Chronic uterine pain syndrome is also known as varicose veins in the pelvic organs or varicose veins in the uterus. The disease is more common in women of childbearing age, is difficult to diagnose and can be almost asymptomatic, but you should know the signs to avoid misdiagnosis of the female disease.
Are uterine varicose veins
Varicose veins are congestion of blood in a vein, which causes a loss of its elasticity due to hormonal changes or genetic predisposition. Blood vessels in the lower legs and pelvic organs are more often attacked by disease. Varicose veins in the small pelvis are more dangerous than manifestations of similar diseases in the legs because they cannot be determined visually, and infertility, inflammation of the ovaries, uterus and vagina can be the result of internal varicose veins.
Causes of varicose veins in the small pelvis
There are several theories about the appearance of this pathology in women of childbearing age. Pregnancy is considered to be the main trigger of uterine varicose veins. conditions arise for the development of this disease:
- increased concentration of progesterone in the blood, which loosens the walls of blood vessels;
- increased load on the pelvic organs (OMT), violation of their normal blood supply;
- reversing blood flow through the ovarian veins;
- chronic inflammatory processes of the uterus, appendages;
- artificial termination of pregnancy.
Not all pregnant women have this risk. the disease is genetically determined. Before planning a pregnancy, it is important to undergo a serious examination to exclude risks to your health and possible complications during childbirth. Uterine varicose veins are detected using diagnostic ultrasound, and confirmation of the diagnosis using trans-uterine phlebography, ovarycography.
Symptoms of varicose veins
The disease can be identified by two symptoms:
- chronic pain in the lower abdomen, exacerbated by physical exercise, during sexual intercourse, in the second half of the menstrual cycle and during pregnancy;
- increased whiteness.
The pain is exacerbated if a woman leads a sedentary and inactive lifestyle, during the inflammatory process of the genitourinary system. Often, uterine varicose veins are closely linked to sexual dysfunction. Symptoms may be minor or absent, depending on the stage of the disease:
- first stage - vein size (diameter) up to 5 mm, winding ducts (minor symptoms);
- the second - veins up to 10 mm, varicose enlargement in the parametric veins of the uterus;
- the third - a diameter of more than 10 mm, the total type of varicose veins.
What is dangerous during pregnancy
If the diagnosis is made before conception, then during pregnancy, symptoms may worsen due to hormonal changes. Many women wonder why varicose veins are dangerous and how to overcome them during pregnancy? If a woman is under the constant supervision of a doctor and monitors her health, then the violation of blood flow during pregnancy is not dangerous. In rare cases, varicose veins in the small pelvis can be a reason to prescribe a cesarean, more rarely - it can lead to placental insufficiency.
Diet for varicose veins
In the treatment, prevention of varicose veins of various etiologies, nutrition plays a very important role. Doctors recommend stopping drinking coffee, strong tea, and limiting sugar and salt consumption. It is useful to fill the diet with fresh vegetables, fruits, vegetable oils. Such a diet has a beneficial effect on blood flow, the condition of the walls of blood vessels, prevents fluid stagnation in the body, which relieves the load from the veins. It is important for pregnant women to limit the amount of fluid they drink, as hormone levels provoke blood stasis.
Treatment of varicose veins in the small pelvis
After identifying the signs of varicose veins, after confirming the diagnosis, the patient begins to be treated with conservative methods with the help of medication and physiotherapy. If treatment did not improve and the pain persisted, they had to undergo surgery. An important question for many people is how to treat varicose veins during pregnancy? At this time, a woman needs to be under the supervision of a doctor on supportive therapy, and after childbirth - to undergo intensive treatment.
Take venotonics
The first thing to treat varicose veins at uterine stage 1-2 is venotonic. Phlebologists appoint them after undergoing a thorough examination. Venotonic medication is prescribed. Taking the pill lasts from two to three months under the supervision of a doctor. During this time, OMT pain should be significantly reduced, menstrual pain syndrome should be reduced. It is better to combine such treatments with gymnastics that improve health.
Exercise
Mandatory physical activity involves walking and unloading exercises that relax the cervix and perineum muscles - these are "birch", "bicycle" exercises. Special breathing therapy exercises are useful - even deep breathing with muscle insertion in the lower abdomen. Also shown is the wearing of compression underwear and tights that support the legs, vascular plexus of the perineum and buttocks. Additional beneficial effects are provided by the contrast bath.
Surgical treatment of varicose veins
If drug treatment does not help, pain is not relieved, or the third stage of small pelvic varicose veins is diagnosed, then surgical intervention is given, the level of which is chosen, taking into account the location of the reverse blood flow:
- ovarian vein ligation;
- ovarian vein embolization;
- angiography (administration of contrast agents);
- open removal of the gonadal veins.
If the patient's varicose veins are observed not only in the pelvic organs, but also in the legs, then the Troyanov-Trendelenburg operation is used, which consists in removing the great saphenous vein. This method is commonly used in combating the third degree of uterine varicose veins and total venous dilatation. With an early diagnosis, it is possible to avoid surgical intervention, to stop its development at an early stage. It is necessary to exclude the factors that cause varicose veins and complications:
- smoking;
- alcohol;
- inactive lifestyle;
- self -treatment during hormonal changes, gynecological diseases;
- improper nutrition.