Most people have heard of or know of a disease such as varicose veins. However, not everyone knows that this pathological process affects not only the vessels of the legs, but can also affect the veins of the pelvic organs, which is especially important for women.
To counteract this disease, you must first know what symptoms to look for. But it is equally important to have an idea of what this type of varicose vein is, why it develops and what are the ways to deal with it.
The essence of pathology
Varicose veins are a pathology in which a number of pathological changes occur in the vessels, external or internal. First of all, we are talking about deformation, which means dilation and elongation of the veins, but in addition there is a thinning of the vessel wall, as well as the development of insufficiency of the valve system. All these factors lead to impaired blood circulation in the vascular bed, as a result of which the blood stagnates and the vessels themselves begin to collapse due to excessive pressure.
The pathology poses a minimal threat in the early stages, but as it progresses the risk increases exponentially, especially when it comes to varicose veins in the pelvic area.
In such situations, the blood flow from the pelvic organs is disturbed, in the first place it endangers the functioning of the female genitals, as well as the impaired reproductive functions.
Due to the stagnation in the varicose veins affected by the pelvic veins, an excessive amount of blood accumulates, which comes from the external and internal genitals of the pelvis. In this case, the blood does not "come out" well in the genital vein, a large highway vessel. Due to stagnation, swelling of internal organs and tissues occurs, an inflammatory process develops, and so on.Provided that this form of varicose veins progresses, it is accompanied by strong and constant painful sensations, the development of various gynecological diseases, there is a real threat of infertility.
Causes of varicose veins in women
First of all, it is important to understand that varicose veins of the pelvis are mainly affected by women who have reached puberty. The older you are, the more likely you are to develop this disease. If we make an analogy, according to statistics, after 35 years, varicose veins are diagnosed with a probability of about 50%, while at the age of 20 this figure barely reaches 20%. Of course, predisposing factors play a very important role.
In general, the following causes and factors for the development of varicose veins of the pelvis can be distinguished:
- Genetics - congenital predisposition is one of the main causes of all types of varicose veins. This is not about the transmission of varicose veins, but about an innate predisposition to the weakness of the valve system, which is felt over the years. The genetic factor also includes dysplasia or thinning of the vessel walls.
- Very often varicose veins develop as a result of severe hormonal disorders. This can be a hormonal disorder during menopause or hormonal problems caused by prolonged use of powerful hormonal drugs.
- Pregnancy is the reason why women are more likely to develop all forms of varicose veins, especially the small pelvis. This factor is multifaceted, it combines both hormonal changes and increased loads, because the growing fetus increases the pressure exerted on the organs and vessels of the pelvic area.
- Excessive strain - varicose veins of the pelvis are likely to develop if a woman engages in strenuous physical labor, undergoes strenuous exercise or simply spends a lot of time on her feet due to her professional activities (hairdressers, tradesmen, surgeons, cooks). . . This can include being overweight, as obesity leads to a constant increase in the load on the legs and pelvis, and cholesterol affects the condition of blood vessels.
- The medal has a drawback, too sedentary and sedentary lifestyle can also lead to varicose veins. The lack of an appropriate level of mobility provokes stagnant processes in the pelvic area.
- Intimate problems, mainly related to sex. This may be prolonged absence or systematic premature interruption of sexual intercourse, inability to reach orgasm, etc.
- Various diseases of the genital and intrapelvic organs.
- Pathologies of the cardiovascular system and blood clotting, such as thrombosis.
Clinical presentation
As mentioned earlier, pelvic varicose veins do not pose a serious threat in the early stages of development. At the same time, this form of pathology is very difficult to detect, as the main symptom of varicose veins is varicose veins, it is observed mainly in the legs, in the pelvic area, the vessels appear mainly in the later stages of development and not always.
Nevertheless, the disease has certain clinical signs and they intensify with the progression of varicose veins. Let's look at the clinical picture of the pathology:
- Unpleasant and painful sensations in the lower abdomen. Initially, this symptom is unstable and vague, mild pain rarely bothers, especially during strenuous exercise during the day. The development of the disease leads to increased pain, they become intense, pulling in nature, can be permanent.
- Painful sensations during menstruation should be noted separately. They appear as menstruation approaches, the peak intensity usually decreases 1-2 days after menstruation. In this case, there may be a shortage or, conversely, an excessive abundance of secretions.
- The development of varicose veins in the pelvis is accompanied by pain and discomfort during intercourse. As before, the pain is initially insignificant, but increases with the progression of the disease.
- The pathological process is accompanied by irregularities in the menstrual cycle, this is manifested not only in the shortage or abundance of secretions, there are delays in menstruation or an increase in the duration of bleeding.
- Itching, burning, swelling may occur in the vagina and external genitalia. The external genitalia and mucous membranes may change color; in the later stages of development there is cyanosis.
- In some cases, there are problems with urination, which manifests itself in the inability to completely empty the bladder, pain during urination and sometimes even urinary incontinence.
- In the late stages of the progression of varicose veins in the perineal area, as well as the external genitalia, veins appear. The vessels are lumpy, curved, often forming vascular "stars".
- With severe development of varicose veins may begin uterine bleeding, the risk of impaired reproductive function, the development of infertility increases.
Conservative approach to treatment
For complete treatment of varicose veins of the pelvis, the woman should follow all the recommendations of the doctor, as well as change her lifestyle. First of all, you need to pay attention to the loads, if they are too high, they should be reduced, if the patient leads too sedentary lifestyle, it is necessary to exercise, walk more often, etc.
Patients with varicose veins are recommended to adjust their diet, to consume as little as possible unhealthy food (fried, smoked, sweet in large quantities, salty), alcohol, caffeine. It is better to give preference to vegetables and fruits, fermented dairy products, cereals.
Also, as a preventative measure for disease progression and for therapeutic purposes, doctors prescribe the wearing of compression underwear for patients with varicose veins.
Drug therapy
Despite the importance of the recommendations described above, drug therapy is still at the heart of conservative treatment.
It is important to understand that all drugs, their dosage and duration of administration are determined by the doctor.
As the main goal is to normalize blood flow and maintain vascular health, treatment is based on drugs from the following groups:
- Venotonics - are responsible for toning blood vessels.
- Anticoagulants - reduce blood viscosity and prevent blood clots.
Traditional medicine
Traditional methods of treatment are not as effective, but in combination with drug therapy they can significantly improve the patient's condition and have a positive effect on treatment as a whole. Among the popular methods, the following are particularly effective:
- Application of horse chestnut to create tinctures and special creams.
- Application of apple cider vinegar for varicose veins.
- Decoction of chamomile or larch.
It is important to understand that for the treatment of varicose veins of the pelvis in traditional medicine are used mainly recipes in which medicinal decoctions and infusions are consumed orally. This is due to the fact that not every ointment and even more compress can be used in the pelvic area.
Surgical methods of treatment
It is worth acknowledging that conservative treatments give really visible results mainly in the early stages of varicose veins. At the same time, the problem can be solved fundamentally and the disease can be completely eliminated only through surgery. In modern medicine there are many variations of the surgical treatment of varicose veins, consider the most common and effective types of operations:
- Sclerotherapy- a special chemical composition is injected into the lumen of the affected vein, which has sclerosing, ie adhesive properties. As a result, the vein sticks together, thus being excluded from the bloodstream and replaced by connective tissue.
- Laparoscopy- small punctures are made in the abdominal cavity, through which with the help of surgical equipment the ovarian vein is ligated for further excision.
- Endovascular surgery- the surgeon reaches the affected vessels through the femoral vein, after which the ovarian vein is embolized with the help of special equipment.