More and more professions require a person to stay in one position for long periods of time throughout the work day.This negatively affects the whole body - in the reproductive age, the stagnation of venous blood leads to pathology such as varicose veins of the pelvic organs in women.
According to medical statistics, more than 35-45% of the representatives of the beautiful part of the population suffer from debilitating pain in the lower abdomen, caused precisely by enlarged vascular structures.If treatment is not started promptly, serious consequences occur, for example, venous thrombosis, bleeding.
Classification
Experts adhere to the following classification of varicose veins - varicose veins of the pelvis:
- By localization– in the venous structures of the perineum and external genitalia or venous congestion of the internal organs of the small pelvis: in most cases, both forms of pathological damage to the veins are identified as provoking the appearance of each other.
- According to the main reason for the formation:primary variant of varicose veins, provoked by unsatisfactory activity of the valves of the venous structures or formed as a complication of existing other pathologies in the pelvic region - secondary variant of varicose veins.
- According to the severity of pathological changes– the calculation measure is the width of the affected vessel in diameter, as well as the localization of the pathological focus: from the first to the third degree, with a diameter of the vessel over 10 mm.
The first two stages of varicose veins of the pelvic vessels can be treated with the help of venotonics, nutritional corrections and the development of exercise therapy complexes.A more severe course requires other measures: embolization of large veins or venectomy.
Causes of the disease and risk groups
Experts point to both common reasons for the formation of pelvic varicose veins for the male and female part of the population, for example, excessive physical overload, lack of physical activity, negative hereditary predisposition and gender predisposition.
More often, varicose veins of the pelvic veins in men occur due to the following reasons:
- uncorrected diet, which provokes a tendency to constipation;
- work activities that are carried out in a sitting position, for example in front of a computer screen;
- congenital weakness of the venous wall;
- presence of sexual dysfunction;
- inflammatory damage to the internal organs of the small pelvis, for example, hemorrhoids, prostatitis.
The main causes of pelvic varicose veins in women:
- history of frequent childbirth;
- inflammatory pathologies of a gynecological nature;
- the use of incomplete intercourse as a method of contraception;
- lack of orgasm during sex;
- long-term compression of vascular systems by the formation of tumors, for example, uterine fibroids.
Based on the above reasons, experts have formed risk groups for the disease:
- multiparous women;
- people leading a sedentary lifestyle;
- presence of chronic inflammatory pathologies in the pelvis;
- who have undergone surgery on the internal organs of the small pelvis.
Up to 90% of established cases of pathology are due to varicose veins of the pelvis during pregnancy.
Symptoms
A person may not even suspect the presence of varicose veins in the pelvic region until he begins to worry about unexplained painful impulses in the lower abdomen, without apparent reasons.
Pain with varicose veins of the small pelvis can be combined with other symptoms:
- premenstrual syndrome, which is difficult for women;
- significantly increased sensitivity in the vagina or perineum;
- profuse pathological discharge;
- discomfort when urinating;
- the appearance of significant discomfort when remaining in a static position for a long time.
Each person is unique, so internal varicose veins of the small pelvis can be manifested by only one of the above symptoms or a combination of them.
In advanced severe cases, varicose veins can be visually noticeable on the inner side of the thighs, in the area of the anus.That is why experts call for timely treatment of the pathology.Many women experience discomfort after giving birth.
The danger of varicose veins during pregnancy
In addition to great joy, the period of giving birth to a baby can also give a woman unpleasant sensations.It is during this period of time that various pathologies can worsen or form, for example, varicose veins of the small pelvis during pregnancy.
When detected late, varicose veins of the uterus can have serious consequences and pose a direct threat to the baby and its normal development.Undernutrition of the placenta caused by blocked venous outflow provokes intrauterine hypoxia of the fetus: a rather serious complication of pregnancy.
The most serious complication, of course, is placental abruption and spontaneous termination of pregnancy.To prevent this, you must undergo a comprehensive diagnostic examination in advance at the stage of pregnancy planning.Find out in advance which doctor treats the pathology, how the birth will proceed and what consequences varicose veins will have for the unborn baby.
Diagnosis
Thanks to modern diagnostic techniques, it is now possible to identify the pathology in the early stages of its formation.
Main diagnostic methods:
- Ultrasound is used for a complete examination of the uterus and appendages;
- the characteristics of local blood circulation in the vascular structures of the pelvis are examined using dopplerography;
- To fully visualize the area of the formed thrombus, transuterine venography is used.
In particularly severe cases, complete diagnosis is impossible without laparoscopy.
Tactics of treatment
How to treat varicose veins of the pelvis is decided by a vascular surgeon or phlebologist in each case strictly individually.
If negative changes in vascular structures of the first degree are detected, it is possible to use conservative methods of therapy:
- purchase of compression clothing that corrects vascular tone;
- adjust your diet - avoid the tendency to constipation, for example, you can drink kefir every night;
- perform special exercises for pelvic varicose veins;
- adjusting the work and rest schedule;
- give up existing bad habits;
- avoid constipation;
- try to visit the gym and swimming pool 2-3 times a week.
All the above measures help not only to improve the trophism of the organs and normalize the tone of the veins, but also to prevent further venous stasis.They can serve as a guide to prevent pathology.
Drug therapy is recommended by a specialist only in periods of exacerbation of the pathology.The main drugs for varicose veins of the pelvis are venotonics, which help to significantly reduce the intensity of pain impulses and relieve other unpleasant symptoms.
In pharmacy chains, you can buy suppositories, tablets or ointments to get rid of varicose veins.Modern drugs: Venarus, Detralex, Phlebodia, Troexerutin vramed, Phlebodia 600. The choice of the optimal drug is recommended to be entrusted to a specialist.
Special gymnastics for varicose veins of the small pelvis has proven to be excellent - it promotes the complete outflow of stagnant venous blood from damaged, varicose veins.
The issue of surgical treatment is decided strictly individually
Major myths about varicose veins
Varicose veins form only on the legs,– this is far from true.The entire human body is penetrated by arteries and veins, which is why pathological changes can affect any area of the body, even the pelvic organs.
Another misconception is that varicose veins can be eliminated instantly.And this is a wrong opinion - pathology does not form in one day, and therapeutic measures will take time.It is worth being patient and following the recommendations of specialists.
Varicose veins in women should be treated by a gynecologist.In no case - only a phlebologist deals with all vascular lesions.
Self-medication is absolutely prohibited - the risk of severe complications, including venous thrombosis and death, is very high.Varicose veins of the venous structures of the pelvis can be found in a person of any age;it should not be considered a disease reserved for the elderly.Timely identification and elimination of unpleasant sensations is possible only with close interaction between the patient and the specialist.