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 fight this disease, you must first know what symptoms to look for. But it is also equally important to have an idea of what this type of varicose veins is, why it develops, and also 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 vascular wall, as well as the development of insufficiency of the valve system. All of 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.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 flow of blood from the pelvic organs is disturbed, first of all it threatens the functioning of the female genitals, as well as the damaged reproductive functions.
Due to stagnation in the varicose veins affected by the pelvic veins, an excess amount of blood accumulates, which comes from the external and internal genitals of the pelvis. In this case, the blood does not "go" well in the genital vein, a large main vessel. Due to stagnation, edema of internal organs and tissues occurs, an inflammatory process develops, etc.
Provided that this form of varicose veins progresses, it is accompanied by strong and persistent painful sensations, the development of various gynecological diseases, there is a real threat of infertility.
Causes of pelvic varicose veins in womenFirst, it is important to understand that varicose veins of the pelvis are mainly affected by women who have reached puberty. The older the age, the higher the likelihood of developing this disease. If we draw 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 reasons and factors can be identified for the development of varicose veins of the pelvis:
- Genetics - Congenital predisposition is one of the leading causes of all types of varicose veins. This has nothing to do with the transmission of varicose veins per se, but with a congenital predisposition to the weakness of the valve system, which makes itself felt over the years. Dysplasia or thinning of the vascular walls is also a genetic factor.
- Very often, varicose veins develop as a result of severe hormonal disorders. This can be hormonal disruption during menopause or hormonal problems caused by prolonged use of powerful hormonal medications.
- Pregnancy is why women are more likely to develop all forms of varicose veins, especially the pelvis. This factor is multifaceted, it combines both hormonal changes and increased loads, because a growing fetus increases the pressure exerted on the organs and vessels of the pelvic region. Excessive exertion - with some probability, varicose veins of the small pelvis can develop if a woman is engaged in hard physical work, exposed to strenuous exercise, or simply spends too much time walking due to activitiesher professional (hairdressers, salesmen, surgeons, cooks). . . This can also include being overweight, because being overweight leads to a constant increase in load on the legs and pelvis, and cholesterol affects the condition of blood vessels.
- Medal also has a downside, an overly sedentary and sedentary lifestyle can also lead to varicose veins. Lack of proper level of mobility provokes stagnant processes in the pelvic region.
- Intimate problems, mostly related to sex. This can be a long absence or systematic premature cessation 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 picture
As mentioned earlier, varicose veins of the pelvis are not a serious threat in the early stages of development. At the same time, this form of pathology is very difficult to detect, because the main symptoms of varicose veins are varicose veins, it is seen mainly in the legs, in the pelvic region, the vessels appear mainly in the later stages of development and notalways.
However, the disease has some clinical signs and they intensify as varicose veins progress. Let's examine the clinical picture of the pathology:
- Unpleasant and painful sensation in the lower abdomen. Initially, this symptom is unstable and vague, mild pain rarely bothers, mainly with strong physical exertion during the day. The development of the disease leads to increased pain, they become intense, attractive in nature, can be persistent.
- Painful sensations during menstruation should be noted separately. They appear with the approach of menstruation, the peak intensity usually drops to 1-2 days of menstruation. In this case, there may be a lack or, conversely, an excessive abundance of secretions.
- The development of varicose veins in the pelvis is associated with pain and discomfort during intercourse. As before, the pain is initially mild, but increases with the progression of the disease.
- The pathological process is associated with irregularities in the menstrual cycle, this is manifested not only in the absence or abundance of discharge, there are delays in menstruation or increase in the duration of bleeding.
- Itching, burning sensation, swelling may appear in the vagina and external genitalia. The external genitalia and mucous membranes may change color; in later stages of development, cyanosis is present.
- In some cases, urinary problems are observed, which manifests itself in the impossibility of complete emptying of the bladder, pain during urination and sometimes even urinary incontinence.
- In the later stages of varicose vein progression in the perineal region, as well as in the external genitalia, veins appear. The vessels are bumpy, tangled, often forming vascular "stars".
- With severe development of varicose veins, uterine bleeding may begin, the risk of impaired reproductive functions increases, and infertility develops.
Conservative approach to treatment
For a complete treatment of varicose veins of the pelvis, a woman should follow all the recommendations of the doctor, as well as change her lifestyle. First of all, you should pay attention to the loads, if they are too high, they should be reduced, if the patient leads a very sedentary lifestyle, it is necessary to play sports, take walks more often, etc.
Patients with varicose veins are strongly advised to adjust their diet, eat as little junk food (fried, smoked, sweet in large quantities, salty), alcohol, caffeine. It is better to give preference to vegetables and fruits, fermented milk products, cereals.
Also, as a preventative measure for disease progression and for medical purposes, doctors prescribe compression footwear for patients with varicose veins.
Drug therapy
Despite the importance of the above recommendations, drug therapy is still the basis of conservative treatment.
It is important to understand that all medications, dosage and duration of administration are determined by your doctor.
Since the main goal is to normalize blood flow and maintain vascular health, treatment is based on drugs of 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 positively affect the treatment in general. Among the known methods, the following are particularly effective:
- Apply horse chestnut to create special tinctures and creams.
- Applying apple cider vinegar for varicose veins.
- Decoctions of chamomile or larch.
It is important to understand that for the treatment of varicose veins of the pelvis, in traditional medicine, mainly prescriptions are used in which medicinal decoctions and infusions are consumed orally. This is due to the fact that not every oil, and even more so a compress, can be used in the pelvic area.
Operative methods of treatment
It is worth acknowledging that conservative treatment methods give really visible results mainly in the initial stages of varicose veins. At the same time, the problem can be solved fundamentally and the disease can be completely eliminated only with surgery. In modern medicine, there are many variations of surgical treatment of varicose veins, consider the most common and effective types of surgeries:
- Scleotherapy- a special chemical compound is injected into the lumen of the affected vein, which has sclerosing properties, ie adhesion. As a result, the vein sticks together, is excluded from circulation, and is replaced by connective tissue.
- Laparoscopy- small holes are made in the abdominal cavity, through which, with the help of surgical equipment, the ovarian vein is connected in order to cut it further.
- Endovascular surgery- the surgeon reaches the affected vessels through the femoral vein, after which, using special equipment, the ovarian vein is embolized.