Varicose veins of the pelvic floor in women: who will help – phlebologist or gynecologist

The mention of this disease, such as varicose veins, the majority of people imagine a pathological process in the lower limbs, which are visible to the naked eye. Varicose veins pelvic – about this kind of disease they talk and write much less. Many times, your symptoms are the presence of inflammatory processes in the organs of female genital mutilation, some hormonal disorders, pathology of the organs of the urinary system, lower back, sciatica.

Women varicose veins pelvic caused by stretching of the walls of the veins, the loss of strength. The peak incidence falls on the reproductive age from 25 to 50 years. Sometimes, the varicose veins of the extension can be set in adolescent girls in a period of rapid growth and formation in the hormone levels and the menstrual cycle. At this age, the disease may pass asymptomatically.

Another feature of the pathology – the tendency to the worsening and active manifestation in the period of gestation the child.

Symptoms and causes

Symptoms and causes

The obstruction of the vein and a fault in the system the normal circulation in the ovaries lead to a failure in the circulatory system. It is the provocative factor for the development of the disease can be the dysplasia of the connective tissue, which leads to a reduction in the amount of collagen and, as a consequence, the elasticity and strength of blood vessels.

Overall the negative factors and the reasons for the development of varicose veins of the pelvic floor:

  • the period of pregnancy due to the increase in the volume of blood in the vessels, the largest concentration of progesterone, large uterine;
  • regular intensive physical load;
  • multiple prior pregnancy and childbirth;
  • a sedentary lifestyle, particularly for the sit down of the activity;
  • gynecological diseases: pathological, construction of the uterus, endometriosis, inflammatory processes;
  • the practice over a long time of interruption of the sexual act, in order to protect against an unwanted pregnancy;
  • the prolonged intake of some hormonal of the funds;
  • the lack of satisfaction with sex life.

Cause the development of varicose veins can be hormonal imbalance, especially the increase of estrogen level.

As already mentioned, the pelvic varicose veins manifests itself in a way similar diseases female genital system. The main characteristic, that sets off alarm bells, it is a constant pain. They are felt in the lower part of the abdomen, may be so weak as to be almost palpable, and intensely-sharp. Many times pains that arise in the pelvis, distributed in the lumbar region or sacrum. The pain becomes more pronounced after physical stress, or, on the contrary, after a long stay in the same position (sitting or standing).

Should distinguish the following symptoms that manifests varicose veins of varicose veins of the pelvic floor:

  • increased bleeding after childbirth or gynecological procedures, called thinning of the venous wall, stop this bleeding difficult;
  • painful sexual intercourse, feeling of dissatisfaction sexual, the fear and the aversion to the sexual life in general, the emergence of strong by spasm of the muscles when you try to get in close proximity;
  • pain or increased urinary frequency, caused by your best of the bladder;
  • the increase in the vein of the vulva or perineum, accompanied by itching, swelling, burning;
  • thrombophlebitis of the veins, which is characterized by swelling or redness of the skin of the perineum, the increase of temperature and general weakness.

Distinguish varicose veins are veins of the vulva and the development of the disease as a result of thrombosis venous plethora. The disease can have three degrees of intensity.

When varicose veins:

  • 1) the measure of the diameter of the vein is 4-5 mm;
  • 2 degree – vienna increases up to 6-10 m;
  • Degree 3 – the diameter of the vein more than 10 mm.

The definition of the degree of severity of the pathology – one of the key steps of diagnosis, as well as help to determine the treatment. In the first two cases, generally quite conservative in treatment, changes in the power system, application of curative gymnastics. The third degree of severity of the disease requires the implementation of operations bandear of large veins.

During pregnancy

The disease – the problem repeatedly the women gave birth. The changes of the veins can occur already during the first pregnancy, and with each time the risk increases. At a certain stage of vienna's organs can no longer function fully, preventing the normal outflow of blood.

The risk increases if the woman:

  • diagnosed abnormal construction of the reproductive organs (in the first place, the uterus);
  • there is a genetic predisposition;
  • the excess weight fast or a set of pounds during the entire pregnancy;
  • there are bad habits (smoking);
  • the work which requires less physical effort long periods standing or sitting in the same place.
Why is a disease so often diagnosed in pregnant women?

This disease suffered by women in the third trimester of pregnancy, as increasing womb exerts pressure on nearby organs, creating barriers to normal activities.

Regulate the volume of blood that circulates in the body during pregnancy increases by almost 50 %. Not always vienna to deal with the increase for them a burden, especially if the situation is aggravated with multiple causing factors, about what has been discussed above.

Characteristic of a deep change hormonal in the body of the future mother also could not reflect on the elasticity of the walls of the blood vessels.

What is dangerous pathological increase of the portal vein during the pregnancy?

Varicose veins of the uterus and other organs is a serious threat of birth with serious consequences. Thin walls of the veins can always hurt us, and even broken, that the pain and the bleeding. These phenomena harmful and dangerous not only to the well-being of women, but also for your life.

One of the most common disorders – the risk of blood clots. They block the blood vessels, reducing or even preventing the normal ensure that the placenta and blood. This dysfunction leads to the aging of the placenta and starvation of oxygen of the fetus.

In 1 and 2 stages of varicose veins pelvic childbirth, usually pass through naturally. During the attempts of the health care team contributes to lower the pressure on the walls of the blood vessels. The need for simultaneous introduction of medication thinning the blood.

Severe (3) the form requires the implementation of caesarean section.

If you have this problem, pregnant should way to prepare for the future according to their families, namely:

  • from the second quarter of using pre-natal care, bandage;
  • actively move, delete, long stay standing or sitting in the same position (for example, from a computer);
  • to reduce the pressure in the vessels during sleep, put between the legs special pillow;
  • access to a swimming pool or regularly, take a bath of contrast.

Mums-to-be need to rethink their feeding, keeping, for timely evacuation.

Diagnosis

External gynecological examination allows you to easily identify the varicose veins of the extension of the vulva and perineum. But how to check if the same pathology of internal genital organs? To determine with precision the issue it is prescribed for other examinations, such as diagnostic ultrasound, phlebography, laparoscopy, computed tomography or magnetic resonance imaging.

Treatment

The disease does not belong to gynecological pathologies. Your treatment is the doctor done-phlebologist (vascular surgeon). But as pathology often detected during the passage of ultra-sound in the future, the woman can occur from two specialists – a gynecologist and phlebologist. Treatment of varicose veins of the pelvis should be comprehensive, including chemotherapy and treatment without the use of medications, application of dressings, the gym, the normalization of the power system and the revision of the regime of the day.

Drugs effectively eliminate the symptoms in the initial phase. Patients are prescribed medications in the period of exacerbation. The prolonged intake of such means is not recommended, as they tend to cause side effects. The drugs improve blood circulation, relieve the inflammation and pain, reduce the risk of blood clots.

How to treat advanced vein pelvic in pregnant women, and to the extent justified drug therapy in this case?

Given the potential for harm to the fetus, and the risk of emergence of side effects of prescription drugs to before you do not the second quarter, and only in exceptional cases. Until the occurrence of pregnancy in women never emerged such health problems more often than she recommend limiting drug-free therapy methods, for example, to use a special outfit.

To eliminate the stagnation of the phenomenon in the pelvis will help the gym. Most of the exercises are performed in a lying position. This can be the well known "birch", "bicycle", "scissors". When you run happens quite a lot to load at the bottom of the belly, contributing to an outflow of blood. Kinesiotherapy is complemented with the size-compression mesh fabrics.

Among the methods of treatment use and hirudotherapy, the treatment of the infestation of leeches, which puts you in the area of the coccyx.

Folk remedies

The tool of popular medicine effective to overcome the symptoms of the disease, if to apply them in their early stages. Great efficiency have teas and broths fungus and the root of the dandelion, dyes the base of the nut.

The most accessible form of application fungus – medicinal tea. For this, 3 tablespoons of dried fungus poured into 0,5 l of boiled water and insist in a warm place for several hours. Accept half an hour before a meal no more than 2-3 times per day.

Dessert a tablespoon of root of dandelion pour a glass of boiled water some hours, and then drink three times a day for 10-15 minutes before a meal. This tea is contraindicated to people who suffer from gastritis or disease of the biliary tract.

To prepare a tincture chestnut clean the fruit bark, is cut finely, put in a bottle of black glass and pour the vodka in a ratio of 1:10. The duration of the infusion is of 14 days. 25 to 30 drops of the tincture obtained is mixed with a little water and take three times a day. The duration of intake should not exceed 30 days.

The diet

The diet

Of great importance in the treatment of the disease have a balanced diet, with the exception of fatty foods and alcoholic beverages. On the menu that should include foods with a high content of fibers, fats of vegetable origin. The main products in the diet should be vegetables, fruits, juices, green tea. Not recommended sweet this pone, dishes with a large number of spices, fast-food. The feeding should be frequent, but in small portions.

Useful foods with a high content Of vitamin c (citrus fruits, blackcurrant), seafood (oysters, shrimp, cabbage). Dishes you need to cook with minimal salt.

Prevention

Methods of conservative therapy facilitate the state of patients and eliminate the risk of development of severe consequences. The main task of the treatment – to prevent recurrence, and the need for surgery. It is of great importance to the prevention of the disease and its recurrence.

Between the medical recommendations should be highlighted:

  1. To consume hormone drugs only by a physician and under its control.
  2. Lead a sedentary life with physical activities.
  3. Eliminate bad habits such as smoking and alcohol.
  4. Regularly complex of gymnastics exercises to support the health of blood vessels.
  5. To maintain a healthy diet with lots of fruits and vegetables.
  6. Use meshes of compression when the first signs of varicose veins.

The implementation of the prevention recommendations is also important during pregnancy, especially in its second half.

The review of diet, an active lifestyle, a regular visit to the doctor, the treatment extended the vein of the pelvis immediately after the detection of the specific illness will resolve the painful symptoms and help avoid surgery, during a long period of time.