Treatment and rehabilitation of pelvic varicose veins.

causes of pelvic varicose veins

Both men and women are susceptible to varicose diseases, but the weaker sex often suffer the consequences of this disease. Most of the time, associations with the mention of varicose veins arise with swelling of the veins in the legs below the knee, but varicose veins of the small pelvis exist in women. This is a fairly common disease that all reproductive women are at risk of contracting.

Most often, varicose veins in the small pelvis occur in women doing heavy physical work or during pregnancy. This is due to increased stress on the female body, leading to increased venous pressure, leading to varicose veins of the hip.

Sudden pain in the lower abdomen is the first symptom of varicose veins in the small pelvis.

Varicose veins of internal organs are especially dangerous for pregnant women and is one of the main reasons for prescribing a cesarean section. Doctors explain this by the fact that natural childbirth can lead to bleeding and the lives of the mother and child will be at risk. The incidence of this disease during pregnancy is due to the fact that the enlarged uterus is compressed and interferes with normal blood circulation. Elevated hormone levels are also a contributing factor to varicose veins in the small pelvis.

Due to changes in hormonal levels in mature women, the disease can begin to develop during puberty. The situation is complicated by the fact that it is quite difficult to detect varicose veins of the pelvic veins, because the disease that arose during this period of life rarely progresses with obvious symptoms. An indirect reason for visiting a specialist may be an increased secretion of the organs of the female reproductive system.

Very often, small pelvic varicose veins in women occur during sedentary work in the office. This is due to the loss of plasticity of the venous walls, due to the low mobility of a person. Men are also susceptible to this disease, but much less frequently than women.

The most obvious symptom of varicose veins in the small pelvis can become more frequent pain in the lower abdomen, especially when standing, when the body is upright. Pain can often be caused by sexual intercourse or other strong stresses on the body. Also, from the small pelvis, varicose veins can spread to the perineum and gluteal region.

Experts refer to internal varicose veins of the small pelvis as a complex disease. This is due to the difficulties in diagnosis, because there are not so many symptoms of the onset of the disease and they do not manifest clearly. Timely detection of varicose veins gives hope for a full recovery. There is also a high probability of a misdiagnosis at an early stage of the disease.

The main causes of the disease

How do pelvic varicose veins manifest

Poor heritability may be the problem.

Connective tissue dysplasia is considered a harbinger of its pathology, which causes varicose veins of the pelvic vessels. These problems are often caused by poor heredity, but people whose life is combined with the following factors can also suffer from varicose veins:

  • Office work or other sedentary occupation;
  • Intense physical activity, if the body is not prepared for it beforehand;
  • Irregular sexual activity;
  • High Estrogen Hormone;
  • Gynecological diseases of women, frequent inflammation;
  • Tumors located near internal organs.

The studies carried out demonstrate the connection of the use of contraceptives and other hormonal drugs with the appearance of varicose veins in the small pelvis.

The coverage of this disease in pregnant women requires special attention. Unfortunately, up to 30% of all cases, diseases are observed in women during this period. Doctors tend to believe that pregnancy can trigger the appearance of connective tissue dysplasia in a woman's body, leading to varicose veins.

Varicose veins of the small pelvis in women occur due to an increase in the amount of female hormones in the body, their effect has a similar effect on the body with the use of contraceptives. This is compounded by the fact that during the development of the fetus, pressure is exerted on the internal veins of the pelvis, causing increased compression. Additional pathways for blood outflow are formed, which are no longer needed after delivery, and a recovery procedure is required to remove them.

In the prenatal clinic for those who register, there is a risk group, which includes women with a predisposition to inflammation of the reproductive organs. Pregnant women with high levels of estrogen also require special attention.

Symptoms of the disease

the main symptoms of pelvic varicose veins

The main symptoms of varicose veins of the pelvic organs include more frequent pain in the lower abdomen, as well as abundant mucous discharge from the genitals. But these signs may have other reasons, which is why it is so difficult to diagnose such varicose veins of the small pelvis in the early stages.

Indirect signs include the detection of swollen veins in the buttocks and perineum. In some patients, pain in the lower abdomen increases during the first days of the menstrual cycle.

Among the main symptoms that indicate pelvic varicose veins in women are:

  • The pain before menstruation is stronger than usual;
  • Menstrual irregularities;
  • Improvement of sensitive sensations in the perineal region;
  • Pain radiating from lower abdomen to lower back;
  • Increased vaginal sensitivity;
  • Frequent urination;
  • Severity in the lumbar spine when standing or sitting for a long time.

Depending on the stage of development of pelvic varicose veins and the individual characteristics of each woman, several symptoms can be observed at the same time, or each one of them separately. In any case, if one of the listed signs is detected, you should visit the gynecologist's office.

Diagnostic methods

There are several methods to detect and diagnose varicose veins of the pelvic organs, but Doppler ultrasound is considered the main one. Using this procedure, it is possible with ultrasound waves to identify the contours of the veins and project them on the screen of the device or take a photo. The image allows you to find all the places of deformation of the veins, the blood flow of which is reduced.

diagnostic options for pelvic varicose veins

To get a clearer picture, doctors use phlebography in diagnosis. The uterine veins are filled with a substance that provides contrast during fluoroscopy.

The difficulty in diagnosis, along with the mild symptoms, is the absence of a specific localization site, the varicose veins of the small pelvis.

When diagnosed by a doctor, varicose veins can be mistaken for a common inflammatory process, the likelihood of such an error occurring is especially high in the early stages.

Important!If the gynecologist diagnosed inflammation and prescribed a therapy, but it does not help to cope with the symptoms, it should be understood that such an effect is not normal and a second visit to the specialist is imperative.

With great confidence, you can make a correct diagnosis using the following methods:

  • Doppler ultrasound;
  • Phlebography - fairly accurately diagnoses varicose veins of the small pelvis;
  • Ultrasound of the venous system: in different situations, a vaginal examination or a transabdominal examination is used;
  • Laparoscopy: thanks to this method, you can also identify varicose formations in the ovaries;
  • Selective ovarcography: This diagnostic method is more likely to detect varicose veins in the small pelvis. To do this, contrast liquid is injected into the veins of the thighs and the subclavian region.

If the diagnosis is not accurate, the patient can be sent for further examination. A blood test is prescribed.

Classification of the degree of disease

Depending on the stage and severity of pelvic varicose veins, they can be divided into three categories. An important parameter in this regard is also the location of the venous dilation.

  • Varicose veins in the small pelvis in the first stage swell the veins up to 5 mm due to the appearance of a small number of deformed areas;
  • In the second stage, the veins acquire a diameter of 6 to 10 mm and a loose ectasia of the plexus occurs in the ovary;
  • The last grade is the most dangerous, the patient's venous swelling exceeds 10 mm in volume. The third degree of damage is characterized by the parametric location of the main type.

After a successful diagnosis and determination of the disease stage, the appropriate treatment of varicose veins is prescribed.

Conservative treatment methods

methods to treat varicose veins of the small pelvis

It is best to contact the appropriate specialists after an accurate diagnosis has been established. Diseases associated with varicose veins are treated by a phlebologist. You can get a referral only after a gynecologist makes the diagnosis and a urologist confirms the expansion of the pelvic veins in men.

The main tasks that put the doctor on the path to the patient's recovery are:

  • Restoration of damaged vein walls and return them to their usual tone;
  • Prevention of the formation of a posterior stagnation of blood in the veins of the small pelvis;
  • Improvement of the condition of the vein tissue.

To solve the established tasks, a complex therapy is used, which includes a special diet, rehabilitation exercises, medications for the treatment of varicose veins and the use of special shaping underwear.

Therapeutic phase of treatment

The main goal of therapy for small pelvic varicose veins is to restore blood flow and normalize the tone of elastic tissues. The stages of eliminating the unpleasant symptoms of the disease and increasing blood circulation in the veins are no less important.

Preparations for varicose veins should only be prescribed by a phlebologist. There are two groups of prescription drugs for this disease. The first (venotamic drugs): improves the tone of the vein tissues, and the second (angiaggregants): prevents the formation of new blood clots.

In case of exacerbation of small pelvic varicose veins, taking medications in cycles is an important part of therapy. The main role in the treatment is given to venotonic drugs, which improve vascular tone. To prevent recurrence of the disease, these drugs are prescribed for prophylaxis.

Preparations for the treatment of varicose veins of the small pelvis can only be prescribed by a doctor, self-medication is unacceptable!

medicines to treat varicose veins in the small pelvis

In general, preparations for varicose veins contribute to:

  • Stop the backflow of blood;
  • Normalization of venous tone;
  • Helps with blood supply to tissues;
  • Reduce the discomfort of the symptoms of the disease.

It should be remembered that the use of drugs should be combined with special exercises and a prescribed diet.

Traditional medicine

For the treatment of varicose veins of the small pelvis, popular methods are often used, among the main remedies are herbal teas that restore the normal tone of the veins. The most popular decoctions are the roots of horse chestnut, chaga and dandelion.

Hirudotherapy has proven its effectiveness among people: leeches should be applied in the region of the sacrum and coccyx.

This is important to know!It is impossible to let the varicose veins revealed in the small pelvis deviate or to rely only on the means of traditional medicine. This rather dangerous disease must be treated comprehensively, with the mandatory intake of drugs, and the use of infusions and decoctions can only be an additional means.

Preventive gymnastics

There are several physical training techniques to restore tissue tone.

  • Raising and lowering the toes, the exercise is performed in a standing position, the number of repetitions is at least 30, the toes and heels are parallel;
  • Same, just separating the socks and aligning the heels 30 times will be enough;
  • Repeat the lifting of the toes, extending the heels to the maximum and bringing the toes together;
  • Pelvic varicose veins can be treated with breathing exercises by diminishing them by imagining how all the abdominal muscles are involved;
  • In the prone position, lift your pelvis holding it with your hands and do the "bicycle" movement, for those who find this exercise difficult, you can replace it with a "birch" or alternate them.
gymnastics as a method of treating varicose veins of the small pelvis

Physiotherapy works well if the veins of the small pelvis are dilated, in addition, it is convenient to do it anywhere. The main condition for success will be the regularity of conducting special exercises, but in no case should you try too hard during classes.

It is equally important to follow a healthy lifestyle if you have been diagnosed with venous dilation. During physical work, regular breaks should be taken, and if it is associated with a long stay in a static position, it is necessary to periodically take a break, warm up and walk.

A good solution would be to use a contrast shower, varicose veins cause unpleasant sensations in the perineal area, so it will not be superfluous to direct the water jet towards this area.

Proper nutrition

It is important to develop a diet so that there are no problems with stools, especially constipation. With these, venous expansion can be aggravated by increased internal pressure during bowel movements. It is also better to avoid eating too spicy and fatty foods, as they affect the formation of blood clots.

The nutritional correction of pelvic varicose veins implies the exclusion of foods high in saturated fat, any alcoholic beverage. Preference should be given in the diet in favor of foods rich in fiber (vegetables and fruits, cereals), healthy fats (vegetable oils).

After learning from the doctor how to treat varicose veins of the small pelvis and what food restrictions to apply, you need to take care of the general condition of the body, for this it is better to stop bad habits (smoking and alcohol) during rehabilitation.

Possible complications

possible complications of pelvic varicose veins

Varicose veins of the pelvic organs can cause serious complications to the female body, especially in the later stages of the disease. Sometimes the inflammation spreads to neighboring organs, the bleeding from the uterus seems more frightening.

For better protection, you need to understand the danger of pelvic varicose veins. Frequent bleeding in the uterus can contribute to the formation of thrombosis, in addition to becoming an extensive inflammatory process.


Pelvic varicose veins in women can contribute to the development of serious consequences, but most often it occurs in the later stages, in view of the late detection of the disease. Therefore, you should pay attention to pain with pelvic varicose veins, because they are the most obvious symptom, indicating the need to go to the doctor.