Most people have heard or known about diseases such as varicose veins. However, not everyone knows that this pathological process not only affects the leg canal, but can also affect the veins of the pelvic organs, which is very important for women.
To overcome this disease, you first need to know what symptoms to look for. But it is equally important to have an idea of this type of varicose vein, why it develops, and also ways to deal with it.
Pathological essence
Varicose veins are pathologies in which a number of pathological changes occur in the ducts, external or internal. First of all, we are talking about deformation, which means the expansion and elongation of veins, but in addition, there is a thinning of the vascular wall, as well as the development of a deficiency of the valve system. All these factors cause blood circulation to be disrupted in the vascular bed, as a result of which the blood stagnates, and the blood vessels themselves begin to collapse due to excessive pressure.
Pathology poses a minimal threat at an early stage, but as it develops, the risk increases exponentially, especially when it comes to varicose veins in the pelvic area.
In such situations, the outflow of blood from the pelvic organs is disrupted, first of all threatening the function of the female genitals, as well as disruption of reproductive function.
Due to stagnation in the varicose veins of the pelvic veins, excessive amounts of blood accumulate, originating from the external and internal organs of the pelvis. In this case, the blood does not "disappear" well into the genital vein, a large magistral vessel. Because of stagnation, edema of internal organs and tissues occurs, inflammatory processes develop, and so on.
Provided that this form of varicose veins develops, it is accompanied by a strong and persistent painful sensation, the development of various gynecological diseases, there is a real threat of infertility.
Causes of pelvic varicose veins in women
First of all, it is important to understand that varicose veins in the small pelvis are mainly affected by women who have reached puberty. The older you get, the higher your chances of getting the disease. If we make an analogy, according to statistics, after 35 years, varicose veins are diagnosed with a probability of around 50%, whereas at the age of 20 years this figure barely reaches 20%. Of course, predisposition factors play a very important role.
In general, the following causes and factors for the development of varicose veins in the small pelvis can be distinguished:
- Genetics - congenital predisposition is one of the leading causes of all types of varicose veins. This is not about the transmission of varicose veins themselves, but about the congenital predisposition to the weakness of the valve system, which makes it feel for years. Dysplasia or thinning of the vascular wall is also a genetic factor.
- Often, varicose veins develop as a result of severe hormonal disorders. It can be a hormonal disorder during menopause, or a hormonal problem caused by prolonged use of strong hormone medications.
- Pregnancy is the reason why women tend to develop all forms of varicose veins, especially the small pelvis. This factor is multifaceted, it combines both hormonal changes and increased load, as the growing fetus will increase the pressure exerted on the organs and pelvic ducts.
- Excessive exercise - with some probability, varicose veins in the small pelvis can develop if a woman does strenuous physical work, exposes herself to strenuous exercise, or simply spends a lot of time on her feet due to her professional activities (hairdresser, salesman, surgeon, cook). . . This also includes being overweight, as obesity causes a constant increase in load on the legs and pelvis, and cholesterol affects the condition of blood vessels.
- Medals also have weaknesses, overly inactive and inactive lifestyles can also cause varicose veins. Lack of proper level of movement provokes stagnant processes in the pelvic area.
- Intimate problems, especially related to sex. This may be the absence or prolongation of systematic sexual intercourse, inability to reach orgasm, and so on.
- Various diseases of the genital and intrapelvic organs.
- Pathology of the cardiovascular system and blood clots, such as thrombosis.
Clinical picture
As mentioned earlier, pelvic varicose veins are not a serious threat in the early stages of development. At the same time, this form of pathology is very difficult to detect, because the main symptoms of varicose veins are enlarged blood vessels, it is seen mainly in the legs, in the pelvic area, the blood vessels penetrate especially at later stages of development and not always.
However, the disease has certain clinical signs and it increases as varicose veins develop. Let us consider the clinical picture of pathology:
- Unpleasant and painful sensation in the lower abdomen. At first, these symptoms are unstable and vague, mild pain is rarely annoying, especially with vigorous physical exercise during the day. The development of these diseases causes the pain to increase, they become strong, naturally attractive, can continue.
- Painful sensations during menstruation should be observed separately. They appear with a menstrual approach, peak intensity usually falls within 1-2 days of menstruation. In this case, there may be scarcity or, conversely, excessive secretion.
- The development of varicose veins in the small pelvis is accompanied by pain and discomfort during sexual intercourse. As before, the pain was initially slight, but increased as the disease progressed.
- The pathological process is accompanied by irregularities in the menstrual cycle, this is indicated not only by excessive scarring or withdrawal, there is a delay in menstruation or an increase in the bleeding period.
- Itching, burning sensation, swelling may appear in the vagina and on the external genitalia. The external genitalia and mucous membranes can change color; at the next stage of development, there is cyanosis.
- In some cases, urination problems are observed, which manifests itself in the inability to completely empty the bladder, pain during urination, and sometimes even urination.
- In the later stages of the development of varicose veins in the perineal area, as well as in the external genitals, veins appear. Thick, convoluted vessels, often forming vascular "stars".
- With the development of severe varicose veins, uterine bleeding may begin, the risk of reproductive dysfunction and the development of infertility increases.
Conservative approach to treatment
For complete treatment of varicose veins in the small pelvis, a woman must follow all the recommendations of the doctor, as well as change her lifestyle. First of all, you need to pay attention to the load, if it is too high, they need to be reduced, if the patient leads a lifestyle that is too inactive, needs to play sports, walk more often, and so on.
Patients with varicose veins are strongly advised to adjust their diet, eat small snacks (fried, smoked, sweet in large amounts, salty), alcohol, caffeine may be. It is better to give preference to vegetables and fruits, fermented dairy products, cereals.
Also, as a preventive measure of disease progression and for therapeutic purposes, doctors prescribe the use of compression pants for patients with varicose veins.
Drug therapy
Despite the importance of the above recommendations, drug therapy is still the basis of conservative treatment.
It is important to understand that all medications, dosages and duration of administration, are determined by the doctor.
Since the main purpose is to normalize blood flow and maintain vascular condition, then the treatment is based on drugs from the following groups:
- Venotonics - responsible for tightening blood vessels.
- Anticoagulants - reduce blood viscosity and prevent blood clots.
Traditional medicine
Traditional treatment methods are not very effective, but in combination with drug therapy, these methods can significantly improve the patient's condition and have a positive effect on treatment in general. Among the popular methods, the following are very effective:
- Application of horse chestnut to make special tinctures and creams.
- Apply apple cider vinegar for varicose veins.
- Boil chamomile or larch.
It is important to understand that for the treatment of varicose veins in the small pelvis, in traditional medicine, the main recipe is used where decoctions and infusions of the drug are taken orally. This is due to the fact that not every ointment, and especially compresses, can be used in the pelvic area.
Surgical treatment methods
It should be noted that conservative treatment methods give really visible results especially in the early stages of varicose veins. At the same time, the problem can be solved fundamentally and the disease can be completely eliminated only with surgery. In modern medicine, there are many variations of varicose vein surgical treatment, consider the most common and effective types of surgery:
- Sclerotherapy- a special chemical composition injected into the lumen of the affected vein, which has sclerosis, i. e. , adhesive properties. As a result, the veins are glued together, until they are removed from the circulation and replaced by connective tissue.
- Laparoscopy- a small puncture is made in the abdominal cavity, where, with the help of surgical instruments, the ovarian vein is trapped for the purpose of further amputation.
- Endovascular surgery- the surgeon reaches the affected duct through the femoral vein, after which, using special equipment, the ovarian vein embolizes.