Small pelvic varicose veins in women

Small pelvic varicose veins in women (ectasia, parametria, dilatation or phlebostasis) are triggered by this condition due to the backflow of blood through the ovarian arteries, which appear as a result of vascular compression.

Increased progression of the disease is pregnancy.

The internal varicose veins of the small pelvis are expressed by intense and prolonged pain in the lower abdomen.

In the literature, small pelvic varicose veins are also defined by the terms "pelvic vein congestion syndrome", "varicocele in women", "chronic pelvic pain syndrome".

In most cases (80%), varicose transformation affects the ovarian veins and very rarely (1%) is observed in the extensive ligament veins of the uterus.

According to modern medical approaches, VVMT treatment should be performed not from a gynecological point of view, but, first of all, from a phlebology point of view.

The cause of the appearance of pathology

Often, pelvic vein ectasia is determined in women. Moreover, as a rule, this disease in gynecology is diagnosed in patients aged 20-40 years.

Often, patients with small pelvic varicose veins first try to undergo treatment at home. Folk methods, used without the advice and recommendation of a doctor, can lead to the emergence of negative side effects, so after a while you need to go to a phlebologist for a consultation.

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

1. Excessive increased physical activity.
2. Passive lifestyle.
3. Congenital diseases of the walls of blood vessels - weakness, plasticity, retardation.
4. Inflammatory processes in the pelvic organs.
5. Hormonal imbalances.

Pathology of sexual plans - anorgasmia, pain and the appearance of discomfort during sexual intercourse, which have a psychological etiology of appearance, while they often practice interrupted sexual intercourse.

At the same time, small pelvic varicose veins, the treatment and symptoms of this disease are similar to varicose veins on the legs. In this condition, the valves in the veins begin to interfere with the work of the valves that help the flow of blood to the heart muscle.

Valve dysfunction appears, which acts as protection for reverse blood flow.

If their work is interrupted, then blood stasis begins in the veins. The veins are filled with an increase in blood volume, which further increases the phenomenon of stagnation.

Pelvic venous congestion usually occurs near the vulva, fallopian tubes, uterine area, and can also dilate the veins in the vagina.

The first signs and symptoms

A number of basic clinical symptoms indicate the development of varicose veins. The most important of the symptoms of this disease is unreasonable pain in the lower abdomen, in the pelvic area, often they begin to radiate to the perineum or to the lumbar region. Patients are also bothered by the release of a lot of mucus from the vagina, especially in the middle of the monthly cycle.

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

1. In certain cases, infertility is observed in women.
2. Dysmenorrhea. Manifestations of pain during menstruation.
3. A clear pathway for premenstrual symptoms.
4. Radiation of pain in the groin, lower back and sacrum.
5. Symptoms of dyspareunia (manifestation of discomfort in the vagina or vulva, during sexual intercourse and after completion).
6. Manifestations of a painful crisis (due to severe hypothermia of the body, excessive physical fatigue, psychoemotional stress).
7. The appearance of pain in the abdomen after prolonged load (dynamic or static).

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

• varicose veins may be a contraindication to natural transmission;
• the work of the reproductive organs is disturbed;
• there is a fear of sexual intercourse;
• irritation and anxiety appear.

It must also be said that all the above symptoms can be expressed in different ways, in certain patients all the signs of the disease are observed, and in some only a few of them.

Methods for diagnosing disease

To establish a correct diagnosis, the patient must undergo a comprehensive examination. If a woman complains of pain that appears for an unknown reason, then the specialist first of all determines all the reasons that are factors in the manifestation of symptoms of pain. The lower part of the patient is carefully examined. So you can identify the manifestations of varicose veins. In some cases, the diagnosis is made by a vascular doctor.

The main diagnostic methods are as follows:

1. Ultrasound of the venous system. Examination makes it possible to examine tortuosity and varicose veins.
2. Laparoscopy. Determine the varicose veins in the ovarian area.
3. CT. It is possible to exclude the disease, to identify varicose veins in the ovaries and uterus, to see the enlargement on the monitor, as well as their twists.
4. Selected ovaryography. The most accurate inspection. It is done by injecting a contrast agent into the subclavian and femoral veins.
5. Doppler ultrasonography. Determine in the ovarian and uterine veins a decrease in the systolic speed of the process.

The use of this method makes it possible to define the symptoms of the disease more clearly.

Degree and approach of differentiation

To standardize the diagnosis and possible approaches to differential treatment, A. E. Volkov divides varicose veins taking into account the place of formation of venous ectasia and the size of the dilated duct.

Three stages of the disease are classified:

• first stage - the movement of the vessel "corkscrew", the size of the vein is not more than 6 mm;
• second stage - vein size of not more than 7-11 mm during the total type of varicose veins, VR veins of the uterine plexus arquata, VR parametric veins, loose ectasia of the ovarian plexus;
• third stage - vein size of more than 11 mm during the main form of parametric formation or total type of VR.

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

Methods for the treatment of varicose veins

During stage 1-2 varicose disease, conservative methods of therapy are most often used (rehabilitation gymnastics, NPS medications, venotonics).

Conservative therapy during venous congestion syndrome is symptomatic, including normalization of rest and physical activity, which excludes excessive active load and prolonged standing.

When a patient is diagnosed with varicose veins, the treatment procedure is primarily aimed at achieving the following tasks:

1. Relieves symptoms of bleeding, pain, etc.
2. Restoration of vein tone, increased blood circulation in tissues.
3. Cessation of reverse blood flow through the ovarian venous system.

It is necessary to realize that even a very high -quality therapy for this pathology will not completely cure varicose veins.

However, adequate treatment will make it possible to prevent major clinical symptoms and significantly improve the patient’s condition.

EMCT treatment includes several key components:

1. Regular exercise in medical gymnastics to prevent the onset of disease.
2. Course of drug use during severity.

Conservative therapy of affected veins

Due to the internal location of the veins infected with pathology, drugs are used orally, it is impossible to apply ointments and venous gels.

During this disease, the following drugs are used:

1. Horse chestnut extract - to relieve inflammation and swelling.
2. On the basis of diosmin - to eliminate high vascular elasticity, prevent damage, reduce permeability.
3. Vitamin C - strengthens vascular walls.

Doctors advise to combine conservative treatment with exercise therapy, as well as use compression underwear. Compression garments are especially needed during pregnancy.

Surgical intervention

Surgical intervention is an extreme method of treatment, used if the disease is in a very advanced stage and there is an assumption of venous VR.

Surgical operations are selected taking into account the location of the main vein disorder and involve the following interventions:

• crossectomy surgery - also used for leg vein disease;
• varicose veins in the genitals (usually performed simultaneously with perineal miniflebectomy);
• ovarian vein ligation.

If surgery is required, the choice of appropriate manipulation is quite individual, as everything depends on the location of the varicose veins.

Exercise and rehabilitation gymnastics

If we consider the necessary physical training, then women during the disease should do at least one exercise per day - "birch", "bike", "scissors".

Contrast baths in the pelvic area and breathing exercises are also very useful. At the same time, gymnastics done properly and efficiently is the fastest way to restore a healthy and normal life.

The simplest but effective exercises are as follows:

1. While lying on your back, lift your legs, then bend and lift as high as possible. Exercises are performed about 10 times.
2. In a supine position, stretch your legs, then, bending, pull to the chest area. Run at least 10 times.
3. For half an hour, you have to walk around the room. First - on the toes, then - on the heels, after - raise the knees as high as possible.
4. Lie on your stomach, taking turns to raise your legs. In the maximum position, the foot must be fixed for a few seconds. At least 7 approaches for each leg.

Recipes and folk remedies

Varicose veins can be treated at home.

The most well -known and common folk treatment methods:

1. Horse chestnut infusion.
2. Colored Kombucha.
3. Colored dandelion root.
4. Treatment with leeches, applied to the coccyx and sacral area.

Diet has an important role in the treatment of varicose veins. The daily diet must be balanced and have adequate natural fiber and protein.

Precautions

It is also necessary to use some simple tips that serve as VVMT prevention. Moreover, if they are constantly observed, they can also improve the overall condition of the body:

1. Exercise every day.
2. Use special tights for treatment.
3. Add more vegetables to your daily diet. Avoid foods that cause constipation.
4. During sedentary work, rest, you should walk at least 10 minutes every two hours.
5. Do not abuse alcohol or smoke.
6. Do not take hormone medications uncontrollably.
7. After a surgical intervention for VVMT, you should take a prophylactic dose of medications prescribed by your doctor.

Possible predictions

If the varicose condition is not treated at all, then after a while the veins start to grow more (by 90%), this threatens with serious side effects, including thrombosis. In the remaining 10% of patients with varicose veins, where they appear after pregnancy, the disease does not progress to a more severe stage, however, it never disappears on its own.

If you start pathological treatment, you can achieve full recovery (15-25%, taking into account the severity) or a significant improvement (55-60%), especially in the case of a simultaneous combination of surgical and conservative methods. . But, one way or another, after complex therapy, lifelong prophylaxis must be carried out, which consists of adhering to a proper lifestyle, regular medication or vein compression support.