Varicose veins of the pelvis or chronic pelvic pain syndrome is still an exotic disease unclear diagnostic boundaries of many doctors.
This reflects the fact that some of the doctors a long time did not "notice" this disease for their patients, while others have it almost every second person suffers from constant unexplained pain in the abdomen.
At the same time, early detection of varicosity of the pelvic veins depends largely on the quality of life of the patient, his ability to enjoy the intimate side of the relationship with your loved one and the ability to reproduce.
The phenomenon of chronic pelvic pain is known to doctors for a long time. But only relatively recently became known the most likely cause is varicose veins of the pelvis. This disease was first described in 1975 and is still well understood.
Most likely, this pathology develops in the following algorithm:
- The venous plexus of the pelvis is a complex structure, consisting of large vascular trunks, and waste of these smaller veins. Thus the venous system of small pelvis in men and women is different according to their structure, which makes the sexual breakdown of the disease is much more common in the fairer sex.
- Because of the compression of vessels, complete or partial thrombosis of the venous bed, change the tone of the vascular wall impaired outflow of blood from the deep pelvic veins.
- As a result, the veins cease to carry out its mission in full: advancing the insufficiency of the venous valves , and normal outflow of blood.
- Pelvic veins began to congestion related to the backward reflux of blood through the vessels – it provokes dilatation and varicosity development.
Symptoms of varicose veins (varicosity) of the veins and viscera of the pelvis is much more common in women of childbearing age than in men. While most often suffer from the ovarian vein in 85% of cases.
The leading symptom is pain, which is registered in more than 90% of patients. But the prevalence of this disease among the population is still not clear: according to different studies it varies from 6% to 80%. Such a big difference between "readers" can only be explained by insufficient qualification of medical diagnosticians in the diagnosis.
Causes and risk factors
Causes of pelvic varicosity changes in the body, which can trigger a pathological mechanism of this disease:
| Anatom-physiological cause varicosity | What can cause this |
| Mechanical pressure on the pelvic veins |
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| The change of tone of vessels |
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| Blockage in the veins of the pelvis |
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Increased risk factors varicosity of the pelvis are:
- intense physical work;
- not enough regular or an unsatisfactory sex life;
- abuse intimate life interrupted sexual intercourse;
- multiple pregnancies and births;
- the most common gynecological diseases;
- contraception using hormonal drugs;
- hormonal disturbances in the body;
- lack of physical activity.
Classification and stage of varicosity
In medical circles it is accepted conditional division varicosity of the pelvic the nature of the flow of the varicosity of the veins of perineum and external genitalia (eg. the labia) and the syndrome of venous plethoras of small pelvis. This classification is of very little practical value, because in most cases, patients need both of these forms at the same time as provoking the emergence of each other.
You can also find a classification of the disease, the ultimate cause of its occurrence. In this regard, the varicosity of the pelvis is divided into:
- primary – caused by the poor performance of the venous valve;
- secondary – develops as a complication of existing inflammatory diseases, gynecological or oncological diseases of internal organs.
There is also an attempt of classification of the disease based on the severity of the pathology. In this context, the share 3 stages of pelvic varicosity:
| Step | The characteristics of the affected veins | |
| diameter (mm) | localization | |
| The first | less than 5 | any pelvic venous plexus |
| Another | 6 10 | the ovaries or uterus |
| The third | 10 more | total defeat of the veins of the pelvis |
What is dangerous and whether its consequences
This vascular pathology may invite a deadly disease. Early detected, it is very medical correction. But the problem is that detecting it is not so easy. In this part, and insufficient knowledge of the disease, and low awareness of most doctors-diagnosticians.
It turns out that patients who suffer from this disease without even knowing it. And their body, at the same time, there are several irreversible changes:
- varicosity progresses, the pathological process involved in the related field – is a dilatation of genitalia (for example, varicosity of the penis), perineum and lower limbs.
- There is a continuous malfunction of the internal genital organs, which can cause infertility or inability to carry pregnancy in women.
- In the middle of the pain syndrome to develop a variety of psychoemotional disorders type of neurasthenia.
- Because of chronic pain, exacerbated during intimacy, a person can completely give up sex.
- Rare and at the same time the most serious complications are pelvic varicosity vein thrombosis and pulmonary thromboembolism. They occur in approximately 5% of cases, but always deadly.
Symptoms
Typical symptoms of varicose veins and the pelvic vessels, which require treatment to the doctor the treatment include:
- Chronic pain. The pain is most often localized in the lower abdomen, sometimes "give" in the groin and lower back. To accelerate in the second half of the menstrual cycle in women after sexual intercourse or prolonged standing on his feet.
- Discharge from the genital tract. This is a typical "female" symptoms. In this case, select normal appearance and no foreign odors. The patient is alarming only for their exceptionally large number.
- The external signs of the disease – spider veins or increased venous pattern on the thighs, in the crotch area – occurs in about half of the patients. Men can experience small varicose veins of the penis.
- Menstrual disorders in women and disorders of urination in patients of both sexes is quite rare and evidence advanced form of the disease.
When you go to the doctor and what?
The reason for going to the doctor can be any of the above symptoms. Procrastinate this is notbecause figuring out the real causes of the discomfort and prescribe the effective treatment will take time.
Profile specialist of this disease is a doctor-phlebologist, but the woman's first visit to the gynecologist, who is convinced without concomitant gynecological diseases.
Diagnosis
According to American scientists, in the beginning 2000-x years only 2% of patients with varicosity of the pelvic at first to put the correct diagnosis. Sometimes lead to diagnostic errors was the removal of the reproductive system in women, although this could have been avoided if used the most accurate diagnosis of pelvic varicosity:
- Ultrasound and Doppler study of the veins – allows the suspect to varicosity;
- Phlebography is an invasive examination, which allows high accuracy to determine the presence and extent of disease;
- Laparoscopy is indispensable in differential diagnosis of varicosity of small pelvis similar to the symptoms of gynecological diseases (endometriosis, fibroids, vaginitis).
- Range variography is the study of the condition of the veins with contrast agent, is the most objective diagnostic method.
- Computer or magnetic-resonant tomography can be used to determine the information about the disease and to distinguish it from other diseases with similar symptoms (joint disease, Crohn's disease, etc.).
Treatments
In the treatment of varicosity of the pelvic are the following:
- normalize vascular tone;
- to improve the nutrition of tissues;
- to prevent congestion and possible complications.
Treatment varicosity of the pelvic vessels at a time can go in many directions, while a surgical procedure is necessary only in stage 3 of the disease.
| Medical direction | Special action |
| Therapy without drugs |
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| Drug treatment |
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| Surgery |
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| Treatment of folk ways | herbal remedia based on dandelion, chagas and horse chestnut |
Forecasts and preventive measures
Completely cure the varicose veins of the pelvis without surgery is almost impossible. Using conservative medicine can significantly alleviate and even eliminate most of the unpleasant symptoms and greatly reduce the risk of complications. The action also does not give an absolute guarantee that the disease will not return.
In order to prevent recurrence, you should always stick to the right way of life:
- do not smoke;
- did not use hormonal drugs uncontrollably;
- more moving and less standing on his feet still;
- to comply with anti-sclerotic diet, with lots of fresh vegetable food;
- daily carry out a complex of medical gymnastics and breathing exercises to maintain the health of blood vessels;
- after undergoing surgery, relating to the varicosity need to wear support stockings and to take preventive doses of prescribed drugs-venotonics.
Pelvic varicosity – this is a hidden beach, women's health, a kind of disease of the Spirit, which is hard to detect, but suffer from it quite real.
The main symptom of the disease – chronic pelvic pain, which can interfere with a patient for a long time and become a source of rejection of the many joys of life. To tolerate such discomfort and not go to the doctor, it is impossible!
The appearance of specific symptoms, should be clearly understood that this is not normal, and immediately seek help from an expert.