Chronic uterine pain syndrome is also known as varicose veins of the pelvic organs or varicose veins in the uterus. This disease is more common in women of childbearing age, difficult to diagnose and can be almost asymptomatic, but you need to know its symptoms so that gynecological diseases are not misdiagnosed.
What are varicose veins of the uterus
Varicose veins are blood clots in the arteries that cause them to lose their elasticity due to hormonal changes or genetic predisposition. The vessels of the lower extremities and pelvic organs are more susceptible to the disease. Varicose veins of the small pelvis are more dangerous than the manifestation of a similar disease, because they can not be identified visually, and infertility can be the result of internal varicose veins in the ovaries, uterus and vagina.
Causes of varicose veins in the small pelvis
There are several theories about the occurrence of this pathology in women of childbearing age. Pregnancy is the main trigger for varicose veins of the uterus. Conditions for the development of the disease appear:
- increase in the concentration of progesterone in the blood, which relaxes the walls of blood vessels;
- increased load on the pelvic organs (OMT), disruption of normal blood supply;
- reverse blood flow through the ovarian artery;
- chronic inflammatory processes of the uterus, appendages;
- artificial termination of pregnancy.
Not all pregnant women are at risk. This disease is genetically determined. Before planning a pregnancy, it is important to get a serious examination to rule out health risks and possible complications during childbirth. Varicose veins of the uterus are detected by ultrasound diagnosis and confirmation of the diagnosis using trans-uterine phlebography, ovarycography.
Symptoms of varicose veins
The disease can be diagnosed mainly by two symptoms:
- chronic pain in the lower abdomen, aggravated by physical force during sexual intercourse, the second half of the menstrual cycle and gestation;
- increased vaginal discharge.
If a woman leads a sedentary, sedentary lifestyle during inflammatory processes in the genitourinary system, the pain intensifies. Varicose veins of the uterus are often closely associated with sexual dysfunction. Depending on the stage of the disease, the symptoms may be small or absent:
- first stage - the size (diameter) of the vessel up to 5 mm, the curvature of the vessels (minor symptoms);
- second - a vein up to 10 mm, varicose veins of the uterus;
- third - common varicose veins with a diameter of more than 10 mm.
What is dangerous during pregnancy
If the diagnosis is made before conception, the symptoms may worsen due to hormonal changes during pregnancy. Why do many women think that varicose veins are dangerous and how to deal with it during pregnancy? If a woman is under constant medical supervision and her health is monitored, it is not dangerous to disturb blood flow during pregnancy. In rare cases, varicose veins of the small pelvis can be a reason to appoint a cesarean section, to a lesser extent - can lead to placental insufficiency.
Diet for varicose veins
Nutrition plays a very important role in the treatment and prevention of varicose veins of various etiologies. Doctors advise to give up coffee, strong tea, limit the use of sugar and salt. It will be useful to fill the diet with fresh vegetables, fruits and vegetable oils. Such a diet has a beneficial effect on blood flow, the condition of the walls of blood vessels, prevents the stagnation of fluid in the body, which removes the load from the arteries. It is important for pregnant women to limit the amount of fluid they drink, as hormonal levels cause blood stasis.
Treatment of small pelvic varicose veins
After determining the symptoms of varicose veins and confirming the diagnosis, patients begin to be treated conservatively with medication and physiotherapy. If the treatment does not improve and the pain persists, they resort to surgery. How to treat varicose veins during pregnancy is an important question for many? In this case, a woman needs to be under the supervision of a doctor for supportive therapy, and after childbirth - in intensive care.
To take venotonic drugs
The first thing to treat varicose veins of stage 1-2 of the uterus is venotonic. The phlebologist prescribes them after a thorough examination. Venotonic drugs are prescribed. The pills are taken for two to three months under the supervision of a doctor. During this period, the pain of OMT should be significantly reduced, and the pain syndrome during menstruation should be reduced. It is better to combine such treatment with health-improving gymnastics.
Exercises
Mandatory physical activity includes long walks and relaxation exercises that relax the muscles of the cervix and perineum - these are "maple", "cycling" exercises. Special breathing therapeutic exercises are useful - even deep breathing with the involvement of the muscles of the lower abdomen. Wearing compression underwear and tights that support the vascular plexuses of the legs, perineum, and hips is also indicated. An additional beneficial effect is provided by a contrasting shower.
Surgical treatment of varicose veins
If drug treatment does not help, the pain does not go away, or the third stage of varicose veins of the small pelvis is diagnosed, surgical intervention is provided, the degree of which is selected depending on the location of the reverse blood flow:
- closure of the ovarian vein;
- ovarian vein embolization;
- angiography (application of contrast agents);
- open removal of gonadal vessels.
If the patient's varicose veins are observed not only in the pelvic organs, but also in the legs, the Troyanov-Trendelenburg operation, which involves the removal of a large saphenous vein, is used. This method is common in the fight against the third stage of varicose veins of the uterus and general venous dilatation. With early diagnosis, it is possible to prevent surgery and stop its development at an early stage. Factors that accompany varicose veins and complications should be excluded:
- to smoke;
- alcohol;
- sedentary lifestyle;
- hormonal changes, self-medication during gynecological diseases;
- malnutrition.