Varicose veins of the small pelvis causes, signs and treatments

7 January 2021

Varicose veins of the small pelvis, unlike a similar disorder on the lower extremities, are not always noticeable, but they are very harmful to health. This can lead to deterioration of blood flow to internal organs and impaired function.

The difference between varicose veins and healthy veins

The lining of a healthy vessel is always in good condition - this helps it maintain blood circulation.

The walls contract, but not as much as in the arteries. This effect is enhanced by the contractions of smooth and skeletal muscles.

All veins under the heart, i. e. in the limbs, abdomen, small pelvis, chest, have valves on their walls. These are "pockets" formed by the vascular endothelium.

Organized in such a way that the blood flowing to the heart passes unhindered. In retrograde motion, it fills the valves and closes the vessel.

Blood is still flowing 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 its permeability is increased. Thus, the conditions for stagnation of blood are created.

Some of the fluid is circulating, causing healthy vessels to overflow. And also causing violations of tone already in them.

What is and what is dangerous

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

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

More harmful to female reproductive organs, less often to the bladder. Varicose lesions of the rectum manifest as hemorrhoids.

Pelvic varicose veins can have a variety of causes. The disease leads to impaired blood flow in the reproductive system, as a result - deterioration of its function.

A woman may notice a change in the menstrual cycle, pain, the appearance of signs of hormonal disorders. With physical impact, rupture of the vessel and bleeding is possible.

Reasons

Refers to multifactorial, that is, arises from the confluence of several reasons. Among them:

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

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

Women with children are more likely to suffer from it than men.

The first signs usually appear around age 40 or late 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 genitals. Most often asymptomatic, may be temporary, re-examination is necessary.
Medium degree - expansion of large veins of the parameter - the outer shell of the uterus, or myometrium - the muscle membrane. Causes menstrual irregularities, deterioration of health.
Severe degree - varicose lesions and edema of most organs of the female reproductive system. 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 injury. In the early stages, it most often proceeds without symptoms.

With the development of the disease, itching appears in the external genital area, heaviness and pain.

These sensations change in intensity depending on the phase of the menstrual cycle. They may intensify 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 achieving pregnancy. <

Diagnostic methods

There are several ways to identify a disease.

The first and easiest of these is a pelvic exam. Reveals dilated veins of the skin, vaginal wall and cervix. Its data can indirectly indicate the cause - endometriosis, erosion of the cervix.

The most reliable method is gynecological ultrasound. Its advantage is that it allows to identify the expansion of the parameter, fallopian tubes and ovaries. The results of this study provide more comprehensive information on the state of the reproductive system.

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

Which specialist to contact for help

The treatment is carried out by a gynecologist in collaboration with a vascular surgeon. In case of hormonal disorders, consultation of an endocrinologist is necessary. Drug As the disease is multifactorial, other specialists can also participate in its treatment if necessary.

Processing methods

Before starting treatment, you should have a complete examination of the reproductive system. Identify possible pathologies. As a rule, the disease takes place against the background of other disorders.

For greater efficiency, an integrated approach is used. Several methods of therapy are used at once, which makes it more effective.

Drugs

Includes taking drugs that increase the tone of the vascular wall - Diosmin.

To reduce the permeability of the vascular wall tissue, appoint:

ascorbic acid;
nicotinic 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 potential harm.

Compression and sclerotherapy

Tights and compression belts are worn to avoid complications of varicose veins. They create pressure on the vessels of the external genitalia, preventing their overflow.

For this reason, normal or near normal venous flow throughout the small pelvis is maintained. The degree of compression is determined by the doctor. You can also wear such underwear during pregnancy.

Sclerotherapy is a procedure for injecting a special drug into the vessels that stimulates a short-term inflammatory response. And then - complete filling of the damaged vein and its transformation into constriction. The blood flow stops completely.

This procedure can be performed in the 2-3 trimesters of pregnancy, if there are no contraindications.

Operation

Surgical treatment involves removing the affected area. It can be done in several ways, depending on the patient's condition.

In some cases, it is necessary to perform partial resection of the ovary. 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 circulation and reduce venous congestion. The most effective:

"birch";
curvature of the back in a knee-elbow position;
Exercises to lift the legs and the sacrum region.

They promote blood circulation by gravity.

Folk remedies

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

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

They have a calming effect, reduce tension and stimulate blood circulation.

Prevention tips

It is impossible to completely rule out all the factors affecting venous outflow. But you can reduce their influence. For example, setting aside time for exercise, keeping your weight within normal limits.

The prevention of illnesses during pregnancy is of particular importance. During this period, it is imperative to monitor both nutrition 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

Pelvic varicose veins are more common in women of childbearing age.

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

Varicose veins are sick much more often today than they were decades ago. This is due to a sedentary lifestyle.

The disease itself causes a decrease in the elasticity of the venous wall. It can be called differently: varicose veins of the small pelvis, varicocele, chronic pelvic pain syndrome. Most often, women of childbearing age suffer from the disease.

Factors of occurrence

The most common causes of varicose veins in womenare pregnancy and changes in the body's hormonal ratio.

The following factors also lead to this:

use of hormonal drugs;
constant use of interrupted intercourse for contraception;
sexual dysfunctions: pain on intimate contact and lack of orgasm
numerous and complex deliveries;
sedentary and sedentary lifestyle or excessive physical activity;
congenital diseases of the connective tissue, weakness of the valves of the veins and the walls of the blood vessels.

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 are often absent at all.

The girl can feel completely normal. And changes in the small pelvis are detected by chance through detailed research methods.

In adolescents with varicocele, the only symptom will be severe mucous discharge from the vagina, which may lead to treatment for colpitis.

The most characteristic symptom of varicose veins is when a woman reaches childbearing age. It is a pain syndrome that affects more than 95% of patients.

It may bother a woman periodically or all the time, but it is observed throughout life and becomes pronounced with menopause.

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

It appears in the lower abdomen, it is painful or sharp, it can give to the lower back or the sacrum.

Varicose veins of the small pelvis can be experienced by the following symptoms:

severe premenstrual syndrome;
regular vaginal discharge. They are whitish, transparent;
increased sensitivity of the skin in the perineum and vaginal mucosa;
menstrual irregularities;
feeling of pressure and heaviness in the small pelvis, especially if you stay in the same position for a long time;
pain may occur at the end of the day, during sex;
urination pathologies sometimes appear;
pain can occur in late pregnancy;
pain is noted when probing the lower abdomen;
swollen veins may appear on the outer side of the thigh, outer genitals, buttocks;
possible swelling of the vagina and vulva;
due to the effusion of fluid in the pelvic area, the body weight may periodically 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 circulatory system. Residents of economically developed countries are most susceptible to the disease. In some regions, one in three people have it. In this article you can find useful information about varicose veins of the small pelvis: symptoms, treatment and first manifestations of this form of varicose veins.

What are pelvic varicose veins? Varicose veins in the small pelvis are due to poor blood circulation. The containers are filled with too much liquid. Due to excessive pressure, the walls of the veins become inflamed. The chronic process leads to excessive stretching of the blood vessels.

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

With varicose veins of the small pelvis, the photo, on a larger scale, clearly shows the excessive elasticity of the vascular walls.

Some people, having a disease such as varicose veins of the small pelvis, the symptoms and manifestations of it may be confused with certain diseases of the reproductive system.

Symptoms of small pelvic veins

Many patients receive inadequate treatment before specialists recognize pelvic varicose veins. Symptoms of the disease are not specific - they cannot be used for an accurate diagnosis:

Discomfort in and above the pubis, accompanied by painful sensations. The pain is characterized as dull and pulling, 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 unpleasant sensations in the lumbar region. Pain is often felt in the perineum.
The manifestation of varicose veins on the veins of the external genitalia, on the buttocks and upper legs.
General weakness.
Depression, apathy, feelings of depression.

Dilated blood vessels in the genitals are unconditional signs of varicose veins of the small pelvis. The photographs show spider veins and nodular protuberances on the skin of the patients.

Symptoms in women

There are symptoms of pelvic varicose veins specific to women.

The severity of premenstrual syndrome.
Dysmenorrhea.
Pain during intercourse.
Discharge of mucus from the vagina.
Swelling of the external genital area.

Symptoms in men

Symptoms in men are different from the female manifestations of varicose veins in the small pelvis.

Varicose veins (varicose veins) of the small pelvis in men are in most cases asymptomatic. The only manifestations characteristic of this sex can be: periodic tightness and a feeling of heaviness in the scrotum area.

Causes of occurrence

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

List of the main causes that can cause varicose veins of the small pelvis, there are:

Disorder of normal blood flow to the abdominal organs during pregnancy.
A sedentary lifestyle in which you spend a lot of time sitting or standing.
Work related to weight lifting.
Violation of blood circulation in the vessels of the small pelvis due to interruption of sexual intercourse.
Use of hormonal contraceptives.
The negative effect of cigarette smoke on the general condition of blood vessels.

If, after a diagnostic examination, varicose veins of the small pelvis are detected, the treatment will probably include a whole range of measures to alleviate the consequences, reduce pain and at the same time prevent the development of the disease.

Pelvic vein treatment

For pelvic varicose veins, treatment consists of taking medication, performing special exercises, using compression products and following the prescribed diet. Surgical intervention is carried out when conservative therapy methods are ineffective.

When looking to purchase compression products, please note that setting them up is not easy without proper practice. Don't make it easy on yourself buying one size larger than you need. The medical swimsuit must support the blood vessels and not just touch the skin!

In any case, before making your choice in favor of this or that compression hosiery product, it is preferable to first consult your doctor and know his opinion on the model of the manufacturer that he recommendsin your case. You can also search for information and reviews about the use of compression stockings from various manufacturers on special medical thematic forums.

Drugs

The standard treatment regimen uses:

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

Do not treat yourself in case of varicose symptoms! This can lead to serious consequences! If you find the appropriate symptoms, contact a specialist.

Pelvic varices and pregnancy

The greatest risk of this vascular pathology in pregnant women. Several factors trigger the disease:

Increased circulating blood volume.
Provide increased load on the vessels of the developing fetus. It compresses the veins and sometimes completely blocks blood flow to certain areas.
Increased hormone levels. Some of them cause a decrease in vascular tone.
Rapid weight gain during pregnancy.

Pelvic varicose veins during pregnancy cause poor blood supply to the fetus. The growing body will feel a lack of oxygen and nutrients. The results of the described violations can be manifested by defects in the child's development.

Varicose veins of the small pelvis often become the cause of female and male infertility. It can interfere with the success of fertilization, prevent the embryo from attaching to the uterine wall, and disrupt the normal formation of the placenta or reduce sperm production.