Female small pelvic varicose veins-symptoms and treatment

When varicose veins are involved, few people associate the disease with internal organs. Pathology of the lower limbs is often associated with it. At the same time, the invisible pelvic varicose veins account for at least 5% of the total share of vascular diseases, and most patients learn about the diagnosis accidentally.

This disease mainly affects women of childbearing age. Their pelvic varicose veins are small and accompanied by symptoms similar to gynecological inflammation, the consequences of hormonal destruction, and urogenital diseases. This is why this disease cannot be treated for a long time and continues to develop, leading to serious complications, including life-threatening complications.

Causes and risk factors

Under women's pelvic organ varicose veins, doctors understand that the structure of the blood vessel wall in other types of diseases has changed-weakened, then stretched, and a "pocket" for blood retention is formed in it. It is extremely rare that only the blood vessels of the pelvic organs are affected. In about 80% of patients, with this form, there are signs of varicose veins in the groin and lower limbs.

The occurrence of small pelvic varices is most obvious in women. This is due to the anatomical and physiological features suggesting a tendency to weaken the vein wall:

• Hormonal fluctuations, including hormonal fluctuations related to the menstrual cycle and pregnancy;
• Increased pressure in the small pelvis, which is characteristic of pregnancy;
• During pregnancy and during sex, the blood is more actively filled with blood, including the menstrual cycle.

All the above phenomena belong to the category of factors that cause varicose veins. And they are only found in women. During pregnancy, due to factors such as osteoporosis, stratification is caused at the same time, so most patients face varicose veins in the small pelvis. According to statistics, in men, there are 7 times fewer varicose veins in the small pelvis than in ordinary women. Their provocative factors are more diverse:

• Lack of motivation-keep low physical activity for a long time;
• Increased physical activity, especially weightlifting;
• Obesity;
• Lack of fiber in the diet;
The inflammatory process of the organs of the genitourinary system;
• Sexual dysfunction or conscious refusal to have sex.

Genetic susceptibility can also cause pathology of the nerve plexus located in the small pelvis. According to statistics, perineum and pelvic varices are usually diagnosed in women whose relatives have this disease. Their initial changes can be observed during adolescence.

Among patients with venous disease in other parts of the body, women with pelvic vascular involvement have been observed to have the greatest risk of developing inguinal varicose veins. In this case, we are talking about congenital venous weakness.

Typical symptoms

In women, pelvic varices are accompanied by severe but non-specific symptoms. Usually, the manifestations of this disease are considered as signs of gynecological diseases. The main clinical symptoms of inguinal varices in women with pelvic vascular involvement are:

1. Lower abdominal pain has nothing to do with the menstrual cycle. Their strength depends on the stage and extent of the vein injury. The first-grade varicose veins of the small pelvis are characterized by periodic mild pain extending to the lower back. In the later stage, it will be felt on the abdomen, perineum and lower back and is long and strong.
2. A large amount of mucus is discharged. The so-called leucorrhea has no unpleasant smell and does not change color, which indicates infection. The discharge volume increases in the second phase of the cycle.
3. Increased symptoms of premenstrual syndrome and dysmenorrhea. Even before menstrual cramps, women’s pain will increase until they have difficulty walking. When menstrual bleeding occurs, it becomes unbearable and spreads to the entire pelvic area, perineum, lower back and even thighs.

Another characteristic of women with varicose veins is the discomfort during intercourse. It is felt in the vulva and vagina and is characterized by dull pain. It can be observed at the end of intercourse. In addition, the disease is accompanied by increased anxiety, irritability and mood swings.

Like the varicose veins of the small pelvis in men, the part of women diagnosed with this disease is gradually losing interest in sex. The cause of dysfunction is both persistent discomfort and reduction of sex hormone production. In some cases, infertility may occur.

How is pelvic varicose treated?

When a woman has symptoms of pelvic varicose, treatment should be started as soon as possible. The main direction of treatment is to restore blood vessel tension, strengthen blood vessel walls and improve blood flow in the pelvic area.

For pelvic varices, treatment should be prescribed and monitored by a phlebologist. If female pelvic varicose veins are found during pregnancy, phlebologists and gynecologists should participate in the treatment.

Disease treatment requires a comprehensive approach. It includes several processing methods:

1. Conservative influence. Including conventional and long-term medication. Using this method, you can heal pelvic varicose veins at an early stage when the blood vessels lose their tone.
2. No medication. Including adhere to daily exercise. Although this method relies on reducing the risk of further development of varicose veins, it is still considered an auxiliary method.
3. Surgical treatment. This method will be used when other methods are ineffective and the disease is discovered later.

Drug therapy involves taking several groups of drugs, which not only eliminate the symptoms of discomfort, but also improve the condition of the vein:

• Venotonics, designed to improve venous outflow;
• Drugs that reduce blood density can prevent thrombosis.
• Comprehensive therapy used to relieve symptoms of discomfort and strengthen blood vessels;
• Herbal preparations designed to reduce edema and eliminate inflammation;
• A vitamin complex designed to strengthen the walls of veins.

It is hardly recommended to take all venotonic drugs for pelvic varicose during pregnancy. If symptoms worsen, the doctor may prescribe the minimum dose after 12 weeks of pregnancy.

Varicose vessel surgery for pelvic organs is considered the last option. Use it when there is no positive effect and long-term use of the drug. The surgical treatment used may vary depending on the location of the blood vessel damaged by the disease:

• If only the internal vein is affected, ligate the ovarian vein;
• Combining the varicose veins of the pelvic organs and the perineum, the surgeon ligated the vena cava;
• Combine the varicose veins of the small pelvis and lower limbs for cross resection.

Before and after the intervention, women need to receive medication, wear compression clothes and strictly follow a weight loss diet.

Prevention

Preventing attacks and reducing the risk of progression are as important as treatment. This means exercising pelvic varicose veins and following a special diet. With their help, it is possible:

• Reduce weight, that is, reduce blood vessel load;
• Improve blood flow;

• Reduce the possibility of blood clots;
• Reduce the risk of other complications.

In small pelvic varicose vein exercises, you can include the classic "birch" and "foot scissors", "bicycle" and lift your toes from a standing position. This load stimulates blood to flow from the small pelvis and strengthens the pelvic floor muscles, which helps reduce swelling of the veins. Exercises must be done regularly (preferably every day, morning and evening) with the varicose veins of the small pelvis.

The small pelvic varicose vein diet is characterized by high-fiber and vitamin foods (mainly B, A, C, Omega-3 and Omega-6) in the diet. Fiber is necessary to improve bowel function and eliminate congestion in abdominal and pelvic organs. Vitamins are necessary to strengthen vein walls and reduce blood viscosity. To meet their needs, the diet includes:

• Whole wheat cereals-buckwheat, brown rice, millet, oats;
• Vegetables and fruits, berries and fruits, citrus fruits;
• Skinless chicken or turkey slices;
• Seafood, white and red fish, seaweed;
• Green tea, freshly squeezed juice, candied fruit.

It must be eaten in small amounts. It prefers cooked, stewed and baked dishes, and salads made of fresh vegetables.

Complications

In contrast to varicose veins on the legs, the list of dangerous conditions for women with varicose veins in the pelvis includes many negative consequences. In addition to thrombosis, thromboembolism, thrombophlebitis and other only vascular complications, the following conditions may also occur in the context of the disease:

• Chronic inflammatory process of the genitourinary system;
• Hormonal imbalance;
• Abnormal uterine function;
• Infertility.

This is not the only danger of pelvic varices. Since the disease usually worsens during pregnancy, it is a threat not only to women but also to the fetus. The main complication of this form of varicose veins is delayed fetal development, which develops in the context of pregnancy. Women with this diagnosis are more likely to give birth to premature babies with low weight and underdeveloped lungs.

During delivery with varicose inguinal veins, the blood vessel wall may rupture. It is filled with a lot of blood loss and sometimes leads to sad consequences. To reduce the risk of this complication, doctors tend to prescribe a cesarean section for women with pelvic varicose, and then ligate the vein.