Varicose veins of the pelvis symptoms. Varicose veins of the pelvis, treatment, symptoms and photos

Venotonics for pelvic varicose veins are the main component of drug treatment of the pathology.

Drugs and medications in this group help prevent blood stagnation.

They also normalize blood circulation in the pelvic area.

Thanks to their active components, it is possible to reduce the symptoms of the disease and stop its further progression.

To avoid serious complications, phlebotropic drugs should be taken only as directed by the attending physician.

Features of the use of venotonics

In case of exacerbation of pelvic varicose veins (PVVV), a course of medication is an important part of the treatment of the disease. The main role in treatment is given to venotonic agents that improve vascular tone. To prevent the development of relapse of the disease, they are also prescribed for preventive purposes.

1. Produced on the basis of safe ingredients, among which preference is given to herbal ingredients.
2. Provide a long-term medicinal effect (the course of taking many venotonics lasts several months).
3. Combine with other groups of medications prescribed for varicose veins.
4. Be accessible and easy to use.
5. Do not have a destructive effect on internal organs, unlike many potent drugs.

Depending on the method of application and composition, venotonics are divided into different groups.

• external agents (creams and ointments, rectal suppositories);
• internal preparations (tablets, ampoules, capsules).

Their difference lies in the healing effect they have on the body. If external drugs affect the affected area locally, then systemic drugs act at the cellular level, while affecting the intestines and stomach.

Based on their composition, venotonic drugs are grouped into entire pharmaceutical groups.

1. Herbal medicines – flavonoids and saponins.
2. Medicines that strengthen the muscle fibers of blood vessels - rutosides.
3. Combination drugs.
4. Chemically synthesized drugs.
5. Venotonics of polyvalent action.

Drugs against pelvic varicose veins, no matter what group they belong to, should be prescribed by the attending physician based on the available indications. This also takes into account the presence of primary and secondary pathologies, the general condition of the patient, as well as the possible development of side effects.

Plant-based venotonics

Treatment of varicose veins with the help of saponins and flavonoids is characterized by effectiveness and a more gentle effect on the human body.

1. Diosmin.
2. Venarus.
3. Detralex.
4. Vasocket.

The above remedies are herbal medicines that have biological activity. In contrast, saponins are produced from extracts of natural herbs and plants, for example, ginseng, licorice, and horse chestnut.

1. Aescin.
2. Aescusan.
3. Herbion aesculus.

Detralex

The action of the main component of the drug - diosmin - is aimed at increasing venous tone, improving hemodynamics, and also reducing congestion in the blood. This significantly improves blood circulation in the pelvic area. Phlebodia 600, an effective modern drug against pelvic varicose veins, is also produced on the basis of diosmin.

Detralex is a fast-acting drug compared to similar drugs. Before using it, you should read the instructions. The main contraindications are related to individual intolerance to the components included in its composition. The drug should be taken with extreme caution during pregnancy and breastfeeding.

The duration of taking Detralex depends on the course of the disease, as well as the severity of symptoms. As a rule, the course is no more than 3 months of daily use.

Aescusan

An effective oral agent used to treat chronic venous insufficiency. It is produced on the basis of vitamin B1 (thiamine), as well as horse chestnut extract.

• antioxidant;
• venotonic;
• decongestant;
• anti-inflammatory;
• antithrombotic, etc.

The product is available in the form of tablets and solution for oral administration. Has side effects and contraindications. According to the instructions, during the 2nd and 3rd stages of pregnancy it is allowed to take the medicine according to the available indications.

The course of taking the drug is approximately 3 months, but can be increased by the attending physician.

Rutosides

Due to the high content of vitamin P, these drugs are classified as glycosides, along with flavonoids and saponins. However, rutosides are classified as a separate group of medications that act on the muscle fibers of the vessels of the affected area (veins and capillaries).

The most well-known means of this group include:

1. Venoruton.
2. Troxevasin.
3. Rutin.
4. Troxerutin.

Venoruton

Venotonic has a broad spectrum of action, which is enhanced by interaction with ascorbic acid (vitamin C). That is why, in addition to drug therapy, it is recommended to adhere to a special diet that includes a large amount of vitamins and minerals.

• phlebotonic;
• antioxidant;
• painkillers;
• anticonvulsant;
• decongestant;
• angioprotective.

The product also has a tonic effect on the vascular walls. Thanks to systemic administration of the medicine, internal bleeding is reduced, itching and severe pain are relieved, and the general condition of the patient improves.

Troxevasin

An effective venotonic agent acting on veins and small capillaries. Regular use of the medication helps eliminate the main symptoms of the disease: swelling, pain, itching, and bleeding. It also has an anti-inflammatory effect. Available in the form of capsules for oral administration and gel for external use.

The medication is also prescribed as an auxiliary treatment after sclerotherapy or surgical removal of varicose veins.

Like any of the above-mentioned venotonic drugs, Troxevasin can have side effects and also has a number of contraindications regarding gastrointestinal pathologies.

In the initial stages of the disease, it is also possible to effectively treat pelvic varicose veins with the help of venotonics of combined and polyvalent action.

Venotonics for pelvic varicose veins are drugs of various pharmaceutical groups, spectrum of action and release form. However, the purpose of their use is the same - to eliminate the disease by restoring blood circulation in the vessels of tissues and organs.

All medications are selected by the doctor in each specific case.

Pelvic varicose veins (PVV) or chronic pelvic pain syndrome is still an exotic disease with unclear diagnostic boundaries for many doctors.

This explains the fact that some doctors “do not notice” this disease in their patients for a long time, while others make this diagnosis for almost every second person suffering from constant unexplained pain in the lower abdomen.

Meanwhile, the quality of the patient’s future life, his ability to enjoy the intimate side of relationships with a loved one and the opportunity to continue his family largely depend on the timely detection of pelvic vein varicose veins.

The phenomenon of chronic pelvic pain has been known to doctors for a long time. But only relatively recently has its most probable cause become known - varicose veins of the small pelvis. This is a disease was first described in 1975 and is still not well studied.

It is most likely that this pathology develops according to the following algorithm:

1. The venous plexus in the pelvis is a complex formation that includes both large vascular trunks and smaller veins extending from them. At the same time, the venous system of the pelvis in men and women differs in its structure, which determines the gender specification of the disease - VRVT much more common among representatives of the weaker sex.
2. Due to compression of blood vessels, complete or partial blockage of the venous bed, changes in the tone of the vascular walls, the outflow of blood from the deep pelvic veins is disrupted.
3. As a result, the veins cease to perform their functions in full: venous valve insufficiency progresses and the normal flow of blood is disrupted.
4. In the pelvic veins, stagnation begins, associated with the reverse flow of blood through the vessels - this provokes dilation of the veins and the development of varicose veins.

Symptoms of varicose veins (varicose veins) of the internal organs of the pelvis are much more common in women of reproductive age than in men. In this case, the ovarian (“ovarian”) veins are most often affected - in 85% of cases.

The leading symptom is pain, which is recorded in more than 90% of patients. But the prevalence of this disease among the population has not yet been clarified: according to various studies, it ranges from 6 to 80%. Such a large discrepancy in “indications” is explained only by the insufficient qualifications of diagnosticians when making a diagnosis.

Causes and risk factors

The causes of pelvic varicose veins are any changes in the body that can trigger the launch of the pathological mechanism of this disease:

Increased risk factors for ARVMT are:

• strenuous physical work;
• insufficiently regular or unsatisfactory sex life;
• abuse of interrupted sexual intercourse in intimate life;
• a large number of pregnancies and births;
• frequent gynecological diseases;
• contraception using hormonal drugs;
• hormonal imbalances in the body;
• physical inactivity.

Classification and stages of varicose veins

In the medical environment, a conditional division of ARVMT according to the nature of the course is accepted into varicose veins of the perineum and external genitalia (labia) and pelvic venous congestion syndrome. This classification does not have much practical significance, since in most cases, patients have both of these forms simultaneously, as provoking the appearance of each other.

You can also find a classification of the disease according to the root cause of its occurrence. In this regard, HRVMT is divided into:

• primary– caused by poor functioning of the venous valves;
• secondary– develops as a complication of existing inflammatory, gynecological or oncological diseases of internal organs.

There is also an attempt to classify this disease based on the severity of the pathology. In this regard, there are 3 stages of pelvic varicose veins:

What is the danger and what are the consequences?

This type of vascular pathology cannot be called a fatal disease. If detected in time, it lends itself well to medical correction. But the problem is that it is not so easy to detect. Insufficient knowledge of the disease and low awareness of most diagnosticians play a role in this.

So it turns out that patients suffer from this disease for years without even knowing it. Meanwhile, in their body A number of irreversible changes occur:

• Varicose veins progress, adjacent areas are included in the pathological process - dilation of the veins of the reproductive organs appears (for example,), perineum, etc.
• Persistent dysfunction of the internal genital organs appears, which may lead to infertility or inability to carry a pregnancy to term among women.
• Against the background of pain, various psycho-emotional disorders such as neurasthenia develop.
• Due to chronic pain that worsens during intimacy, a person may refuse sex altogether.
• The rarest and at the same time the most severe complications of pelvic varicose veins are considered to be and. They occur in approximately 5% of cases, but are always deadly.

Symptoms

Typical symptoms of varicose veins and pelvic vessels that require visiting a doctor for treatment include:

• Chronic pain. Pain sensations are most often localized in the lower abdomen, sometimes “radiating” to the groin and lower back. They intensify in the second half of the menstrual cycle in women, after sexual intercourse or prolonged standing.
• Discharge from the genital tract. This is a typically “female” symptom. In this case, the discharge is normal in appearance and has no foreign odor. The patient is only alarmed by their unusually large number.
• External signs of illness– spider veins or increased venous pattern on the thighs, in the perineum – occurs in approximately half of the patients. Men may experience slight dilation of the veins on the penis.
• Menstrual irregularities in women and urinary disorders It occurs infrequently in patients of both sexes and indicates an advanced form of the disease.

When to see a doctor and which one?

Any of the above symptoms may be a reason to consult a doctor. You can’t hesitate, since it will take a lot of time to find out the true causes of discomfort and prescribe effective treatment.

The specialized specialist in this disease is a phlebologist, but for women an initial visit to a gynecologist is possible, who will make sure that there are no concomitant gynecological diseases.

Diagnostics

According to American researchers, in the early 2000s, only 2% of patients with ARVMT were initially given the correct diagnosis. Sometimes the consequence of a diagnostic error was the removal of women's reproductive organs, although this could have been avoided if they had used the most accurate methods for diagnosing pelvic varicose veins:

• Ultrasound and Doppler examination of veins– makes it possible to suspect varicose veins;
• Phlebography– invasive research that allows you to accurately determine the presence and extent of the disease;
• Laparoscopy– indispensable in the differential diagnosis of URVMT from gynecological diseases with similar symptoms (endometriosis, fibroids, colpitis).
• Selective ovariography– studying the condition of the veins using the injection of a contrast agent is considered the most objective diagnostic method.
• Computed tomography or magnetic resonance imaging allows you to clarify the details of the course of the disease and differentiate it from other non-gynecological pathologies with similar symptoms (articular diseases, Crohn's disease, etc.).

Treatment methods

When treating ARVMT, the following tasks are set:

• normalize vascular tone;
• improve tissue nutrition;
• prevent stagnation and possible complications.

Treatment of varicose veins of the pelvic vessels can simultaneously proceed in several directions, while surgical intervention is necessary only at stage 3 of the disease.

Find out more about from another article.

Forecasts and preventive measures

It is almost impossible to completely cure varicose veins of the small pelvis without surgery. Using conservative medicine can significantly alleviate and even eliminate most unpleasant symptoms and significantly reduce the risk of disease complications. The operation also does not provide a 100% guarantee that the disease will not return.

To prevent relapse of the disease You must always adhere to an “anti-varicose” lifestyle:

• no smoking;
• do not use hormonal drugs uncontrollably;
• move more and stand still less;
• follow an anti-sclerotic diet with plenty of fresh plant foods;
• perform a set of therapeutic gymnastic and breathing exercises daily to maintain vascular health;
• After surgery for ARVMT, it is necessary to wear compression stockings and take prophylactic doses of venotonic drugs prescribed by a doctor.

Pelvic varicose veins – this is a hidden scourge of women's health, a kind of ghost disease, which is difficult to detect, but it is quite possible to suffer from it.

The main symptom of the disease is chronic pelvic pain, which can torment the patient for a long time and become a source of rejection of many of the joys of life. You cannot tolerate such discomfort and not see a doctor!

When specific symptoms appear, you must clearly understand that this is not normal and immediately seek help from a specialist.

Pelvic varicose veins (PVVV) is a fairly common disease, especially in women. The initial stages of the disease cause only minor discomfort in the external genitalia and lower abdomen.

Women with advanced forms of pelvic varicose veins suffer from constant severe pain, various gynecological diseases, are infertile, and have a cosmetic defect in the form of convoluted dilated venous nodes on the perineum, labia or at the entrance to the vagina.

The disease can be completely cured, but lifelong prevention is necessary to prevent relapse. This problem is dealt with jointly by vascular surgeons or phlebologists and obstetrician-gynecologists.

What it is?

Varicose veins of the pelvis are weakening of the walls of the internal or external venous vessels of the pelvic region, leading to excessive expansion of their diameter (ectasia).

Causes

The most common cause of the disease is pregnancy, or more precisely, the reverse flow of blood (reflux) through the ovarian vein, which, in turn, is caused by compression of the pelvic vessels or changes in hormonal levels during pregnancy.

In addition, the causes of pathology can be:

• sedentary work;
• numerous births;
• congenital pathologies of connective tissue;
• excessive physical activity;
• inflammatory gynecological diseases;
• increased production of estrogen;
• sexual dysfunctions.

Unfavorable factors include such features of sexual life as frequent interruption of sexual intercourse and lack of orgasm. In recent years, experts have argued about the harmful effects of hormone replacement therapy and contraception. This is supported by the fact that in the postmenopausal period, the manifestations of the syndrome significantly decrease.

Symptoms and photos

Varicose veins in the pelvis have specific symptoms. Frequent signs of vasodilation in women are:

1. Irregularities in the menstrual cycle also indicate varicose thickening of the veins of the female pelvic organs.
2. Increased sensitivity of the skin in the perineum, sensitivity of the vaginal mucosa.
3. Severe intermittent or constant pain. It often becomes more intense during menopause or after ovulation.
4. Vaginal discharge: colorless or slightly white.
5. Pain in the last stage of pregnancy, during sex or towards the end of the day.
6. In the presence of varicose veins, there is a slight swelling of the vagina and vulva.
7. Heaviness, pressure on the pelvic area is another possible symptom of varicose veins.

The photo below shows how the disease manifests itself in women.

Stages of the disease

To reflect the nature of pathological changes, the disease is divided into three degrees:

Depending on the stage of development of the disease, appropriate treatment is prescribed.

Diagnostic methods

The main method for diagnosing ARVMT is Doppler ultrasound of the pelvic veins. In this test, the veins are visualized using ultrasound. The screen shows dilated, tortuous veins of the small pelvis, the speed of blood flow in them decreases. Signs of venous valve dysfunction are determined.

1. An informative method for diagnosing URVMT is transuterine venography. This is a study of veins associated with their filling with a contrast agent, clearly visible on an x-ray. The result is a series of images of veins, where collaterals, dilated veins, places of thrombosis, and the condition of the valves are visible. The method is contraindicated in case of iodine intolerance (part of the contrast agent) and pregnancy.
2. If ARVMT is suspected, laparoscopy is performed: examination of the pelvic cavity using an endoscope through a small puncture in the abdominal wall.
3. The most informative study is considered to be selective oophorography: an X-ray examination of the ovarian veins using contrast.
4. For the purpose of differential diagnosis with other diseases of the pelvic organs, computed tomography can be performed.

It is necessary to carry out a differential diagnosis with diseases such as inflammation of the appendages, endometriosis, uterine prolapse, postoperative neuropathies, inflammation of the large intestine or bladder, radiculitis, and pathology of the hip joints.

How to get rid of the disease?

Varicose veins of the pelvis are jointly treated by vascular surgeons or phlebologists with obstetricians and gynecologists. According to modern ideas, treatment consists of the following areas:

1. Normalization of lifestyle;
2. Conservative drug treatment;
3. Compression and sclerosing therapy;
4. Surgery.

It is possible to cure varicose veins of the pelvis. To do this, specialists draw up an individual treatment plan, and sick women must adhere to treatment and preventive recommendations for life.

During pregnancy

During the period of bearing a baby, if the pathology does not progress and does not bother you with symptoms, a wait-and-see approach is most often chosen. It is recommended to use compression garments and supportive corsets daily, as well as perform physical therapy exercises.

Surgical methods of treatment during pregnancy are prohibited and are used only if there is a threat to the life of the mother. After delivery, in 90% of cases, varicose veins disappear completely or enter a regression stage on their own.

In other cases, it is necessary to consult a phlebologist and prescribe the necessary treatment.

How to treat varicose veins of the small pelvis?

Even the best treatment does not make it possible to completely cure varicose veins of the small pelvis. But, nevertheless, adequate therapy allows you to get rid of most of the clinical manifestations and significantly improve the patient’s condition. It helps solve the following problems:

• normalizing venous tone;
• prevention of congestion in the pelvic vessels;
• improvement of tissue nutrition.

Pharmacological drugs for this disease are prescribed in courses and include the following pharmacological groups:

• phlebotonics (normalize the tone and increase the elasticity of the venous wall, improve rheology - blood fluidity);
• antiplatelet agents (prevent thrombus formation): trental, aspirin, pentylyl;
• phleboprotectors (have an anti-inflammatory and anti-destructive effect, reduce vascular permeability, improve lymphatic drainage);
• antioxidants and membrane protectors (prevent oxidation, eliminate free radicals, support the functioning of cell membranes, cell division and energy processes): vitamins C and E, ubiquinone, lycopid.
• NSAIDs (ibuprofen, nise) – relieve pain and have an anti-inflammatory effect;
• enterosorbents (bind toxins in the intestines): activated carbon, smecta, polysorb.

• phlebodia 600 - reduces the distensibility of veins, eliminates venous congestion, normalizes lymphatic drainage and improves microcirculation, has an anti-inflammatory effect - take for 2 - 4 months;
• Detralex – increases the tone of the venous wall and normalizes lymph outflow, duration of use – 6 months;
• troxevasin (available both in tablets and as an ointment), taken for up to 3 months, as a local treatment - treat the vulvar and perineal veins;
• aescusan (available in drops);
• venoruton;
• antistax;
• vaseket.

Experts advise combining drug therapy with physical therapy and wearing compression garments.

The basis of any treatment is a regimen and proper nutrition. First of all, patients with ARVMT should resolve the issue of working conditions. If possible, the employee is transferred to a job that excludes heavy lifting and significant physical activity. In the case of sedentary or standing work, you should take short breaks every 30 minutes and perform simple exercises (walking in place, squatting, raising your knees high). The same principle should be followed in your free time.

It is also necessary to reconsider nutrition. Refractory fats (lard, fatty meats), spicy foods, seasonings, marinades, smoked meats and pickles, alcoholic beverages, and smoking should be excluded from the diet. Diversify the menu with a large number of fresh vegetables and fruits, vegetable oils (a source of vitamin E - an antioxidant), and cereals.

Physiotherapy

It is recommended to combine medicinal and folk therapy with special therapeutic exercises and wearing compression underwear. The system of physical activity for the treatment of varicose veins in women consists of exercises:

1. "Birch". We sit face up on any hard, comfortable surface. Raise your legs up and smoothly move them behind your head. Supporting the lumbar region with your hands and placing your elbows on the floor, slowly straighten your legs, lifting your body up.
2. "Bike". We lie on our backs, put our hands behind our heads or place them along our bodies. Raising our legs, we perform circular movements with them, as if we were pedaling a bicycle.
3. "Scissors". Starting position: on your back. Raise your closed legs slightly above the floor level. We spread the lower limbs to the sides, return them back and repeat.

Breathing anti-varicose veins exercises, which involve deep, leisurely inhalations/exhalations performed one at a time, will not be superfluous.

Compression and sclerosing therapy

One of the effective means in the treatment of varicose veins in the area of ​​the external genitalia and perineum is compression.

The principle of this method is similar to the use of elastic bandages for varicose veins of the legs. External pressure (compression) of the superficial veins facilitates their emptying of blood. Special tights or shorts made of compression medical knitwear can create this effect. You can purchase them in specialized pharmacies, stores, and medical device stores, individually selecting the desired size and compression strength.

Sclerotherapy is a puncture of a varicose vein with the introduction of special drugs into the lumen (Sclerovein, Fibrovein, Aethoxysklerol), which cause it to stick together. This treatment is carried out for external (subcutaneous) pelvic varicose veins without hospitalization. Internal veins can also be sclerosed, but this procedure is technically more complex and takes place in an operating room.

Traditional methods

We invite you to familiarize yourself with several popular and effective recipes:

• Carrot smoothie. Large carrots need to be chopped using a fine grater, and then squeezed out the vegetable juice through cheesecloth. Add a teaspoon of flaxseed oil to the juice. You need to drink this healing drink every day, preferably in the morning.
• Chestnut tincture. To prepare the medicine, several chestnut fruits must be thoroughly crushed and poured with half a liter of medical alcohol (ordinary vodka will also do). Leave to infuse for 2 weeks. For medicinal purposes, it is recommended to drink 25 drops of tincture, 3 times throughout the day.
• Dandelion infusion. A tablespoon of dandelion measles should be steamed in a glass of boiling water. After 2 hours, cool and strain the resulting medicine. Take a tablespoon of dandelion tincture 4 times a day.

The hirudotherapy method also provides a good therapeutic effect. For varicose veins of the pelvic veins, it is recommended to place leeches on the area of ​​the sacrum and lumbar region.

Consequences of pelvic varicose veins

If you observe at least one of the above symptoms, consult a doctor for advice; do not ignore the condition. Pelvic varicose veins, left to chance, have several unpleasant consequences:

• dysfunction of the uterus;
• contraindication to natural childbirth;
• the appearance of concomitant diseases such as varicose veins and hemorrhoids;
• mental disorders (increased anxiety, irritability, sleep disturbances, impaired attention, fear of sexual intercourse due to painful sensations).

Varicose veins of the pelvis in women are a fairly serious disease that can lead to the development of a number of undesirable complications. The therapeutic course is developed by a specialist, depending on the severity of the patient’s condition and provoking factors. In the presence of associated complications, as well as in the later stages of the process, surgical intervention is recommended.

Prevention

Varicose veins can be prevented by following simple measures. You must adhere to the following rules:

• eliminate hard work;
• move more;
• do not sit in one place for hours;
• lead a healthy lifestyle;
• eat more fruits and vegetables;
• take vitamins that affect the condition of blood vessels;
• promptly treat chronic diseases of the genital organs;
• give up weightlifting.

If signs of varicose veins appear, you should immediately visit a doctor. You need to wear compression stockings and take medications that strengthen blood vessels. These medications are taken for several months, otherwise there will be no effect. Thus, varicose veins of the pelvic organs are a common pathology among women.

Content

According to medical statistics, many middle-aged women suffer from pain in the lower abdomen. Often this symptom is associated with a failure of normal blood circulation. This pathology is observed in the presence of many gynecological diseases, among which there are varicose veins of the small pelvis in women. Vascular problems are a very common ailment. Varicose veins in the pelvic area are predominantly detected in women aged 25 to 50 years.

What are pelvic varicose veins

Every organ of the pelvic region is affected by varicose veins of the small pelvis in women. The reproductive system is located in this part of the body, so the frequent formation of venous pathologies can be simply explained. There is an enlargement of the pelvic vessels. Veins compress nerve endings, triggering pain. Venous disease is classified according to forms and stages.

Forms and degrees of the disease

Varicose veins are divided into the following forms:

1. The primary type of varicose veins is an enlargement of the blood vessels of the pelvis. The cause is valvular insufficiency of 2 types: acquired or congenital.
2. The secondary form of thickening of the pelvic veins is diagnosed exclusively in the presence of gynecological pathologies (endometriosis, neoplasms, polycystic disease).

Varicose veins of the pelvis develop gradually. There are three stages in the development of blood circulation disorders in the pelvic organs:

1. The veins of the organs in the pelvic region expand to a diameter of 5 mm.
2. The second stage of vein enlargement is characterized by the presence of veins that “grow” up to ten millimeters. They surround the ovary, located on the left side.
3. The third stage of varicose veins is the diameter of the vessels more than 10 mm. Venous enlargement is detected in the right ovary. In diameter it approaches the left one.

Why does the pelvic veins dilate?

Varicose veins of the pelvic organs occur in women for many reasons. The main prerequisites for the occurrence of circulatory failure are considered to be obstruction of the veins or impaired blood flow in the ovaries. Blockage of the venous trunk often occurs. The blockage leads to the formation of a backup pathway for blood circulation. Varicose veins are also caused by the following factors:

• heavy physical activity;
• repeated pregnancy and labor;
• prolonged sedentary work activity also leads to the formation of varicose veins;
• various gynecological ailments: inflammation of the ovaries, backward bending of the uterus, endometriosis and chronic diseases, including;
• disruptions in the menstrual cycle;
• varicose veins are caused by high levels of estrogen;
• contraception from pregnancy using PPA (interrupted intercourse), the woman does not achieve orgasm;
• varicose veins of the pelvic organs can be provoked by treatment with drugs containing hormones.

Varicose veins of the pelvis during pregnancy

Problems with venous circulation in the pelvic area are not uncommon in pregnant women. They appear due to hereditary predisposition during the process of hormonal changes. Another “impetus” for varicose veins can be the characteristics of the female body. In addition to the main causes of ART during pregnancy, there are several other factors:

• increased internal pressure in the veins due to increasing load;
• the growth of the child and, as a result, the expansion of the uterus;
• venous expansion occurs due to low physical activity, which is typical for many pregnant women.

Signs of varicose veins

Varicose veins in the pelvis have specific symptoms. Frequent signs of vasodilation in women are:

1. Severe intermittent or constant pain. It often becomes more intense during menopause or after ovulation.
2. Vaginal discharge: colorless or slightly white.
3. Irregularities in the menstrual cycle also indicate varicose thickening of the veins of the female pelvic organs.
4. Increased sensitivity of the skin in the perineum, sensitivity of the vaginal mucosa.
5. Pain in the last stage of pregnancy, during sex or towards the end of the day.
6. Heaviness, pressure on the pelvic area is another possible symptom of varicose veins.
7. In the presence of varicose veins, there is a slight swelling of the vagina and vulva.

Diagnostics

Recognition of the manifestations of varicose veins occurs using several methods. Diagnostic measures for varicose veins of the pelvic organs are focused on two tasks:

• carrying out an examination, establishing a differential diagnosis - confirmation of varicose veins;
• identifying the area where reflux occurs (reverse reflux of venous blood) is necessary to establish the correct diagnosis.

So, the diagnosis of enlarged veins in the pelvic organs includes the following procedures:

1. Standard vaginal examination by a gynecologist.
2. Ultrasound (ultrasound examination) allows you to see the condition of the ovaries, uterus, bladder and find out whether a woman has URVMT.
3. Dopplerography is an examination that helps to establish the nuances of blood circulation in the vessels located in the pelvis.
4. Phlebography is a diagnostic technique that identifies areas of blood clot formation.
5. Laparoscopy and computed tomography. Prescribed when final confirmation of varicose veins is necessary.

Treatment

Diagnosis and treatment of varicose veins is performed by a phlebologist and vascular surgeon. It is recommended to combine medications aimed at relieving women of varicose veins with therapeutic exercises and traditional medicine. VRVT therapy involves several important points:

• getting rid of backflow of venous blood;
• relief of disease symptoms;
• stabilization of vascular tone;
• improving blood circulation in tissues.

Medication

Medicines for varicose veins must be taken in courses. The rest of the medications, which play the role of painkillers, are allowed to be taken only during a painful attack. For effective therapy, the doctor often prescribes the following medications:

• phleboprotectors (“Endothelon”, “Venoruton”, “Detralex” and others);
• enzyme preparations (“Phlogenzym”, “Wobenzym”);
• medications that relieve inflammation in varicose veins (Ibuprofen, Ketonal);
• tablets to improve blood circulation (Trental, Actovegin, Pentoxifylline).

Surgical

Sometimes surgery is required. For example, when the symptoms of varicose veins persist for a long period of time and the disease develops. The doctor refers the patient for surgery. There are several types of interventions that help get rid of varicose veins:

• embolization of veins in the ovaries;
• plastic surgery of the uterine ligaments;
• removal of enlarged veins by laparoscopy;
• compression of the veins in the pelvis with special medical clips (clipping);
• crossectomy - ligation of veins (prescribed if, in addition to the pelvic organs, the vessels of the lower extremities are affected).

Folk remedies

In some isolated cases, varicose veins of the pelvic organs are treated using traditional medicine. True, this approach will be effective only under certain circumstances: if varicose veins are detected at the beginning of their formation and the doctor believes that “grandmother’s” advice will not interfere with drug therapy. Here are some good recipes that are recommended to treat varicose veins of the pelvic organs:

1. You need to steam 1 table with a glass of hot water. a spoonful of dandelion roots. Infuse the medicine for varicose veins of the pelvic veins for two hours. Drink 50 ml four times a day.
2. Take 100 grams of chopped chestnuts. Pour alcohol, vodka (half a liter). Leave for a couple of weeks. Drink 20 drops of infusion three times a day.
3. Make freshly squeezed carrot juice (100 ml). Add a teaspoon of oil to it (preferably flaxseed). Take the mixture daily in the morning.

Physiotherapy

It is recommended to combine medicinal and folk therapy with special therapeutic exercises and wearing compression underwear. Breathing anti-varicose veins exercises, which involve deep, leisurely inhalations/exhalations performed one at a time, will not be superfluous. The system of physical activity for the treatment of varicose veins in women consists of exercises:

1. "Bike". We lie on our backs, put our hands behind our heads or place them along our bodies. Raising our legs, we perform circular movements with them, as if we were pedaling a bicycle.
2. "Birch". We sit face up on any hard, comfortable surface. Raise your legs up and smoothly move them behind your head. Supporting the lumbar region with your hands and placing your elbows on the floor, slowly straighten your legs, lifting your body up.
3. "Scissors". Starting position: on your back. Raise your closed legs slightly above the floor level. We spread the lower limbs to the sides, return them back and repeat.

Possible complications

Why are varicose veins of the pelvis dangerous? The following consequences of the disease are often recorded:

• inflammation of the uterus and its appendages;
• uterine bleeding;
• abnormalities in the functioning of the bladder;
• formation of venous thrombosis (small percentage).

Prevention

In order for varicose veins in the pelvis to disappear as quickly as possible and to avoid relapses of pathology of the pelvic organs in the future, you should adhere to simple preventive rules:

• perform gymnastic exercises daily;
• prevent constipation;
• follow a dietary regimen that must contain plant fiber;
• do not stay in one position for a long time;
• take a contrast shower of the perineum;
• To prevent varicose veins from appearing, it is better to wear exclusively comfortable shoes and clothes.

Video about varicose veins

Attention! The information presented in the article is for informational purposes only. The materials in the article do not encourage self-treatment. Only a qualified doctor can make a diagnosis and make recommendations for treatment based on the individual characteristics of a particular patient.

Varicose veins of the small pelvis in women (ectasia, parametrium, dilatation or phlebostasis) are provoked by this condition due to the return of blood through the ovarian artery, which appears due to compression of the vessels.

Pregnancy intensifies the development of the disease.

Internal varicose veins of the small pelvis are expressed by intense and prolonged pain in the lower abdomen.

Causes of pathology

Most often, pelvic vein ectasia is detected in women. Moreover, as a rule, this disease in gynecology is diagnosed in patients aged 20−40 years.

Often, patients with varicose veins of the small pelvis first try to treat at home. Traditional methods used without the consultation and recommendations of a doctor can lead to negative side effects, so after a while you still have to go for a consultation with a phlebologist.

The main factors that lead to the appearance of this pathology include:

1. Excessively increased physical activity.
2. Passive lifestyle.
3. Congenital diseases of the walls of blood vessels - weakness, plasticity, underdevelopment.
4. Inflammatory processes in the pelvic organs.
5. Hormonal imbalance.

Sexual pathology is anorgasmia, pain and discomfort during sexual intercourse, which have a psychological etiology of occurrence, while they very often practice interrupted sexual contact.

At the same time, varicose veins of the pelvis, treatment and symptoms of this disease are similar to varicose veins on the legs. In this situation, the valves in the veins that help blood flow to the heart muscle begin to malfunction.

Dysfunction of the valves appears, which act as protection for reverse blood flow.

If their work is disrupted, then blood stagnation begins in the veins. Veins filled with blood increase in volume, which further increases the phenomenon of stagnation. The pelvic symptom of venous congestion usually appears near the vulva, fallopian tubes, uterine area, and can even dilate the veins of the vagina.

First signs and symptoms

The development of varicose veins is indicated by a number of basic clinical symptoms. The most important sign of this disease is causeless pain in the lower abdomen, in the pelvic area, which often begins to radiate to the perineum or lumbar region. The patient is also bothered by copious discharge of mucus from the vagina, especially in the middle of the monthly cycle.

In addition to the main symptoms, there are also other very important symptoms of varicose veins:

When faced with these clinical symptoms, it is necessary to consult a doctor as quickly as possible, since this pathology can have a large number of unpleasant complications:

• varicose veins may be a contraindication to natural delivery;
• the functioning of the reproductive organs is disrupted;
• there is a fear of sexual contact;
• irritability and a feeling of anxiety appear.

It is also necessary to say that all of the above symptoms can be expressed in different ways; some patients have all the signs of the disease, and some have only a few of them.

Methods for diagnosing the disease

To establish the correct diagnosis, the patient must undergo a comprehensive examination. If a woman complains of pain that appears for an unknown reason, then the specialist first determines all the causes that are factors in the manifestation of the pain symptom. The patient's lower extremities are carefully examined. This way you can identify the manifestation of varicose veins. In some situations, a diagnosis is made by a vascular doctor.

The main diagnostic methods are as follows:

The use of these methods makes it possible to more clearly determine the symptoms of the disease.

Degrees and differential approach

To standardize the diagnosis and the possibility of an approach to differential treatment, A.E. Volkov divided varicose veins taking into account the location of formation of venous ectasia and the size of dilated vessels.

There are three stages of this disease:

• the first stage is a “corkscrew-like” movement of the vessel, the size of the vein is no more than 6 mm;
• second stage - the size of the vein is no more than 7−11 mm during the total type of varicose veins, VR of the veins of the arcuate uterine plexus, VR of the parametric veins, scattered ectasia of the ovarian plexus;
• third stage - the size of the vein is more than 11 mm during the main form of parametric formation or the total form of VR.

Taking into account the severity of the pathology process, medication or surgical intervention can be used.

Methods for treating varicose veins

During stage 1-2 varicose veins, conservative methods of therapy are most often used (therapeutic exercises, NPS drugs, venotonics).

Conservative therapy during venous congestion syndrome is symptomatic, which includes the normalization of rest and physical activity, which eliminates excessive active loads and prolonged standing.

When the patient was diagnosed with varicose veins, then Treatment procedures are primarily aimed at achieving the following objectives:

1. Relief of symptoms of bleeding, pain, etc.
2. Restoring the tone of the veins, increasing blood circulation in the tissues.
3. Termination of reverse blood flow through the ovarian venous system.

It is necessary to realize that even very high-quality therapy for this pathology will not completely cure varicose veins.

However, adequate treatment will make it possible to prevent the main clinical symptoms and significantly improve the patient’s condition.

Treatment of ARVMT includes several main components:

1. Regular exercise therapy to prevent the onset of the disease.
2. Course use of medications during an exacerbation.

Conservative treatment of affected veins

Due to the internal location of veins infected with pathology, medications are used orally; it is simply impossible to use venous ointments and gels.

During this disease the following drugs are used:

1. Horse chestnut extract (escusan) - to relieve inflammation and swelling.
2. Diosmin (flibodia, detralex) - to get rid of high vascular elasticity, prevent damage, reduce permeability.
3. Vitamin C - strengthens vascular walls.
4. Troxerutin - required to improve the flow of blood from deformed vessels, reduce inflammation and swelling, and increase the activity of the veins.

Doctors advise combining conservative treatment with exercise therapy, as well as the use of compression underwear. Compression garments are especially needed during pregnancy.

Surgical intervention

Surgical intervention is a last resort method of treatment, which is used if the disease is in a very advanced stage and there is a suspicion of varicose veins. The surgical operation is selected taking into account the location of the main disorder of the veins and involves the following interventions:

If an operation is necessary, the choice of appropriate manipulations is quite individual, since everything will depend on the location of the varicose veins.

Exercises and therapeutic exercises

If we consider the necessary physical exercises, then women during this disease need to perform at least one of the exercises every day - “birch tree”, “bicycle”, “scissors”. A contrast shower in the pelvic area and breathing exercises are also very useful. At the same time, correctly and efficiently performed gymnastics is the fastest way to restore a healthy and normal life.

The simplest but effective exercises are as follows:

Traditional recipes and remedies

Varicose veins can be treated at home.

The most famous and Common folk methods of treatment:

1. Horse chestnut infusion.
2. Kombucha tincture.
3. Dandelion root tincture.
4. Treatment using leeches, which are applied to the area of ​​the coccyx and sacrum.

Diet plays an important role during the treatment of varicose veins. The daily diet must be balanced and contain enough fiber and natural proteins.

Preventive actions

It is also necessary to use a few simple tips that serve as the prevention of ARVMT. At the same time, if they are constantly followed, They can also improve the overall condition of the body:

Possible forecast

If varicose veins are not treated at all, then after a while the veins begin to enlarge even more (by 90%), this can lead to serious side effects, including thrombosis. In the remaining 10% of patients with varicose veins who developed them after pregnancy, the disease does not progress to a more severe stage, but it never goes away on its own.

If you start treating the pathology, you can achieve a full recovery (15−25% taking into account the severity) or a significant improvement (55−60%), especially in the case of simultaneous combination of surgical and conservative methods. But, one way or another, after complex therapy, lifelong prevention must be carried out, which consists of maintaining a correct lifestyle, regular medication or compression support for the veins.