Varicose veins of the small pelvis in women

Varicose veins of the small pelvis in women (ectasia, parametria, dilated or varicose veins) are triggered by this condition by the reverse flow of blood through the ovarian artery, which occurs due to compression of the blood vessel.

The aggravation of the development of the disease is pregnancy.

Varicose veins of the small pelvis are manifested by severe and persistent pain in the lower abdomen.

In the medical literature, small pelvic varices are also designated by the terms "pelvic venous obstruction syndrome", "varicocele in women", "chronic pelvic pain syndrome".

In the majority of cases (80%), varicose veins affect the ovarian veins and extremely rarely (1%) are observed in the veins of the broad ligament of the uterus.

According to the approach of modern medicine, the treatment of VTE should not be done so much from the point of view of obstetrics and gynecology, but first of all, from the point of view of veins.

Causes of the appearance of pathology

Most often, pelvic vein distension is identified in women. Moreover, as a rule, this disease in gynecology is diagnosed in patients aged 20-40 years.

Often, patients with small iliac vein insufficiency will first try to conduct treatment at home. Folk methods, used without the advice and recommendations of a doctor, can lead to the appearance of negative side effects, so after a while you must visit a phlebologist. for advice.

The main factors that lead to the occurrence of this pathology include:

1. Increased physical activity.
2. Passive lifestyle.
3. Congenital diseases of the vascular wall - weakness, plasticity, underdevelopment.
4. Inflammatory process in the pelvic organs.
5. Hormonal imbalance.

Pathology of sexual planning - orgasm, pain and discomfort during sexual intercourse, there are psychological causes of the occurrence, while they very often interrupted sexual practice.

At the same time, small iliac varicose veins, treatment and symptoms of this disease are the same as varicose veins of the legs. In this situation, the valves in the veins begin to interrupt the work of the valves that help circulate blood to the heart muscle.

Valves come into play, they act as a protective measure for the backflow of blood.

If their work is interrupted, then blood will begin to stagnate in the veins. Veins are filled with blood and increase in volume, increasing stasis.

Pelvic vein congestion often occurs near the vulva, fallopian tubes, and uterus, and can even dilate the veins in the vagina.

First signs and symptoms

Several basic clinical symptoms suggest the development of venous insufficiency. The most important sign of this disease is unusual pain in the lower abdomen, in the pelvic area, often they begin to spread to the perineum or to the lower back. Patients are also uncomfortable because of a lot of mucus discharge from the vagina, especially in the middle of the monthly cycle.

In addition to the main symptoms, there are other very important varicose veins symptoms:

1. In some cases, infertility is noted in women.
2. Dysmenorrhea. Pain during menstruation.
3. Premenstrual symptoms can be felt.
4. Irradiation of the groin, lower back, and sacrum is painful.
5. A symptom of dyspnea (presentation of vaginal or vulvar discomfort, both during and after sexual intercourse).
6. Manifestations of a painful crisis (due to severe hypothermia, extreme physical fatigue, psychological stress).
7. Occurrence of pain in the abdomen after prolonged overload (dynamic or static).

Faced with this clinical symptom, it is necessary to consult a doctor as soon as possible, since this pathology can have a number of unpleasant complications:

• varicose veins can be a contraindication to natural delivery;
• the work of the reproductive organs is interrupted;
• fear of sexual contact;
• irritability and anxiety appear.

It must also be said that all of the above symptoms can be manifested in different ways, in some patients all signs of the disease are noted, and some only some of them.

Methods of diagnosis

To establish the correct diagnosis, the patient must undergo a comprehensive examination. If a woman complains of pain that appears for no apparent reason, then the therapist should first identify all causes as contributing factors to the pain symptom. The patient's lower extremities were carefully examined. This allows you to recognize the symptoms of varicose veins. In some situations, the diagnosis is made by a vascular physician.

The main diagnostic methods are as follows:

1. Venous system ultrasound. The test makes it possible to check for sag and varicose veins.
2. Abdominal endoscopy. Determination of varicose veins in the ovary.
3. CT. It can help rule out disease, identify varicose veins in the ovaries and uterus, to see the enlargement on a monitor, as well as their curvature.
4. Selective ovarian imaging. The most accurate medical examination. It is done by injecting contrast material into the subclavian and femoral veins.
5. Doppler ultrasound. Determination in the veins of the ovaries and uterus reduces the systolic rate of this process.

The use of these methods helps to more clearly identify the symptoms of the disease.

Degree approach and difference

To standardize the diagnosis and access differential treatment, A. E. Volkov subdivided varicose veins taking into account the site of formation of the venous hypersecretion and the size of the dilated vessels.

Three stages of this disease are classified:

• the first stage - the "cork" movement of the vessel, the size of the vein is not more than 6 mm;
• the second stage - the size of the veins is not more than 7-11 mm in total varicose veins, VR of the uterine venous plexus, VR of parametric veins, loose ectasia of the ovarian plexus;
• the third stage - the size of the vein is more than 11 mm during the formation of the main parameter or the total number of types of VR.

Taking into account the severity of the pathological process, you can use drug or surgical methods of treatment.

Varicose veins treatment methods

In the stage of varicose veins 1-2, conservative methods of treatment are most often used (gymnastics, NPS drugs, varicose veins).

Conservative treatment of venous thromboembolism syndrome is symptomatic, including normalization of rest and physical activity, exclusion of overload and prolonged standing.

When a patient is diagnosed with varicose veins, the main treatment procedures are aimed at achieving the following tasks:

1. Relieve symptoms of bleeding, pain, etc. v.
2. Restores venous tone, enhances blood circulation in tissues.
3. Stops backflow of blood through the venous system of the ovary.

It must be realized that even a very high-quality therapy for this pathology will not completely cure varicose veins.

However, adequate treatment will potentially prevent major clinical symptoms and significantly improve the patient's condition.

EMCT processing includes several key components:

1. Regular medical gymnastics to prevent the onset of the disease.
2. Of course use the drug during the exacerbation.

Conservative treatment of the affected veins

Because the site inside the vein is infected with pathology, taking oral medications, it is simply not possible to apply ointments and gels intravenously.

In this disease, the following drugs are used:

1. Horse Chestnut Extract - to reduce inflammation and swelling.
2. On the basis of diosmin - to get rid of the high elasticity of blood vessels, prevent damage, reduce permeability.
3. Vitamin C - strengthens the walls of blood vessels.

Doctors recommend combining conservative treatment with exercise therapy, as well as the use of compression underwear. Compression clothing is especially required during pregnancy.

Surgical intervention

Surgical intervention is an extreme treatment, used if the disease is very advanced and there is a presumptive VR of the vein.

The surgical operation is selected taking into account the location of the major disruption of the veins and includes the following interventions:

• transverse surgery - is also used for diseases of the veins of the legs;
• Genitourinary vein ligation (usually done simultaneously with episiotomy);
• ovarian varicose veins.

If a surgery is necessary, the choice of the appropriate manipulations is quite individual, since everything will depend on the location of the varicose veins.

Gymnastics and Remedial

If we consider the necessary physical exercises, then women during this disease need to do at least one of the exercises per day - "biking", "cycling", "pull".

Contrast showers in the pelvic area and breathing exercises are also helpful. At the same time, exercising properly and effectively is the fastest way to restore a normal and healthy life.

The exercises are simple but effective as follows:

1. While lying on your back, raise your legs, then bend and raise as high as you can. The exercise is performed about 10 times.
2. Lie on your side, straighten your legs, then bend and pull to the chest area. Run at least 10 times.
3. In half an hour you will need to walk around the room. First - with your toes, then - with your heels, then - raise your knees as high as you can.
4. Lie on your stomach, alternately raising your legs. In the maximum position, the leg should be immobilized for a few seconds. At least 7 approaches for each leg.

Recipes and folk remedies

Varicose veins can be treated at home.

The most popular and well-known folk remedies:

1. Horse chestnut infused.
2. Kombucha tincture.
3. Dandelion root tincture.
4. Treatment with leeches, is applied to the coccyx and sacrum.

Diet plays an important role in the treatment of varicose veins. Daily diet must be balanced, full of natural fiber and protein.

Preventive action

It is also necessary to use some simple tips to prevent VVT. Moreover, if they are observed regularly, they can also improve the overall condition of the body:

1. Daily exercise.
2. Use special tights for treatment.
3. Add more vegetables to your daily diet. Avoid foods that cause constipation.
4. During sedentary time working, taking breaks, every two hours you need to walk at least 10 minutes.
5. Do not abuse alcohol or smoke.
6. Do not take hormonal drugs uncontrollably.
7. After surgical intervention for VVM, you need to take prophylactic drugs at the dose prescribed by your doctor.

Possible forecast

If varicose veins are left untreated, then over time the veins begin to swell even more (90%), which threatens with serious side effects, including blood clots. In the remaining 10% of patients with varicose veins, which appear after pregnancy, the disease does not progress to a more severe stage, however, it never resolves on its own.

If you start to treat the pathology, you can either recover completely (15-25%, taking into account the severity) or make a significant improvement (55-60%), especially in the case of a contracturesurgical and conservative methods. . But, one way or another, after complex treatment, lifelong prophylactic treatment must be carried out, which includes adherence to a correct lifestyle, regular administration of drugs or support for compression of the veins.