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, is difficult to diagnose and can be almost asymptomatic, but you need to know its signs to avoid misdiagnosis of women's diseases.
What are varicose veins of the uterus
Varicose veins are a blockage of blood in the veins that has led to a loss of elasticity due to hormonal changes or a genetic predisposition. The vessels of the lower limbs and pelvic organs are more susceptible to disease. Varicose veins of the pelvis are more dangerous than the manifestation of such a disease in the legs, as they can not be visually identified, and infertility, inflammation of the ovaries, uterus and vagina can become a consequence of internal varicose veins.
Causes of varicose veins in the pelvis
There are several theories about the occurrence of this pathology in women of childbearing age. Pregnancy is considered to be the main factor 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;
- increase in the load on the pelvic organs (OMT), disruption of their normal blood supply;
- backflow of blood through the ovarian vein;
- chronic inflammatory processes of the uterus, appendages;
- abortion.
Not all pregnant women are at risk. this disease is genetically determined. Before planning a pregnancy, it is imperative that you undergo a serious examination to rule out your health risks and possible complications during childbirth. Varicose veins of the uterus are detected with the help of ultrasound diagnostics and confirmation of the diagnosis with the help of trans-uterine phlebography, ovariography.
Symptoms of varicose veins
The disease can be identified mainly by two symptoms:
- chronic pain in the lower abdomen, aggravated by exercise, during intercourse, during the second half of the menstrual cycle and during pregnancy;
- increased vaginal discharge.
The pain is exacerbated if a woman leads an inactive, sedentary lifestyle during inflammatory processes of the genitourinary system. Often, varicose veins of the uterus are closely linked to sexual dysfunction. Symptoms may be minor or absent, depending on the stage of the disease:
- the first stage - the size of the vein (diameter) up to 5 mm, the distorted course of the vessels (minor symptoms);
- the second - a vein up to 10 mm, varicose veins of the parametric veins of the uterus;
- the third - diameter more than 10 mm, general type of varicose veins.
What is dangerous during pregnancy
If the diagnosis is made before conception, then during pregnancy the symptoms may worsen due to hormonal changes. Many women wonder why varicose veins are dangerous and how to deal with it during pregnancy? If the woman is under constant medical supervision and monitors her health, then the disruption of blood flow during pregnancy is not dangerous. In rare cases, varicose veins of the pelvis may be the reason for prescribing a cesarean section, less often - it can cause placental insufficiency.
Diet for varicose veins
In the treatment, prevention of varicose veins of various etiologies, nutrition plays a very important role. Doctors recommend that you give up coffee, strong tea and limit the use of sugar and salt. It will be useful to fill the diet with fresh vegetables, fruits, vegetable oils. Such a diet has a beneficial effect on blood flow, the condition of the walls of blood vessels, prevents stagnation of fluids in the body, which relieves the load from the veins. It is important for pregnant women to limit the amount of fluid they drink, as hormone levels provoke blood stasis.
Treatment of varicose veins of the pelvis
After identifying the signs of varicose veins, after confirming the diagnosis, patients begin to be treated with conservative methods with the help of drugs and physiotherapy. If the treatment does not improve and the pain continues, they resort to surgery. An important question for many is how to treat varicose veins during pregnancy? At this time, a woman should be under the supervision of a doctor for maintenance therapy, and after childbirth - to undergo intensive treatment.
Taking venotonics
The first thing to treat varicose veins stage 1-2 is venotonic. The phlebologist appoints them after a thorough examination. Venotonic drugs are prescribed. The pill is taken for two to three months under the supervision of a doctor. During this time, the pain of OMT should be significantly reduced, the pain syndrome during menstruation should be reduced. It is better to combine such treatment with healthy gymnastics.
Exercises
Mandatory physical activity includes long walks and unloading exercises that relax the cervix and the muscles of the perineum - these are exercises "birch", "bicycle". Special breathing therapeutic exercises are useful - even deep breathing with the involvement of muscles in the lower abdomen. It is also shown to wear compression underwear and tights that support the legs, vascular plexuses of the perineum and buttocks. An additional beneficial effect is provided by the contrast shower.
Surgical treatment of varicose veins
If medical treatment does not help, the pain is not relieved or the third stage of varicose veins of the pelvis is diagnosed, then surgery is provided, the degree of which is chosen taking into account the location of the reverse blood flow:
- ovarian vein ligation;
- ovarian vein embolization;
- angiography (application of contrast agents);
- open removal of genital veins.
If the patient's varicose veins are observed not only in the pelvic organs but also in the legs, then Troyanov-Trendelenburg surgery is used, which consists in removing the great saphenous vein. This method is common in the fight against the third stage of varicose veins of the uterus and total venous dilatation. With early diagnosis it is possible to avoid surgery, to stop its development in the early stages. It is necessary to exclude factors that accompany varicose veins and complications:
- smoking;
- alcohol;
- sedentary way of life;
- self-medication during hormonal changes, gynecological diseases;
- malnutrition.