Varicose veins of small pelvis in women: causes, symptoms, diagnosis and treatment
The world of medicine has many diseases that affect a particular sex. So, there are only women among them. It is this problem that is the varicose veins of the pelvis in women, which will be discussed later.
At the outset, I want to understand what exactly will have to face. So, many ladies have heard about a problem like varicose veins. As a result of the disease, peripheral veins swell under the skin. As a consequence, so-called nodes can be formed, which are perfectly "viewed", and a healthy outflow of blood is also often violated.
What is varicose veins of the pelvis in women? It should be noted that this is a disease that leads to swelling and blockage of the veins of this part of the body. In other words, there is a violation of the blood flow in the small pelvis, which leads to similar problems. Suffer from this mainly ladies of reproductive age.
On the Mechanism of the Development of the
Problem In a normal healthy vein, a person's blood flows only in one direction. If we talk about such a problem as varicose veins of the pelvis in women, then in this case there is a failure in the outflow of blood, as a result of which it can be thrown back along the ovarian vein( in medicine this phenomenon is called reflux).This can occur due to loss of integrity and elasticity of valves. As a result, the vascular walls are stretched, the vein cavity expands. Its throughput is lost, and if necessary, the vein can no longer shrink properly. At the very beginning of the development of the disease, the lady begins to disturb the pain. Here it is the main indicator. And this happens because of the infringement of nerve endings, which leads to innervation( the process of loss of connection with the nerves of the vein tissues).
About varicose veins of the small pelvis and varicose veins of the lower extremities
Most often, people are faced with such a problem as varicose veins of the lower extremities. What is the difference between this problem and the one considered in the article? In principle, nothing. The mechanism of the course of the disease is the same. As with the legs, this problem affects mainly the venous valves, which provide the flow of blood to the heart muscle. These valves can collapse, resulting in stagnation or dropping of blood in the opposite direction. However, with varicose veins of the pelvic pelvis, the region in the area of the fallopian tubes, uterus, vulva and even the vagina suffers from overload.
About the causes of the disease
Be sure to tell why there is varicose veins of the small pelvis in girls. So, doctors do not have a single answer to this question. There are many different factors that contribute to this:
- Pregnancy. The most common reason. After all, in this period a woman's blood volume increases substantially. And this, together with weight gain, which is also characteristic of pregnant women, leads to stretching of the walls of the vessels. This fact in the future can lead to problems with valves and the appearance of stagnant phenomena.
- The causes of varicose veins of the pelvic can hide in the anatomical features of the female body. To put it simply, some women have a special structure of veins of the small pelvis, which for the pregnancy period is a most dangerous phenomenon. A fertilization can have a very negative impact on their condition.
- The cause may be pathology of connective tissue, when the walls of the vessels themselves can stretch and lose shape. To the same result can result and action on an organism of an estrogen, a special hormone, actively acting during pregnancy. It is designed to relax the muscles of the uterus. But sometimes it negatively affects the walls of the vessels, their contractility.
- The following causes of varicose veins of the small pelvis, which also distinguish the doctor - are multiple births or multiple births.
- Not only sedentary work and sedentary lifestyle can cause varicose veins, but also weight loss by women( for example, this may be due to work peculiarities).
- Doctors say that often the causes of the appearance of varicose veins of the pelvis are also included in sexual dysfunctions. For example, anorgasmia( i.e., lack of orgasms) or a problem such as dyspravitation can cause a problem, when a woman has pain during sexual intercourse, before him or immediately after( by the way, this is often a psychological, far-fetched problem).
- Various gynecological diseases may become a cause, as well as the use of interrupted sexual intercourse as a means of contraception.
Symptoms of the disease
Speaking of a disease such as varicose veins of the pelvic organs in women, the symptoms of the problem are what's important to tell. So, what disorders can point to this complex disease? First of all, this is pain. We can say that this is even the only important indicator when you need to consult a doctor. Localized pain in the lower abdomen, can give in the lumbosacral region or groin area. Their intensity is different. Painful sensations can be significantly strengthened during intercourse, as a result of prolonged standing on the legs, during menstrual flow, or before their onset, at late gestation of the baby.
There are also a number of nonspecific symptoms that can both manifest themselves, or remain unnoticed or even absent altogether. What kind of indicators are they?
- Problems with menstruation. So, it can be very profuse bleeding, too pronounced premenstrual syndrome. Symptom can also be dysmenorrhea when there is a disorder in the menstrual cycle.
- Sensitivity may increase in the area of the vagina and perineum.
- Vaginal discharge can be observed regardless of bloody discharge.
- Sometimes there is a violation of urination.
- Women can be fatigued, there is a constant weakness.
Again, I want to note that not all of these symptoms can occur in one woman. That is why they are called nonspecific. But the pain will be present in every case of occurrence of this difficult problem necessarily.
It should also be noted that sometimes the varicose veins of the pelvis in women are recognized very late. And all because to put the correct diagnosis from the first time not all doctors can. So, the reason is the fact that there are a number of diseases similar to varicose veins:
- Myoma of the uterus( benign formation that occurs in the myometrium - uterine layer).
- Endometriosis( also benign, which is localized mainly in the mucous layer of the uterus or outside it).
- Loss of the uterus when, as a result of the weakness of the muscular tissue, it is able to descend lower into the pelvic region.
Stages of the disease
Varicose veins of the pelvic floor in women have three stages of percolation:
- The diameter of the veins is about 5-7 mm, and the processes cover at this stage only the upper edge of the left ovary.
- In the second stage, the diameter of the veins can reach 10 mm. The mechanism of disease development affects the entire left ovary. At this stage, varicose veins may affect part of the uterus and the right ovary.
- In the third stage, the diameter of the veins can reach 13 mm. The problem affects already completely both the ovary and the uterus.
Diagnosis of the disease
As already mentioned above, varicose veins of the small pelvis are often confused with other gynecological diseases. That is why in this case differential diagnosis of the disease is very important. Simply put, you need to exclude all diseases that are very similar in their symptoms. Next, it is important to correctly determine the diagnosis. And for this it is necessary to establish the place where the reverse blood reflux takes place( reflux).So, in this case it will be necessary to consult a phlebologist doctor who will offer a whole range of diagnostic procedures:
- ultrasound. In this case, the uterus and other organs of the small pelvis are examined. Ultrasound examination also helps to view the bloodstream in the small pelvis. The procedure itself is completely painless, does not take much time and money.
- Phlebogram. This diagnostic method was actively used before, the essence of it - to learn about the stagnation of blood in the organs of the small pelvis. In this procedure, a dye was injected into the bloodstream, after which the veins were viewed under X-rays. The procedure is also painless, takes about 40 minutes. Its only risk is an allergic reaction that can occur as a result of the action of contrast medium. Today, more often than not, the phlebogram is replaced by computed tomography.
- CT.An alternative to phlebogram. With this diagnostic procedure, specialists can visually inspect the pelvic area of the women, as well as identify areas of varicose veins. In this case there is a radiation effect, as a result of which the procedure is contraindicated in pregnancy.
- MRI.Helps to identify pelvic stagnation of blood. Painless and completely harmless research, as a result of which physicians receive a high quality image. The procedure is performed on an outpatient basis, it takes approximately 15 minutes.
Sometimes a procedure such as laparoscopy( this is a special surgical procedure used to diagnose certain diseases) or dopplerography( studying the blood flow in the vessels using the Doppler effect) can sometimes be used.
It is important to note that problems such as varicosity of the pelvic organs and veins differ among themselves. Diagnosis, treatment, use of various drugs in this case also varies. These are similar diseases, but the methods for their disposal are different. Often, varicose veins of the pelvic organs, which are confused with the problem under consideration - this is varicose veins or ovaries( in other words - varicocele).
As for the treatment, even if the most effective one is applied, it is impossible to cure this problem completely. However, it is possible to significantly improve the quality of life and eliminate most of the symptoms. What is the main thing in this case? What you need to know about such a problem as varicose veins of the pelvis? Treatment should be comprehensive and include the following items:
- Use of medications.
- Wear special bandages.
- Application of physical therapy.
The main objectives of treatment for this disease:
- Restoration of the correct venous tone.
- Improvement of trophic processes in the pelvic organs.
How can I get rid of such a problem as varicose veins of the pelvis? The treatment with medications will mainly consist of taking medications inside. After all, based on the location of the disease, external means - ointments and gels from varicose veins - can not be applied simply( due to the anatomical features of the location of the disease).
Drug medications that are most commonly used for varicose veins of the pelvis:
- phlebotrophic preparations;
- non-steroidal anti-inflammatory drugs;
- multivitamins of groups B for improvement of nerve conduction, groups P and C - for getting rid of fragility of vessels;
- painkillers that help alleviate pain.
So, the use of medicines is recommended mainly during the exacerbation of the disease. If the patient has a third degree of disease, surgical treatment can also be used( laparoscopy together with X-ray endovascular methods).
Other means for fighting the disease
In addition to drug treatment, the problem can be addressed with the help of physiotherapy exercises, as well as wearing special compression linen. In this case, compression tights that will improve blood flow in the legs and as a result partially in the pelvic organs will be useful.
Considering useful physical exertion, it is important for women to do at least "scissors", "bicycle", "birch" exercises every day. Also useful is breathing exercises and a contrast shower on the upper part of the legs and the pelvic area. However, full gymnastics is a quick way to a normal and healthy life. Simple but effective exercises:
- Lying on your back, stretch your legs, then, bending, pull up to your chest. Do this 5 times.
- Again lying on his back, raise his legs up, after - bend, then - again to raise. And so several times.
- Lie on your stomach, alternately lifting up each leg. In the highest position, the leg needs to be fixed for a couple of seconds. On each leg, you must make at least 5 approaches.
- For 15 minutes you have to walk around the room. First - on socks, then - on the heels, and then - high lifting his knees.
If the patient has a varicose veins of the pelvis, treatment for women should be as literate and comprehensive as possible. After all, otherwise there can be many complications. In this case, doctors say that women can have dysfunctional uterine bleeding, inflammatory and infectious nature of uterine disease. On a background of varicose veins thrombosis of small pelvis can develop.
And at the very end, I want to talk about how you can protect yourself from such a problem. After all, any disease is easiest to prevent, rather than later get rid of it. So, the complex of preventive measures can be as follows:
- Regular acceptance of relaxing baths, resulting in the veins come in tone.
- Potential physical exercises, such as, for example, swinging the press. The load should be given to the body constantly.
- It is very important to have regular sex. This is useful not only for the pelvic veins, but for the whole organism in the complex.
And, of course, you need to remember that it is important to lead an active healthy lifestyle, not staying too long in one place. And if the work is sedentary, then regularly make small active breaks.