Modern medicine does not pay much attention to varicose veins of small pelvic veins.This problem began to be discussed only in the 80s of the last century.From this point of view, it is difficult to diagnose the pathology today.Many specialists of the Soviet school do not understand the treatment of pelvic varicose veins in women.Therefore, vascular diseases continue to progress and cause serious changes in the work of the reproductive system.
What are pelvic varicose veins?
When talking about varicose veins of the small pelvis, many people remember hemorrhoids.But when the topic concerns the female population, the problem becomes global.Intestinal veins do not necessarily suffer from pelvic varicose veins in women.Therefore, the absence of hemorrhoids is not a guarantee that the patient does not have pelvic varicose veins.
The first record of pelvic varicose veins in women appeared only in 1975.At first, surgical methods were used for treatment, which was not justified.
Pelvic varicose veins are abnormal dilation of blood vessels.For some reason, the veins lose their elasticity.They, as before, receive the necessary amount of blood, but they can no longer push it back.As a result, the biological fluid stagnates in the veins.The walls are stretched, thinned and damaged.The disease progresses throughout life and does not manifest immediately.Therefore, most varicose veins of the pelvis are found in women around 30-40 years old.The danger of varicose veins is the development of stagnant processes in stretched veins.This increases the risk of blood clots.In addition, varicose veins of the small pelvis greatly reduce the quality of life of women and cause other health problems.
Causes of varicose veins of the pelvic veins
Because pelvic varicose veins in women have received attention relatively recently, the problem is not fully understood.Doctors cannot tell the exact cause of the disease.There are various hypotheses about the occurrence of pathology, but none of them has been recognized to date.
The causes of varicose veins in the pelvis can be the following:
- Hereditary predisposition.Observations show that the families of the examined patients had vascular diseases at a young age.
- Wrong lifestyle.Vascular diseases develop as a result of insufficient nutrition, smoking, alcohol abuse, sedentary lifestyle.
- Connective tissue dysplasia.A decrease in collagen and other components of connective tissue leads to dilation of blood vessels.
According to statistics, up to 35% of healthy people experience connective tissue dysplasia and vascular diseases in old age.About 70% of them are women.At the same time, experts have not yet learned to predict such changes and effectively prevent varicose veins of the small pelvic veins.
Risk factors
Varicose veins of the pelvic veins develop more often in women:
- the presence of bad habits;
- lead a sedentary lifestyle;
- spending a lot of time sitting;
- do not lead an intimate life;
- are overweight;
- suffers from varicose veins of the lower extremities;
- give birth to a child at least once;
- underwent abdominal surgery.
Pelvic varicose veins: symptoms in women
Not all patients with pelvic varicose veins have symptoms.Many women are unaware of their disease for many years and suddenly find out.Some have clinical manifestations but associate them with other conditions.Due to the difficult diagnosis and little attention paid to this pathology, doctors often make mistakes when making a diagnosis.For example, a woman complains of abdominal pain, and the doctor reveals inflammation of the appendages, but in fact the symptom is caused by varicose veins.
Symptoms of the disease:
- pain in the lower segment of the abdominal cavity, spreading to the sacrum or leg;
- discomfort during intercourse;
- heaviness in the pelvis during menstrual bleeding;
- swelling of the lower abdomen;
- varicose veins of the external genitalia, lower limbs;
- increase in blood platelets.
If a woman is at risk and has classic symptoms of pelvic varicose veins, this disorder should be excluded.For this purpose, clinics use laboratory, instrumental and hardware diagnostic methods.
Varicose veins of the pelvis during pregnancy
Varicose veins of the pelvis can cause women to become pregnant, because blood circulation in the pelvis is disturbed.If the disease affects the sex glands, their activity changes.However, in most cases, varicose veins do not prevent conception, but can cause problems during pregnancy.
During pregnancy, special attention should be paid to patients with varicose veins of the small pelvis.During pregnancy, various problems with blood supply to the placenta are possible, which lead to irreversible consequences in the development of the fetus.With increased levels of platelets in the blood, women require injections of thinning drugs to prevent pregnancy complications.
Diagnostic methods in the clinic
A doctor can already suspect varicose veins of small pelvic veins in a woman during the first examination.A gynecologist compares symptoms, assesses risk factors, and conducts a bimanual examination.During palpation, the patient feels pain in the pelvis.If there are varicose veins in the external genitalia or inner thighs, then the problem is most likely also in the pelvis.Clinics use hardware and instrumental methods to confirm pathology:
- Ultrasound.When examining the pelvis, specialists often do not pay attention to the vessels.However, the latest ultrasound scanners allow you to examine the veins.With varicose veins, they are curved and dilated, and also have an unnatural location.
- Doppler imaging of blood vessels.Diagnostics assesses the state of the vascular and venous system of the pelvic organs.With varicose veins, a reduced systolic speed is detected in the iliac vessels of the ovary and uterus.
- Laparoscopy.Using an optical system, surgeons examine the interior of the abdominal wall, the surface of the uterus, and the appendages.
- Tomography.A computer or magnetic study using a contrast agent allows you to examine the location of the veins in detail and see areas of their expansion.
In addition, laboratory tests can be used.For differential diagnosis, the doctor prescribes additional examinations based on the obtained results.
Treatment of pelvic varicose veins in women
If there are no noticeable changes in the veins, the patients are prescribed drug treatment.Venotonics and anticoagulants are used, vitamin therapy is recommended.Usually one to four courses are offered in a year.It is important to improve the quality of life with varicose veins of the pelvis and relieve the patient from painful symptoms.
Treatment of vascular pathologies is necessarily completed by lifestyle modification.It is important to reduce the level of cholesterol in the body to reduce the risk of cardiovascular diseases.It is recommended to lead an active lifestyle, play sports, follow a proper diet and give up bad habits.
It is recommended to consult a phlebologist regularly during pregnancy.If necessary, the doctor will schedule unscheduled examinations.In the second half of pregnancy, drugs can be used to maintain the tone of the vessels during pregnancy, but only as prescribed by the doctor.Medications prescribed during pregnancy are primarily evaluated for expected benefits and possible risks.
Treatment at the clinic
If there is no result after outpatient treatment, hospitalization may be recommended.In clinics, correction of pelvic varicose veins is performed surgically.Modern surgery uses minimally invasive methods - sclerotherapy, laser coagulation, etc.If necessary, open surgery is prescribed.
There is no single treatment regimen for varicose veins of the pelvis.An individual approach is chosen for each woman.The regimen can be changed based on the evaluation of the results obtained during the treatment process.
Prevention
Prevention of varicose veins of the small pelvic veins should be done from a young age.It is a mistake to believe that this pathology is found in middle-aged women and does not threaten young girls.Varicose veins begin to develop many years before the clinical picture appears.Therefore, prevention of vascular diseases is necessary for everyone.
Recommended:
- leading a healthy lifestyle;
- follow a proper diet;
- eliminate bad habits;
- maintain normal body weight;
- undergo regular medical examinations or undergo paid Check-up diagnostic programs offered by many medical centers.
If you suspect pelvic varicose veins, you should contact a gynecologist and phlebologist.