Modern medicine does not pay much attention to varicose veins of the small pelvis.This problem began to be discussed only in the 80s of the last century.In this sense, the diagnosis of pathology today is difficult.Many specialists of the Soviet school do not understand the treatment of pelvic varicose veins in women.Therefore, vascular diseases continue to progress and cause serious changes in the functioning of the reproductive system.
What are varicose veins of the pelvic vessels?
When talking about varicose veins of the small pelvis, many people remember hemorrhoids.However, when the issue concerns the female population, the problem takes on global proportions.The intestinal vessels do not necessarily suffer from pelvic varicose veins in women.Therefore, the absence of hemorrhoids is no guarantee that the patient does not have pelvic varicose veins.
The first mention of pelvic varicose veins in women appeared only in 1975. Initially, unjustified surgical methods were used for treatment.
Pelvic varicose veins are an unnatural stretching of blood vessels.For some reason, the veins lose their elasticity.They, as before, absorb the necessary amount of blood, but can no longer expel it.As a result, biological fluid stagnates in the vessels.The walls are stretched, thinned and damaged.The disease progresses throughout life and does not manifest itself immediately.Therefore, varicose veins of the pelvis are most often found in women between 30 and 40 years old.The danger of varicose veins is that stagnant processes develop in the dilated vessels.This increases the risk of blood clots.In addition, varicose veins of the small pelvis greatly reduce a woman's quality of life and cause other health problems.
Causes of varicose veins of the pelvis.
Since varicose veins in the female pelvis 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 appearance of the pathology, but none of them have found recognition to date.
The causes of varicose veins in the pelvis can be:
- Hereditary predisposition.Observations show that the examined patients had cases of vascular diseases at an early age in their families.
- Wrong lifestyle.Vascular diseases develop as a result of poor nutrition, smoking, alcohol abuse and a sedentary lifestyle.
- Connective tissue dysplasia.A decrease in collagen and other connective tissue components causes stretching of blood vessels.
According to statistics, up to 35% of healthy people suffer from connective tissue dysplasia and acquire vascular diseases in old age.Of them, around 70% are women.At the same time, experts have not yet learned how to anticipate such changes and effectively prevent varicose veins of the small pelvis.
Risk factors
Varicose veins of the pelvis develop more often in women who:
- have bad habits;
- lead a sedentary lifestyle;
- spend a lot of time sitting;
- don't live an intimate life;
- they are overweight;
- suffers from varicose veins in the lower extremities;
- having given birth at least once;
- He underwent abdominal surgery.
Varicose veins of the pelvis: symptoms in women.
Not all patients with pelvic varicose veins have symptoms.Many women are unaware of their illness for many years and suddenly find out.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 errors when making the diagnosis.For example, a woman complains of abdominal pain and the doctor detects inflammation of the appendages, but in reality the symptom is caused by varicose veins.
Symptoms of the disease:
- pain in the lower segment of the abdominal cavity, radiating to the sacrum or leg;
- discomfort during sexual intercourse;
- feeling of heaviness in the pelvis during menstrual bleeding;
- swelling of the lower abdomen;
- varicose veins of the external genitals, lower extremities;
- increased platelets in the blood.
If a woman is at risk and has the classic symptoms of pelvic varicose veins, then this disorder should be excluded.To do this, clinics use laboratory, instrumental and hardware diagnostic methods.
Varicose veins of the pelvis during pregnancy.
Varicose veins in the pelvis can cause women to become pregnant because blood circulation in the pelvis is impaired.If the disease affects the gonads, their functioning changes.However, in most cases, varicose veins do not prevent conception, but can cause problems during pregnancy.
During pregnancy, special attention should be paid to patients with varicose veins of the small pelvis.During the gestational period, various problems with the blood supply to the placenta are possible, which have irreversible consequences on the development of the fetus.With a high level of platelets in the blood, women need injections of slimming drugs to prevent pregnancy complications.
Diagnostic methods in the clinic.
The doctor may suspect varicose veins of the small pelvis in a woman already during the first examination.The gynecologist compares symptoms, evaluates risk factors and performs a bimanual examination.On palpation, the patient feels pain in the pelvic area.If varicose veins are present on the external genitals or inner thigh, it is very likely that the problem is also present in the pelvis.To confirm pathology, clinics use instrumental and hardware techniques:
- Ultrasound.When examining the pelvis, specialists often do not pay attention to the vessels.However, the latest ultrasound machines allow veins to be examined.In the case of varicose veins, they are tortuous and dilated, and also have an unnatural location.
- Dopplerography of blood vessels.The diagnosis evaluates the state of the vascular and venous system of the pelvic organs.In varicose veins, a reduced systolic velocity is detected in the iliac veins of the ovary and uterus.
- Laparoscopy.Using an optical system, surgeons examine 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 the location of the veins in detail and see the areas of their expansion.
Additionally, laboratory tests can be used.For differential diagnosis, the doctor prescribes additional examinations, depending on the results obtained.
Treatment of pelvic varicose veins in women.
In the absence of pronounced changes in the veins, patients are prescribed drug treatment.Venotonics and anticoagulants are used and vitamin therapy is recommended.Typically, one to four courses are offered over the course of a year.In case of varicose veins of the pelvis, it is important to improve the quality of life and relieve the patient of painful symptoms.
The treatment of vascular pathologies is necessarily 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, follow proper nutrition and give up bad habits.
During pregnancy, it is recommended to periodically consult a phlebologist.If necessary, the doctor will prescribe unscheduled examinations.During pregnancy in the second half of the gestational period, medications can be used to maintain the tone of the veins, but only as prescribed by a doctor.Medications prescribed during pregnancy are first evaluated to determine the expected benefits and possible risks.
Treatment in the clinic.
If there are no results after outpatient treatment, hospitalization may be recommended.Correction of pelvic varicose veins in clinics is performed surgically.Modern surgery uses minimally invasive techniques: sclerotherapy, laser coagulation and others.If the need arises, open surgery is prescribed.
There is no single treatment regimen for pelvic varicose veins.An individual approach is selected for each woman.During the treatment process, the regimen may be changed based on an evaluation of the results obtained.
Prevention
Prevention of varicose veins of the small pelvis should be carried out from an early age.It is a mistake to believe that this pathology occurs in middle-aged women and does not threaten girls.Varicose veins begin to develop many years before the clinical picture appears.Therefore, the prevention of vascular disorders is necessary for everyone.
Recommended:
- lead a healthy lifestyle;
- adhere to proper nutrition;
- eliminate bad habits;
- maintain a normal body weight;
- undergo periodic medical examinations or paid screening diagnostic programs, which many medical centers offer.
If you suspect pelvic varicose veins, you should contact a gynecologist and a phlebologist.