Varicose veins of small pelvis in women: symptoms and treatment

In this article, you will learn: why varicose veins of the pelvis is considered a separate disease and not in the form of varicose veins in the legs, one the disease can occur, and why. Symptoms and diagnosis of this pathology, because it is properly treated, the chances of recovery.

varicose veins of the pelvis

Varicose veins of the pelvis – is the weakening of the walls of the inside or outside of the veins in the pelvic area, leading to excessive expansion of their diameter. Varicose changed veins are not able to provide the outflow of blood from the pelvic organs, which leads to its stagnation, and the complete destruction of the vessel wall. As a result, damage to the structure and function of the female reproductive system.

Early stages of the disease cause only minor discomfort in the vulva and abdomen. Women with advanced forms of pelvic varicose veins suffer from continuous severe pain, various gynecological diseases, infertile, it is a cosmetic defect in the form of a complex dilated venous nodes, the perineum, labia or entrance of the vagina.

The disease can be completely cured, but to prevent a relapse prevention necessary for life. To deal with this problem together vascular surgeons, obstetrician-gynecologists.

Varicose veins of small pelvis in men than in women does not happen. But such a disease exists – varicocele. The mechanism and symptoms are similar to pelvic varicose veins. Dilatation occurs in the left testicle and spermatic cord due to the fact that the left Vienna, the egg will stop blood. He is thrown back to the left renal vein, which flows through Vienna.

The essence of the disease is, how serious it is

The outer and inner female sex organs are well krovosnabjaemah. In order to provide sufficient blood flow need a powerful network of venous vessels. Therefore, the venous system of the pelvis in women is well developed. Each vein is a solid wall, which is equipped with a valve connection passes close to the veins. It all forms a coherent venous network in the pelvic region which collects blood from the perineum, external genital organs (vulva, vagina), special structures (ovaries, uterus), and transportorul it at the bottom of Polowat in the vein.

Varicose changed veins the pelvis from the healthy, that they:

  • Expanded diameter;
  • Are full of blood;
  • Too confusing;
  • There are protrusions in the form of nodes;
  • Flabby and weak.

The pelvic veins affected by varicose veins, can collect the blood from the external genitalia and other organs, but could not carry it to the larger vessels (the Vena cava). This leads to the fact, that the blood stops at the hips, and penetrate through the venous wall affects their tissues, which needs to flow away. They become swollen, inflamed and lose their functions.

But above all, varicose veins of the pelvis danger:

  • A variety of disorders of the ovaries;
  • Uterine bleeding disorders and others;
  • Infertility, threatened miscarriage and inability to have a natural birth;
  • The formation of blood clots cavity the varicose changed veins, which threatens to separate them from the place of training and the migration of the heart and pulmonary vessels. This is the most dangerous complication, life-threatening pulmonary embolism (PE).

Reasons

Basically varicose veins of the pelvis happens in Mature women:

  • Up to 20 years – 20%;
  • 20-30 years – 30%
  • 30 – 45 years – 50%

Mechanisms of varicose degeneration of the venous system of the pelvis:

signs of varicose veins
  1. (80%). They are the main veins that collect the blood, the uterus and ovaries and carry it directly to the hollow (right) or kidney (left) of Vienna. If a fault occurs, it will completely block the venous outflow.
  2. Uniform weakening or destruction of the venous wall all the pelvic veins – they are all at the same time expand and not to contract to propel the blood on department.
  3. Reverse reflux of blood from deep venous thrombosis of the thigh superficial sexual vein, which is to collect blood from the perineum and external genitalia, to prevent the outflow. As a result, the pressure in it increases, and its trunk and all tributaries of the varicose veins enlarged.

Immediate causes the launch of these mechanisms may be the following:

  • Congenital weakness or dysplasia (underdevelopment) of the venous wall and valves.
  • Hormonal changes in a woman's body (puberty, pregnancy, menopause, ovarian disease).
  • Often inflammation, endometriosis, surgery, adhesions, and pelvic.
  • Moved to thrombosis and thrombophlebitis of the pelvic veins.
  • Heavy physical work.
  • For a long time lying down or sitting.
  • Overweight.
  • Pregnancy and childbirth.
  • Regular interruption of intercourse for many years, especially without an orgasm.
  • Bend uterus posteriorly or anteriorly.
  • Pelvic tumors.
  • Prolapse of the uterus.

The extent of varicose veins classification

Is anatomical reasons (the prevalence of) varicose veins of the pelvis are divided into three groups:

  1. Venous congestion in the pelvis;
  2. Perineal varicose veins, etc.;
  3. Combined forms.

To respond to pathological changes, the disease is divided into three levels:

  1. The first dilated vessels of any organ plexus of the pelvis do not exceed a diameter of 0.5 cm, it is too complicated.
  2. The second is the diameter of the veins is increased by 1 cm, the process is extended to not only plexus organs(uterus, ovaries), but some of them (okolomatocnah cellulose).
  3. The third expansion (ectasia) of more than 1 cm, will affect all vessels – blood, near the bodies, and the body (the trunk of ovarian vein).

The higher the degree of the disease, the worse the dilated veins and heavier congestion in the pelvis.

Characteristic symptoms

Women with varicose veins of the pelvis note:

  • Continued or repeated pain in the abdomen, worse in the evening or after exertion mainly in the second half of the cycle (almost monthly). 3 degrees of pain can be very strong.
  • Itching, burning, swelling and bruising of the genital organs.
  • Painful menstruation and sexual intercourse.
  • Heavy menstruation and uterine bleeding, irregular cycle.
  • The inability to get pregnant.
  • Thick twisted veins in the region, the perineum and labia.
  • Frequent painful urination.
  • Pronounced symptoms of premenstrual syndrome.
pregnancy

Diagnosis

To confirm the diagnosis is performed:

  • Ultrasound through the abdomen and through the vagina (transvaginally) to use special sensors – and duplex-Doppler in the treatment of veins of the pelvis. The easiest and most informative method.
  • Intravenous venography the introduction of special drug ovarian vein.
  • Computed tomography of the contrast.
  • Diagnostic laparoscopy.

Treatments

Varicose veins of the pelvis along with the treatment of a vascular surgeon or obstetrician-gynecologist. According to modern concepts, the treatment consists of the following areas:

  1. Normalization of a way of life;
  2. Conservative medical treatment;
  3. Packaging and other treatment;
  4. Surgical treatment.

Improve varicose veins in the pelvis. The experts made an individual treatment plan, and the sick woman is caught life recommendations for treatment and prevention.

1. Normalization of a way of life

Because the wrong way of life is a condition and the direct cause of varicose veins in the pelvic veins, its normalization will help restore:

  • Leave the long stay standing or sitting (more than 2-3 hours without a break).
  • Do not lift heavy objects and refrain from strenuous exercise.
  • During the day, do the reading exercises of the pelvis (exercise birch, a wheel), or just lie down for 10-15 minutes with elevated above the level of the body by the hips.
  • To reduce the weight (obesity).
  • Do not take a hot bath, replace it with a cold shower.
  • Refrain from alcohol and Smoking.

2. Drug treatment

Treatment of varicose veins of the pelvis in any degree is not possible without medical support. The first degree it is a major medical event, while the second and the third supplement to a comprehensive treatment.

The use of such medicines:

  • Special medicines that strengthen the blood vessels.
  • Anticoagulants – thin blood to ease its progress through the vessels.
  • Drugs that improve the microcirculation.

Other groups of medications prescribed, taking into account the existing deviations in the body:

  • Preparations of female sex hormones (hormonal disorders).
  • Pain medications and anti-inflammatory drugs.
  • Drugs to stop blood styptic medicines for the treatment of uterine bleeding.

3. Compression therapy

One of the most effective means of treatment of varicose veins of the vulva and the perineum is a compression effect. The principle of this method is similar to the use of elastic bandages for varicose veins of the legs. Compression (compression) of the superficial veins from the outside to promote the evacuation of blood. You can create this effect can special tights or shorts with compression therapy socks. You can buy them in specialized pharmacies, shops, salons, medical products individually choose the right size and strength of compression.

Sclerotherapy – a puncture of the varicose veins use special clearance of drugs that cause stick. This processing is performed on the outer (subcutaneous) pelvic varicose veins without hospitalization in the hospital. The internal veins can also be treated, but this procedure is technically more complicated and takes place in the operating room.

4. Surgical treatment

Varicose veins of small pelvis may be better treated surgically, if:

  • 2-3 degrees of the disease;
  • The rapid progression of the disease;
  • Planning for pregnancy;
  • Expressed pain syndrome;
  • Regular uterine bleeding and other gynecological diseases.

The main function of the pelvic varicose veins:

  1. Laparoscopic – specific activity through the punctures in the abdomen. To perform ligation, the junction or the removal of the ovarian vein. This will eliminate the backward reflux of blood through the.
  2. Removal of varicose veins through small holes or incisions in the skin are removed modified saphenous vein is tied off the external pudendal veins to the point where the femoral vessels.
  3. Gynecological intervention – removal of tumors, removal of bends in the uterus.
diagnosis and treatment

Forecast

If you do not treat varicose veins of the pelvis, over time, they expand even more (95%), who faces dangerous complications. The remaining 5% of women with subcutaneous varicose veins of the perineum 1-2 degrees, where it was born after the birth, the pathology is not supplemented, but never goes away by itself.

If you don't treat the disease, it is possible to achieve complete recovery (10-50%) or significant improvement (45-50%), especially when it is a combination of surgical techniques conservative. But in any case, after a comprehensive treatment should be lifelong prevention consists of compliance with recommendations on lifestyle, medication or amount of time compression to support weakened veins.