Modern medicine does not pay much attention to small pelvic varicose veins.This problem began to be discussed only in the 80s of the last century.In this regard, pathological diagnosis is difficult today.Many specialists of the Soviet school do not understand the treatment of pelvic varicose veins in women.Therefore, vascular diseases continue to develop and cause serious changes in the function of the reproductive system.
What are varicose veins in the pelvic canal?
When talking about small pelvic varicose veins, many people think of hemorrhoids.However, when the topic concerns the female population, the problem takes on global proportions.Intestinal veins do not necessarily have pelvic varicose veins in women.Therefore, the absence of hemorrhoids is not a guarantee that the patient does not have pelvic varicose veins.
The first mention of pelvic varicose veins in women appeared only in 1975. At first, surgical methods were used for treatment, which was not justified.
Pelvic varicose veins are unnatural stretching of blood vessels.For some reason, veins lose their elasticity.They, as before, take the necessary amount of blood, but can no longer push it out.As a result, biological fluid stagnates in the vessel.The walls stretch, become thinner, and become damaged.This disease develops throughout life and does not immediately manifest itself.Therefore, often pelvic varicose veins are found in women closer to 30-40 years.The danger of varicose veins is that the stagnant process develops in the stretched vessels.This increases the risk of blood clots.In addition, small pelvic varicose veins greatly reduce a woman's quality of life and cause other health problems.
Causes of pelvic varicose veins
Since varicose veins in the pelvis in women began to receive attention relatively recently, the problem is still not fully understood.Doctors cannot name the exact cause of the disease.There are different hypotheses about the occurrence of pathology, but none of them has found recognition until now.
Causes of varicose veins in the pelvis can be:
- Hereditary tendency.Observations show that the examined patients have a case of vascular disease at a young age in their family.
- Wrong lifestyle.Vascular disease develops as a result of poor nutrition, smoking, alcohol abuse, and an inactive lifestyle.
- Connective tissue dysplasia.The reduction of collagen and other connective tissue components leads to the stretching of blood vessels.
According to statistics, up to 35% of healthy people suffer from connective tissue dysplasia and acquire vascular disease at an older age.Of these, approximately 70% are women.At the same time, experts have not yet learned to anticipate such changes and effectively prevent small pelvic varicose veins.
Risk factors
Pelvic varicose veins develop more often in women who:
- have bad habits;
- lead a sedentary lifestyle;
- spend a lot of time sitting;
- not living an intimate life;
- being overweight;
- having varicose veins on the lower leg;
- have given birth at least once;
- undergo abdominal surgery.
Pelvic varicose veins: symptoms in women
Not all patients with pelvic varicose veins have symptoms.Many women are unaware of their disease for years and find out about it suddenly.Some have clinical manifestations but associate them with other conditions.Due to the difficult diagnosis and little attention to this pathology, doctors also often make mistakes in making the diagnosis.For example, a woman complains of abdominal pain, and the doctor reveals inflammation of the appendages, but in fact the symptoms are caused by varicose veins.
Disease symptoms:
- pain in the lower part of the abdominal cavity, radiating to the sacrum or legs;
- discomfort during sexual intercourse;
- heaviness in the pelvis during menstrual bleeding;
- swelling of the lower abdomen;
- varicose veins of the external genitalia, lower legs;
- increased platelets in the blood.
If a woman is at risk and has classic symptoms of pelvic varicose veins, then this disorder must be excluded.For this purpose, the clinic uses laboratory, instrumental and hardware diagnostic methods.
Pelvic varicose veins during pregnancy
Pelvic varicose veins can cause women to become pregnant because blood circulation in the pelvis is disrupted.If the disease affects the gonads, their function changes.However, in most cases, varicose veins do not prevent conception, but can cause problems during pregnancy.
During pregnancy, patients with small pelvic varicose veins should be given special attention.During pregnancy, various problems with blood supply to the placenta are possible, which lead to irreversible consequences in the development of the fetus.With increased levels of platelets in the blood, women need injections of thinning drugs to avoid pregnancy complications.
Diagnostic methods in the clinic
Doctors can suspect small pelvic varicose veins in a woman already during the first examination.Gynecologists compare symptoms, assess risk factors and perform bimanual examinations.On palpation, the patient experiences pain in the pelvic region.If varicose veins are found in the external genitalia or inner thighs, then with a high probability the problem is also found in the pelvis.To confirm the pathology, the clinic uses instrumental equipment and techniques:
- Ultrasound.When examining the pelvis, specialists often do not pay attention to the vessels.However, the latest ultrasound scanning machines make it possible to examine veins.With varicose veins, they twist and widen, and also have an unnatural location.
- Dopplerography of blood vessels.Diagnostics evaluates the state of the vascular and venous systems of the pelvic organs.With varicose veins, a reduced systolic velocity is detected in the ovarian and uterine iliac veins.
- Laparoscopy.Using an optical system, the surgeon examines the inside of the abdominal wall, the surface of the uterus, and the appendages.
- Tomography.A computer or magnetic study using a contrast agent allows you to examine in detail the location of the vein and see the area of expansion.
In addition, laboratory tests can be used.For differential diagnosis, the doctor prescribes additional examinations, based on the results obtained.
Treatment of pelvic varicose veins in women
If there are no significant changes in the veins, the patient is prescribed drug treatment.Venotonics and anticoagulants are used, and vitamin therapy is recommended.Usually one to four courses are offered in a year.With pelvic varicose veins, it is important to improve the quality of life and relieve the patient from painful symptoms.
Treatment of vascular pathology must be complemented by lifestyle correction.It is important to reduce cholesterol levels in the body to reduce the risk of cardiovascular disorders.It is recommended to lead an active lifestyle, play sports, adhere to proper nutrition and abandon bad habits.
During pregnancy, it is recommended to see a phlebologist regularly.If necessary, the doctor will schedule an unscheduled examination.During pregnancy in the second half of the pregnancy period, medications can be used to maintain vein tone, but only as prescribed by the doctor.Medicines prescribed during pregnancy are evaluated in advance for expected benefits and possible risks.
Treatment at the clinic
If there is no result after outpatient treatment, hospitalization may be recommended.Correction of pelvic varicose veins in the clinic is performed surgically.Modern surgery uses minimally invasive techniques - sclerotherapy, laser freezing and others.If the need arises, open surgery is prescribed.
There is no single treatment regimen for pelvic varicose veins.An individual approach is chosen for each woman.During the treatment process, the regimen can be changed based on the evaluation of the results obtained.
Prevention
Prevention of small pelvic varicose veins should be done from a young age.It is a mistake to believe that this pathology is found in middle-aged women and does not threaten young girls.Varicose veins begin to develop years before the clinical picture appears.Therefore, prevention of vascular disorders is necessary for everyone.
Recommended:
- lead a healthy lifestyle;
- adhere to proper nutrition;
- eliminate bad habits;
- maintain a normal weight;
- undergo a regular medical examination or a paid examination diagnostic program, which is offered by many medical centers.
If you suspect pelvic varicose veins, you should contact a gynecologist and a phlebologist.