Varicose veins of the small pelvis causes, signs and treatments

7 January 2021

Varicose veins of the small pelvis, in contrast to a similar disorder on the lower limbs, is not always noticeable, but it is very harmful to health. It can lead to deterioration of blood flow in internal organs and impairment of their function.

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

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

Arranged in such a way that blood flowing to 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 its permeability is increased. Thus, conditions for blood stagnation are created.

Part of the fluid flows around, causing overflow of healthy vessels. And also provoking violations of tone already in them.

What is and what is dangerous

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

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

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

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

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

Reasons

Refers to multifactorial, i. e. arises from a confluence of a number of reasons. Among them:

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

The presence of one or even several adverse 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 later in pregnancy. The actual onset of pathology occurs much earlier.

Degrees

There are three stages of varicose veins development:

Mild - damage to one or more peripheral vessels of the genital organs. Most often asymptomatic, may be temporary, re-examination is required.
Medium degree - expansion of large veins of the parametrium - the outer shell of the uterus, or myometrium - the muscular membrane. Causes menstrual irregularities, deterioration of health.
Severe - varicose lesions and swelling 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 lesion. In the initial 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 can intensify during bleeding and subside after a few days.

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

Diagnostic methods

There are several ways to identify a disease.

The first and simplest of these is a gynecological examination. Reveals dilated veins in the skin, vaginal wall and cervix. His data can indirectly indicate the cause - endometriosis, erosion of the cervix.

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

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

Which specialist to contact for help

The treatment is performed by a gynecologist in cooperation with a vascular surgeon. In case of hormonal disorders, an endocrinologist's consultation is necessary. Medication Since the disease is multifactorial, other specialists can also join in its treatment if necessary.

Treatment methods

Before starting treatment, you should undergo a complete examination of the reproductive system. Identify possible pathologies. As a rule, the disease proceeds 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 successful.

Medication

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

To reduce the permeability of the tissue of the vascular wall, 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, the doctor may recommend blood thinners - acetylsalicylic acid, vitamin K.

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

Compression and Sclerotherapy

Compression tights and belts are worn to prevent complications of varicose veins. They create pressure on the vessels of the external genital organs, preventing their overflow.

Due to this, a normal or close to normal venous outflow 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 obturation of the damaged vein and its transformation into a constriction. The blood flow in it completely stops.

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

Operation

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

In some cases, it is necessary to carry out a 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 flow and reduce venous congestion. Most effective:

"birch";
back bends in the knee-elbow position;
Exercises for raising the legs and sacrum area.

They promote blood flow through gravity.

Folk remedies

Traditional treatments are less effective than hospital therapy, however, they can significantly improve the patient's well-being.

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

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

Prevention Tips

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

Of particular importance is the prevention of illness during pregnancy. 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 reproductive age.

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

Today, varicose veins are sick much more often than decades ago. This is due to 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 algia syndrome. More 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 hormone ratio.

The following factors also lead to it:

use of hormonal drugs;
constant use of interruption of intercourse for contraception;
sexual dysfunctions: pain during intimate contact and lack of orgasm;
numerous and complex childbirth;
sedentary and sedentary lifestyle or excessive physical activity;
congenital connective tissue diseases, weakness of the valves of the veins and walls of 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 with detailed research methods.

In adolescents with varicocele, the only symptom will be severe mucous vaginal discharge, which can lead to colpitis treatment.

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.

It can 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 can be aching or sharp, it can give to the lower back or sacrum.

Varicose veins of the small pelvis can show themselves with 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 one position for a long time;
pain may occur at the end of the day, during sexual intercourse;
urination pathologies sometimes appear;
pain may occur late in pregnancy;
soreness is noted when probing the lower abdomen;
bloated veins may appear on the outer side of the thigh, external genitals, buttocks;
possible swelling of the vagina and vulva;
due to fluid effusion into the pelvic area, 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 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 pelvic varicose veins? Varicose veins in the small pelvis occur due to poor blood flow. The vessels are filled with too much liquid. From excessive pressure, the walls of the veins become inflamed. The chronic process leads to excessive stretching 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 case of varicose veins of the small pelvis, the photo, on an enlarged scale, clearly demonstrates the excessive elasticity of the vascular walls.

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

Symptoms of small pelvic veins

Many patients receive inadequate treatment before specialists recognize pelvic varicose veins. The symptoms of the disease are non-specific - they cannot be used to make 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 close location of the venous vessels and the spine, patients complain of unpleasant feelings in the lumbar region. Pain is often felt in the perineum.
Manifestation of varicose veins on the veins of the external genital organs, on the buttocks and upper legs.
General weakness.
Depression, apathy, feelings of depression.

Dilated vessels of the genital organs are unconditional signs of varicose veins of the small pelvis. The photographs show spider veins and nodular protuberances on the patients' skin.

Symptoms in women

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

The severity of the premenstrual syndrome.
Dysmenorrhea.
Soreness of intercourse.
Discharge of mucus from the vagina.
Swelling in 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 in most cases are asymptomatic. The only manifestations characteristic of this sex may be: periodic pulling pains and a feeling of heaviness in the scrotum area.

Causes of occurrence

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

Listing the main causes 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 a lot of time is spent sitting or standing.
Work related to weight lifting.
Violation of blood circulation in the vessels of the small pelvis due to interrupted 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, treatment is likely to include a whole range of measures to alleviate the consequences, reduce pain and at the same time prevent further 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 performed when the methods of conservative therapy are ineffective.

When looking to purchase compression products, please note that donning them is not easy without proper practice. Don't make it easy on yourself by buying a larger size than you need. Medical jersey should support blood vessels, and not just touch the skin!

In any case, before making your choice in favor of this or that product of compression hosiery, it is better to first consult with your attending physician and find out his opinion regarding which model of which manufacturer he recommends in your case. You can also look for information and reviews on the use of compression hosiery from various manufacturers on special medical thematic forums.

Medicines

The standard treatment regimen uses:

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

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

Pelvic varicose veins and pregnancy

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

Increase in circulating blood volume.
Providing an increased load on the vessels of the developing fetus. It compresses 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.

Pelvic varicose veins 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 themselves as developmental defects of the child.

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