose veins of the pelvis, over time, they expand even more (95%), which is fraught with dangerous complications. The remaining 5% of women with subcutaneous varicose veins of the perineum 1-2 degrees from that appeared after the birth, the pathology is not reinforced, but never go away by itself.

If the treatment of the disease, it is possible to achieve complete recovery (10-50% depending on the degree) or significant improvement (45-50%), especially in the case of a combination of surgical techniques with a conservative. But, in any case, after a comprehensive treatment should be lifelong prophylaxis consists in the adherence to recommendations on lifestyle, medication or periodic compression to support weakened veins.