Varicose veins of the pelvis are a difficult to diagnose disease that occurs mainly in women in the childbearing period of their lives.The disease is characterized by dilation of the veins in the pelvis, which makes it difficult for the reverse flow of blood.Before the introduction of the latest examination methods into medical practice, the diagnosis was rarely made and women were treated for years for other suspected pathologies of the genital area to no avail.
Causes of varicose veins of the pelvis
Varicose veins in the pelvis usually occur in women who have had one or more pregnancies.While carrying a child, the growing uterus compresses the blood vessels of the organs, which leads to circulatory problems in them.Pregnancy serves as a kind of trigger; in addition, the following reasons predispose to the onset of the disease:
- Constantly carrying heavy objects, which may be associated with professional activities.
- A job that requires you to stand or sit all day.
- Change in the location or shape of the uterus.
- Hereditary predisposition.Relatives have a tendency to weaken the walls of blood vessels.
- Sexual dysfunctions – lack of orgasm, pain during intercourse.
Dilation of the pelvic veins is often combined with venous insufficiency of the lower extremities.Therefore, if a woman suffers from varicose veins of the legs, it is necessary to conduct a detailed examination of the pelvic cavity; identifying the disease in the early stages will help in a positive result of treatment.
Signs of varicose veins of the pelvis
Symptoms of varicose veins of the small pelvis in the initial stage of development of the disease are not determined.As the blood vessels undergo pathological changes and the blood outflow worsens, constant, aching pain in the lower abdomen may be observed.A woman may suspect a disease based on the following signs:
- Pain of varying intensity in the lower abdomen.There is a transition of pain to the groin and lumbar region, to the perineum and sacrum.The pain intensifies during sexual intercourse and when the body remains in an upright position for a long time.
- The severity of premenstrual syndrome with pain and nervous symptoms.
- Menstrual irregularities.
- Discharge of copious secretions from the genital tract.
If the disease lasts for a long time without appropriate therapy, the patient can be replaced by the presence of spider veins on the buttocks, in the upper thighs, and in the perineum.The symptoms of the disease are similar to other gynecological problems and therefore, without a full examination of the body, a woman can be treated for many years with drugs from an unnecessary group of drugs, which can also increase vasodilation.
The consequences of untreated varicose veins of the small pelvis for a long time can be very sad.The main ones:
- Reproductive dysfunction.Women suffering from varicose veins cannot become pregnant for a long time.
- Varicose veins in the pelvis are contraindications for natural childbirth.A woman with such a diagnosis is required to have a caesarean section.
- The disease significantly worsens the quality of sexual life, which occurs due to pain and the inability to relax during intimate contact.
Pelvic varicose veins are often combined with hemorrhoids and dilatation of large and small veins in the legs.An extreme complication of varicose veins is the appearance of a blood clot, which can break off and clog the vessel.
Treatment
Treatment of varicose veins of the pelvis is carried out after a complete examination of the patient.Any woman suffering from vague and persistent pain in the lower abdomen should undergo an ultrasound examination.Modern equipment looks at the pelvic organs in three projections, which makes it possible to more accurately determine the cause of pain.In addition to ultrasound, Doppler sonography is used - a study that allows one to identify the characteristics of blood circulation.Diagnostic laparoscopy is performed if the examination fails to accurately identify the cause.
The prescription of conservative therapy or surgical intervention depends on the stage of the disease.In the first stages, as a result of treatment it is necessary to achieve:
- Stabilization of venous tone.
- Preventing stagnation in the pelvic vessels.
- Improvement of metabolic processes in tissues.
To treat the disease, venotonics, physical therapy, and wearing compression garments are used.Special stockings tighten the walls of blood vessels, thereby improving blood flow in the extremities, and therefore in all organs and vessels of the pelvis.Compression tights must be worn if you have varicose veins in the small pelvis during pregnancy, when lifting weights and when standing for long periods of time.Surgeries are used in the last stages of the disease, when drug therapy is ineffective.Modern medicine uses mini-interventions during surgery, which reduces the risk of developing adhesive disease and is less traumatic for patients.
Medicines are prescribed during the acute stage of the disease; during remissions, it is necessary to follow the recommendations proposed by the phlebologist.This is a diet rich in plant foods, which helps avoid constipation.A daily contrast shower aimed at the perineal area is indicated.When playing sports, you should definitely wear special tights.The doctor should recommend a series of exercises aimed at unloading the pelvic veins.Breathing exercises also help improve blood flow.The patient should give up alcohol and smoking.