The causes of varicose veins of the pelvis

Varicose veins of the pelvis are a serious pathology, which is the result of the reverse blood cast.Often, the disease develops due to squeezing vessels.A pregnancy can be a provoking factor, since this condition is accompanied by a significant change in the balance of hormones in the body.This variety of varicose veins is often accompanied by severe pain in the lower abdomen.

Reasons

There are quite a lot of causes of varicose veins of the pelvis in women.Typically, the disease develops under the influence of a number of factors.

The key of them include the following:

1. Changing the balance of hormones in the body.This condition can negatively affect the health of blood vessels.So, progesterone has a pronounced relaxing effect on smooth muscles, which provokes a decrease in venous tone.As a result, the vessels become more elastic, their valves are deformed and the walls are thinned.This provokes venous stagnation.This condition can also affect the pelvic area.
2. Inflammation and non -plastic pathologies of reproductive organs.In this case, therapy should be aimed at eliminating the main pathology.In infections or oncological diseases, blood circulation is seriously disrupted.These changes affect not only the pelvic area, but the whole organism.This is due to the ingress in the systemic bloodstream of toxic substances, inflammation mediators and other elements.
3. Complex physical activity.This factor often causes damage to the musculoskeletal system and entails the development of vascular diseases.In such a situation, blood circulation is significantly disturbed, which leads to insufficient nutrition of veins.They stretch too much and lose their functions.
4. Congenital anomalies of the structure of blood vessels and a genetic tendency to varicose veins.Violation of the structure of valves or walls provokes rapid deformation of blood vessels, which entails problems with their functioning.
5. A not enough active lifestyle.If there are no adequate loads, the veins lose their tone and elasticity.As a result, they become more flabby and cannot maintain blood circulation normal.
6. Pregnancy.In approximately 70% of cases, varicose veins are diagnosed in pregnant women.This is due to a combination of several factors simultaneously.These include a change in the balance of hormones, serious loads as a result of an increase in body weight, the transformation of the circulatory system, due to the formation of the placenta.

Under the influence of one or several factors at once, the varicose veins of the pelvis develop.Anomalous processes are usually localized in the vaginal area, ovaries and uterus.

The risk group includes people who tend to frequent inflammation of the pelvic organs.Often the disease develops against the background of tumor formations, cysts or endometriosis.Also, the risk of an ailment increases in women with a high estrogen content in the blood.

Classification

Two main forms of pathology are distinguished:

• The expansion of Vulva veins - in difficult situations, affects the inside of the thigh and the perineum zone;
• Venous plethora.

Typically, both varieties of the disease are present at the same time, but the symptoms of one of them are more manifested.This condition resembles a vicious circle: the expansion of Vulva veins causes problems with the venous outflow to the pelvis, and the dilatation of pelvic plexus provokes the expansion of Vulva veins.

Moreover, this ailment often disappears independently after childbirth.

Only in 2-10% of women its symptoms remain.

According to the degree of expansion, such varieties of the disease are distinguished:

• 1 degree- the size of the veins in a diameter of not more than 5 mm, they have a convincing move;
• 2 degree-the diameter is 6-10 mm, the varicose veins are totally or affects only the plexus of the ovaries, myometers or parameters;
• 3 degree- the size of the diameter of the vessels is more than 10 mm.

Signs

Symptoms of varicose veins of the pelvic veins are diverse and often resemble manifestations of lesions of nearby organs.The ailment usually proceeds with the dominance of signs of a certain form.

Vulvar varicose veins

The main symptoms of this form of the disease include the following:

1. Venous expansion.The main manifestation of this form is a noticeable expansion of veins in the zone of vulva or perineum.The patient herself can see them.This disease is accompanied by a sensation of itching vulva, heaviness and bursting pains in this zone.The doctor can identify the edema of the labia, an increase in veins in this zone.Often the process is accompanied by hemorrhoids.
2. Bleeding.This form of the disease can be accompanied by post -traumatic or sudden bleeding.Since the venous wall is very thinner, it is very problematic to stop this process even with operational methods.
3. Thrombophlebitis.A complication of such varicose veins is acute thrombophlebitis of the crotch veins.This process is accompanied by pronounced pain, redness and edema of the skin.The veins in the affected area become dense and painful.Inflammation can also develop, which provokes an increase in temperature and symptoms of intoxication.

Venous plethora

This type of pathology is characterized by the following manifestations:

1. Pain.They are present all the time, are felt in the lower abdomen and have a different degree of severity.The pain can be pulling or dumb in nature.Sometimes aching discomfort.Often he gives to the zone of the lower back, sacrum, groin and crotch.A distinctive feature of pain is their growth after a long stay in a motionless position.Also, loads and weight lifts lead to an increase in discomfort.
2. Discomfort during sex or after its end.This symptom leads to the appearance of vaginism and phobias.Often, women face high sensitivity of the epithelium of the perineum and the mucous membrane of the vagina.
3. Premenstrual syndrome.A characteristic manifestation of this form of ailment is an increase in pain in the second phase of the menstrual cycle.Women also face painful menstruation, they may violate the cycle.
4. Violation of urination.Sometimes there are problems with urination, which is due to the venous plethora of the bladder.

With a change in a normal lifestyle, the emergence of problems in sex and a deterioration in a psycho -emotional state, depressive states and neurosis develop.

Diagnostics

The main diagnostic procedure, which helps to identify the expansion of the veins of the pelvis, is ultrasound dopplerography.This procedure makes it possible to visualize the vessels through ultrasound.The procedure also helps to identify a decrease in the pace of blood flow and symptoms of impaired venous valves.

In addition, the diagnosis of varicose veins of the pelvis includes an excessive phlebography.This study of veins implies their content with contrast, which is easy to see on an X -ray.As a result, it is possible to get a whole series of vascular images.On them you can see the expansion of veins, areas of thrombosis, collateral.The doctor can also evaluate the condition of the valves.However, during pregnancy and iodine intolerance, this technique is not used.

In case of suspicion of expanding the veins of the pelvis in women, laparoscopy is carried out.To do this, a small puncture is performed in the abdominal wall, through which an endoscope is introduced.Using this tool, the pelvis cavity is inspected.

However, the most informative procedure is ovaricography.This term is understood as an X -ray examination of ovary vein using a contrast medium.

To differentiate a pathology with other lesions of the pelvic organs, computed tomography is performed.It is important to distinguish varicose veins in the pelvis from endometriosis, inflammation of the bladder.Differential diagnosis is also performed with anomalies such as uterine prolapse, radiculite, inflammatory damage to the large intestine.

Methods of treatment

The treatment of varicose veins of the pelvis should be complex.It includes general recommendations, medicinal and surgical therapy.

General recommendations

The basis of treatment is compliance with a special regime and proper nutrition.First of all, it is important to resolve the issue regarding working conditions.

The employee should be transferred to those activities that exclude weight lifting and significant physical activity.

If necessary, sitting or standing every half an hour for a long time, you need to take short breaks.At this time, you need to walk, squat, lift your knees high.The same principles must be observed after work.

Equally important is the power correction.

It is important to abandon the consumption of refractory fats, marinades, seasonings and spicy products.Also prohibited are alcoholic beverages and salting.A large number of fruits and vegetables, cereals and vegetable oils should be introduced into the menu.

People who have varicose veins of the pelvic organs should wear compression underwear.With its help, it is possible to restore blood circulation in the vessels and cope with the venous stagnation.In addition, gymnastics for varicose veins of the pelvis is very important.To do this, perform exercises such as scissors, birch, bicycle.It is also useful to make the following movements:

• Walk around the room on the heels, socks, with a high lift of the knees;
• Lie on your back, straighten your legs, and then bend them in your knees and pull them up to the chest;
• Lie on the stomach and alternately lift each leg;
• Lie on your back, raise straight legs, and then bend them in your knees and straighten them again.

To prevent recurrence of pathology, you need to engage in swimming, running a coward, ride a bicycle

It is very useful to take a contrast shower.It is especially important to pay attention to the lower abdomen, perineum and the inside of the hips.

Drug therapy

Treatment of varicose veins in the pelvis is carried out with drugs.

Most often, doctors prescribe such categories of drugs:

1. Phleboprotectors- They cope with inflammation, have an anti -depestation, reduce vascular permeability and normalize the outflow of lymph.
2. Phlebotonics- They help restore tone and increase the elasticity of the walls of blood vessels, improve the rheological properties of blood.
3. Antiplans- are the prevention of blood clots.
4. Nonsteroidal anti -inflammatory drugs- They help to cope with pain and inflammation.
5. Antioxidants and membraneoprotectors- They help to avoid oxidation, eliminate free radicals, and maintain the function of cell membranes normally.These include vitamins C and E.
6. Enterosorbents- lead to the binding of toxins in the intestines.

Surgical treatment

Surgical treatment of varicose veins of the pelvis is carried out according to strict indications.These include the following:

• Ineffectiveness of conservative treatment;
• The third degree of pathology;
• Difficulties with elimination of pain.

Various types of operations are carried out today.It all depends on the localization of the pathology.

The main methods of surgical interventions include the following:

• Ovary vein dressing - is carried out through the retroperitoneal region or by conducting laparoscopy;
• Sclerobliteration of ovary veins under angiographic control - in this case, a sclerosing substance is introduced into the lumen;
• Ovarian veins resection - implies their partial removal;
• Laser coagulation or radio frequency method;
• Laparoscopic clipping of ovary veins;
• Phlebectomy - is carried out with the lesion of the vulva and the perineum zones;
• Crossectomy - implies the dressing of a large subcutaneous vein, as well as its tributaries.

Folk recipes

In addition to traditional methods, the treatment of varicose veins of the pelvis is used by folk remedies.

The most effective recipes include the following:

1. Tincture of horse chestnut with oral use has an analgesic and venotonic effect.
2. Hirudotherapy successfully copes with stagnation and swelling.This will help eliminate the load on the heart and achieve a tonic effect.
3. Tincture of dandelion root has venotonic properties and helps eliminate the symptoms of varicose veins.

Possible consequences

In time, the identified varicose veins of the pelvis in women is perfectly corrected with drugs.However, diagnosing pathology is very problematic.As a result, there is a threat of irreversible changes:

1. The varicose veins of the pelvis continues to progress.As a result, reproductive organs, crotch, legs are involved in the abnormal process.
2. Sustainable dysfunction of the genital organs develops.This can cause infertility or miscarriage.
3. Constant pain leads to psycho -emotional disorders by the type of neurasthenia.
4. Chronic discomfort, which increases during sex, can force a person to completely abandon sexual contacts.
5. The most rare and serious consequences are thrombosis and pulmonary thromboembolism.These complications are observed in only 5% of cases, but pose a threat to life.

Prevention

To avoid varicose veins of a small pelvis in women, you need to adhere to such recommendations:

1. To normalize the working conditions by excluding a long stay in a vertical or sitting position.
2. Exclude raising heavy objects and abandon complex physical exertion.
3. To normalize a chair, get rid of constipation.The menu should have a large amount of vegetable oil and fiber.It is important to abandon acute foods, pickles, alcohol.
4. Every day take a contrast shower, paying special attention to the perineum.
5. Do exercises with legs raised up.
6. Use compression linen.
7. Engage in breathing gymnastics.
8. Take venotonics for preventive purposes.Such courses are held 3-4 times a year.

Varicose expansion of the pelvis is a rather severe anomaly that can lead to negative health consequences.To avoid this, it is very important to immediately contact the doctor and clearly follow all his recommendations.