A fairly common diagnosis in medical practice recently became the varicose veins of small pelvis, and it has been found in both men and women. However, statistics show that the women face this problem more often of the opposite sex. Varicose veins of the pelvis affects all age groups of women, but with age, and increases proportionally to the risk of this disease. Childbearing age varices vessels of the small pelvis can be detected in 15-20% of women and menopause is diagnosed, it is already 75-80% of patients. Men, first symptoms of varicose veins in the pelvic area most often occurs between 12 and 30 years.
CAUSES OF VARICOSE VEINS IN THE PELVIS AND THE PECULIARITIES OF ITS DEVELOPMENT IN MEN AND WOMEN
The development of this disease contribute to a number of reasons. Some of them depends on heredity and overall health, while others are the result of lifestyle and habits. The factors provoking the appearance of varicose veins in the pelvis, are:
- pathological dilatation of the rectum and lower extremities;
- genetic predisposition;
- congenital weakness of the connective tissue and venous walls;
- tumors, tumors and hernias urogenital system;
- inflammatory diseases of the pelvic organs in the chronic form;
- sedentary and static sports;
- heavy physical exertion;
- to prolonged sitting or standing;
- lack of regular sexual life;
- nervous system disorders, and frequent lack of sleep;
- poor diet and being overweight;
- bad habits.
Depending on gender the above list is complemented by a variety of factors. For example, men, this factor may be non-standard feature of the structure of the blood vessels of the genitals. This condition is called varicocele – varicose veins of the spermatic cord. The characteristics of the male anatomy, we can say that most disease is localized to the left side.
Features of the development of varicose veins of small pelvis in women (the so-called. women's varicocele), due to the presence of the following risk factors:
- inflammatory gynecological diseases;
- mechanical compression of veins enlarged uterus;
- sexual dysfunction (pain during sexual intercourse and anorgasmia);
- polyhydramnios and multiple pregnancy;
- numerous and heavy work;
- the hormonal changes;
- hormonal treatment and prevention.
It is worth noting that, despite the higher incidence, of varicose veins of the pelvis is poorly understood, and perhaps there are other reasons for its occurrence.
VARICOSE VEINS OF SMALL PELVIS, THE SYMPTOMS AND THEIR CHARACTERISTICS IN WOMEN AND MEN
Signs of varicose veins of small pelvis in the early stages of the disease show any symptoms. In male patients, who have symptoms, which often can only be detected using the methods of palpation, ultrasound examination, functional tests and a medical examination. Only when the degree of damage to the veins in a very high, varicose veins can manifest in deformity of the penis, and severe pain even at rest.
Patients of both sexes pain, varicose veins of the pelvis begin to occur pathological changes in the blood vessels and reduce blood flow. They are located in the lower abdomen and be of different intensity, most patients report aching and nagging pain, when the sacrolumbar region. They occur or become more pronounced, when walking, when long-term static and dynamic loads.
Varicose veins of small pelvis in women symptoms is more pronounced than that of men:
- attacks of pain in the abdomen spreading in the region, the perineum and growth, usually after a long stay standing or sitting; the first day of menstruation, after exposure;
- unpleasant sensations in the genitals and the pelvis during intercourse and for some time after it ;
- pronounced premenstrual syndrome;
- the failure of the menstrual cycle (dysmenorrhea): an increase in the duration and abundance of menstruation;
- increased secretion of the glands of the external genital organs;
- venous nodules in the crotch area;
- special zone the sensitivity of the perineum;
- disorders of urination.
VARICOSE VEINS OF SMALL PELVIS DURING PREGNANCY
Pregnancy is a peculiar indicator of the health of the woman. The disease is asymptomatic, is the period of gestation.
During pregnancy, a rapidly growing uterus takes up more and more space in the pelvis. At the end of the third trimester, it reaches the maximum possible size and compresses other organs, constricting the venous vessels. Their walls, due to the reduction of uterine tone, this season, much weaker than normal. This physiological process is harmful to health and pregnancy may be complicated by rupture of the veins, bleeding. And postpartum anemia and painful sensations, which cause problems with veins.
The growth of the fetus, the outflow of blood from the uterus growth of about 15-20 times, and valve device of the vessels of the uterus are not always able to deal with it. It is a violation of the unidirectional flow of blood, causing venous congestion and inflammation. The bloodstream will start happening circuitous, involving a weak small vessels of the pelvic organs. This leads to too much blood, and as a result, there is varicose veins of the pelvis. It is possible that after giving birth can occur in the reverse process, and the disease will retreat.
Because of the impaired blood circulation varicose veins of the pelvis lead to a shortage of oxygen to the baby. Hypoxia of the fetus, sometimes this is the reason for the cesarean.
During pregnancy it is particularly important not to confuse varicose veins of the uterus and pelvis. Create accurate disease only research-based methods with high diagnostic feature: ultrasound (us), computed tomography (CT), magnetic resonance imaging (MRI). During this period of life women's preference for ultrasound and MRI, because CT involves radiation. Mri is completely safe, but it is not recommended to do during first trimester of pregnancy. Indications for MRI of varicose veins of the pelvis are the results of the ultrasound.
During pregnancy the treatment of varicose veins of the pelvis using only conservative methods of treatment. In order to completely get rid of the disease can be after the birth. Extremely critical situations, to resort to surgical measures. Then use minimally invasive techniques – radio-frequency and laser coagulation.
Treatment without surgery all the recommendations mainly refer to changes in life style:
- to increase physical activity. Do Hiking at least two hours a day, with a mandatory rest;
- remove the lift;
- you need to stick to a diet that includes products rich in fiber (cereals, fruits and berries, vegetables) and rich in healthy fats;
- take a contrast shower, welcome to the swimming pool;
- starting from the second trimester of pregnancy be sure to use the designated kind of support socks or prenatal bandage;
- sleep better on his side with a slightly elevated foot;
- exercise and respiratory therapy.
When there is an imminent threat of premature birth, treatment is considered to be stationary, under the supervision of medical staff.
TREATMENT OF VARICOSE VEINS OF SMALL PELVIS: THE DRUG AND THERAPEUTIC EXERCISES
Varicose veins in the pelvic treatment consists of therapy, different medications and special gymnastic exercises.
The use of essential drugs in the acute phase of the disease. The main active components are: diosmin, hesperidin, troxerutin, pentoxifylline. Vitamins and pills that contain juice, extracts and vegetable oil also gives a modest improvement in the patient's condition.
For pregnant women, doctors try to prescribe the means (with varicose veins of small pelvis) exclusively with natural ingredients: horse chestnut extract, green tea extract, vitamins, oils, etc. Then there are those drugs that have fewer side effects. Often the attending physician comprehensive care given to a referral to physiotherapy or remedial gymnastics.
Gymnastics with varicose veins of small pelvis is a wide range of activities. They are the main form of treatment, which simultaneously has preventive value. Exercises include the back muscles, peritoneum, pelvis and hips, has a positive effect to improve blood circulation. Because the intensity of the load, particularly in health, employment and home, you can pick up a reasonable set of exercises.
Exercises at home can include the following complex:
- the exercise "bicycle": the rotation of legs, lying on his back. 15-20 approaches;
- exercise "knee": raise the chest to the knee, the toe, fix this position for a few seconds. 10 repetitions on each leg;
- exercise "Scissors": on your back, keep arms at sides, legs straight, toes stretched myself, in turn, crossed legs. 15 approaches;
- exercise "Candle": the head, neck and shoulders are on the floor, the body is affixed to a vertical position, the back can hold hands, do 5-7 minutes;
- exercise flexibility back: - support should be on hands and knees, first bend, then straighten the back. 10 approach you.
At work, for example, you can perform the following exercises:
- encourage and straightening of the toes;
- the circular rotation of the legs in the sitting position, 10 times;
- alternative to transfer the body weight on one leg, then another.
In the early stages of the disease to complement the treatment of varicose veins in the pelvis can folk remedies. These include the adoption of tonic baths, the use of anti-inflammatory extracts and promote blood decoction.
Most of the tools are easy to prepare at home. Preferences of treatment of the disease is given: fruit and flowers of horse chestnut, birch chaga, dandelion roots, chamomile flowers.
Special place in treatment is prevention:
- adhere to a healthy lifestyle (quitting Smoking and alcohol consumption);
- system diet (eating small portions 5 times a day at evenly spaced intervals);
- the optimum ratio of exercise and rest;
- sexual life after varicose veins of the pelvis should be moderate;
- regular monitoring of blood parameters;
- visit phlebologist.
After recovering from the illness, the patient will notice an improvement in not only physical, but also emotional state.
