Varicose veins of the pelvis causes, signs and treatments

7 January 2021

Varicose veins of the small pelvis, unlike a similar disorder on the lower limbs, are not always noticeable, but are very harmful to health. It can lead to worsening of blood flow in internal organs and damage to their function.

Difference between varicose 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, they have valves on the walls. They are "pockets" formed by the vascular endothelium.

Arranged in such a way that the blood flowing into the heart passes unhindered. 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 valve apparatus. Their wall tone is reduced and permeability is increased. This creates the conditions for blood stagnation.

Some of the fluid flows around, causing healthy blood vessels to overflow. And also causing a violation of the tone that already exists in them.

What is and what is dangerous

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

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

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

Varicose veins of the pelvis can have different causes. The disease leads to impaired blood flow in the reproductive system, which as a result - deterioration of its function.

A woman may notice a change in the menstrual cycle, soreness, the appearance of signs of hormonal disorders. Physical shock can rupture a blood vessel and cause bleeding.

Reasons

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

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

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

Women with children suffer from this more often than men.

The first signs usually appear around the age of 40 or later in pregnancy. The actual onset of 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 genital organs. It is usually asymptomatic, it can be temporary, it needs to be re-examined.
Intermediate degree - dilation of large vein parameters - outer shell of the uterus or myometrium - muscle membrane. Causes menstrual irregularities, deterioration of health.
Severe - varicose lesions and edema of most organs of the female reproductive system. It causes serious violations in the genital area, a high risk of disease and infertility.

Symptoms

Symptoms vary depending on the location and extent of the lesion. In the initial stages, it usually passes without symptoms.

With the development of the disease, itching occurs in the external genital areas, heaviness and pain.

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

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

Diagnostic Methods

There are several ways to identify the disease.

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

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

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

Which expert to contact for help

The treatment is performed by a gynecologist in cooperation with a vascular surgeon. In case of hormonal disorders, it is necessary to consult an endocrinologist. Medications Because the disease is multifactorial, other specialists can join its treatment if necessary.

Treatment Methods

Before starting treatment, you should undergo a complete examination of the reproductive system. Identify possible pathologies. The disease usually takes place in 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.

Medications

Includes taking drugs that increase vascular wall tone - Diosmin.

To reduce vascular wall tissue permeability, determine:

Ascorbic acid;
Routine.

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

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

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

Compression and sclerotherapy

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

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

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

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

Operation

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

In some cases, a partial ovarian resection is needed. 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 the knee-elbow position;
Exercises for lifting the legs and lower back.

They promote blood flow through gravity.

Folk remedies

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

For this, baths with medicinal plants are used - willow, oak branches, dried grass and chamomile grass.

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

Prevention Tips

It is impossible to completely eliminate all the factors that affect venous outflow. But you can reduce their impact. For example, taking time to exercise, keeping the weight within normal limits.

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

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

Varicose veins of the pelvis are more common in women of reproductive age.

The disease can be easily confused with a number of gynecological diseases, so proper diagnosis and appropriate treatment are required.

Today varicose veins get sick much more often than a decade ago. This is because of 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 small pelvis, varicocele, chronic pelvic algae syndrome. Women of reproductive age are more likely to suffer from this disease.

Factors of origin

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 this:

use of hormonal drugs;
constant use of contraception for contraception;
sexual dysfunction: pain during intimate contact and lack of orgasm;
numerous and complex births;
inactive and inactive lifestyle or excessive physical activity;
congenital connective tissue diseases, weakness of venous valves and blood vessel walls.

The risk of varicocele is increased 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, pathological symptoms often do not exist at all.

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

In adolescents with varicocele, the only symptom will be severe mucus discharge from the vagina, which can lead to treatment of colpitis.

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

A woman may be bothered occasionally or all the time, but it is noticed throughout her life and becomes pronounced at menopause.

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

Occurs in the lower abdomen, is painful or acute, may give the lower back or sacrum.

Varicose veins of the small pelvis may show the following symptoms:

severe premenstrual syndrome;
regular vaginal discharge. They are whitish, transparent;
increased skin sensitivity in the perineum and vaginal mucosa;
menstrual irregularities;
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 sexual intercourse;
urinary pathology sometimes occurs;
pain may occur late in pregnancy;
pain is noted when probing the lower abdomen;
swollen veins may appear on the outside of the thighs, external genitalia, buttocks;
possible swelling of the vagina and vulva;
due to outflow of fluid into the pelvic area, body weight may occasionally increase by 2-4 kg;
possible apathy, weakness, constant fatigue, depression.

What causes varicose veins of the small pelvis

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

What is a varicose pelvic vein? Varicose veins in the small pelvis are caused by poor blood flow. The containers are filled with too much liquid. From excessive pressure, the walls of the veins become inflamed. The chronic process leads to excessive dilation of blood vessels.

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

In the case of varicose veins of the small pelvis, the photograph in the enlarged range clearly shows the excessive elasticity of the vascular walls.

Some people, who have such a disease as varicose veins of the pelvis, 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 varicose veins of the pelvis. The symptoms of the disease are non-specific - they cannot be used to make an accurate diagnosis:

Discomfort in and above the pubic bone, accompanied by painful sensations. The pains are characterized as dull and dragging, the intensity of the manifestation increases with physical exertion, prolonged sitting and standing, overheating and excessive cooling. Due to the proximity of the venous vessels and the spine, patients complain of uncomfortable feelings in the lumbar region. Pain is often felt in the perineum.
Manifestation of varicose veins on the veins of the external genitalia, buttocks and thighs.
General weakness.
Depression, apathy, feelings of depression.

Dilated genital vessels are unconditional signs of varicose veins of the small pelvis. The photographs show spider veins and nodular protrusions on the patient's skin.

Symptoms in women

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

Severity of premenstrual syndrome.
Dysmenorrhea.
Illness of intercourse.
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 small pelvis.

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

Causes

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

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

Disorder of normal blood circulation in the abdominal organs during pregnancy.
A sedentary lifestyle in which he spends a lot of time sitting or standing.
Weightlifting job.
Violation of blood circulation in the vessels of the small pelvis due to interrupted sexual intercourse.
Use of hormonal contraceptives.
Negative effect of cigarette smoke on the general condition of blood vessels.

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

Treatment of pelvic veins

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

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

In any case, before you decide in favor of this or that product of compressor socks, it is better to first consult with the doctor who comes and find out his opinion on which model the manufacturer recommends in your case. You can also find information and reviews on the use of compressor socks from different manufacturers on special medical thematic forums.

Medications

The standard treatment regimen uses:

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

Do not self-medicate due to varicose manifestations! This can lead to serious consequences! If you find the appropriate symptoms, consult a specialist.

Pelvic varicose veins and pregnancy

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

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

Varicose veins of the pelvis 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 violations can manifest as developmental defects of the child.

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