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 reproductive age, it is difficult to diagnose and can be almost asymptomatic, but you need to know its signs in order to avoid misdiagnosis of female diseases.
What is varicose veins of the uterus
Varicose veins are the overflow of blood in the veins, which has led to the loss of their elasticity due to hormonal changes or genetic predisposition. The vessels of the lower extremities and the pelvic organs are most often susceptible to disease. Varicose veins of the small pelvis are more dangerous than the appearance of a similar disease in the foot in that it can not be determined visually, and infertility, inflammation in the ovaries, uterus and vagina can become a consequence of veins with internal varicose veins.
Causes of varicose veins in the small pelvis
There are several theories of the occurrence of this pathology in women of childbearing age. Pregnancy is considered to be the main trigger for varicose veins of the uterus. There are conditions for the progression of the disease:
- an increase in the concentration of progesterone in the blood, which relaxes the walls of blood vessels;
- an increase in load on the pelvic organs (OMT), a violation of their normal blood supply;
- reverse blood flow through the ovarian vein;
- chronic inflammatory processes of the uterus, appendages;
- artificial termination of pregnancy.
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 in order to rule out risks to your health and possible complications during childbirth. Varicose veins of the uterus are detected using ultrasound diagnosis, and confirmation of the diagnosis using trans-uterine phlebography, ovarian angiography.
Symptoms of varicose veins
The disease can be identified mainly by two symptoms:
- chronic pain in the lower abdomen, aggravated by physical exertion, during sexual intercourse, in the second half of the menstrual cycle and during pregnancy;
- increased vaginal discharge.
The pain intensifies if a woman leads an inactive, sedentary lifestyle, during the inflammatory processes of the genitourinary system. Often, varicose veins of the uterus are closely related to sexual dysfunction. Symptoms may be minor or absent, depending on the stage of the disease:
- first stage - the size of the vein (diameter) up to 5 mm, the rotational flow of the vessels (minor symptoms);
- second - a vein up to 10 mm, varicose enlargement of the parametric veins of the uterus;
- third - a diameter of more than 10 mm, a total type of varicose veins.
What is dangerous during pregnancy
If the diagnosis was made before conception, then during pregnancy, symptoms may worsen due to hormonal changes. Many women wonder why varicose veins are dangerous and how to deal with it during pregnancy? If a woman is under the constant supervision of a doctor and monitors her health, then disrupting blood flow during pregnancy is not dangerous. In rare cases, varicose veins of the pelvis may be a reason to prescribe a cesarean section, less often - it may cause placental insufficiency.
Diet for varicose veins
In the treatment, prevention of varicose veins of various etiologies, food plays a very important role. Doctors recommend giving up coffee, strong tea and limiting 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 fluid in the body, which removes the load from the veins. It is especially important for pregnant women to limit the amount of fluid they drink, as hormone levels provoke blood clots.
Treatment of varicose veins of the pelvis
By identifying the signs of varicose veins, after confirmation of the diagnosis, patients begin to be treated conservatively with the help of medication and physiotherapy. If treatment does not improve and the pain persists, they turn to surgery. An important question for many people is how to treat varicose veins during pregnancy? At this time, a woman should be under the supervision of a doctor in supportive therapy, and after the birth of the child - to undergo intensive treatment.
Taking venotonics
The first thing to treat varicose veins of stage 1-2 of the uterus is venotonic. The phlebologist appoints them after a comprehensive examination. Venotonic drugs are prescribed. Taking the pills lasts from two to three months under the supervision of a doctor. During this time, OMT pain should be significantly reduced, menstrual pain syndrome should be reduced. Better it is better to combine such a treatment with gymnastics that improves health.
Exercises
Compulsory physical activity includes long walks and relaxation exercises that relax the cervix and perineum muscles - these are "birch", "bicycle" exercises. Special therapeutic breathing exercises are beneficial - even deep breathing with the involvement of the muscles in the lower abdomen. Also shown are compression underwear and sweaters that support the legs, vascular plexuses of the perineum and buttocks. An additional beneficial effect is provided by a contrast bath.
Surgical treatment of varicose veins
If drug treatment does not help, pain is not relieved, or the third stage of small pelvic varicose veins is diagnosed, then surgical intervention is provided, the extent of which is resolved, taking into account the location of the reverse blood flow:
- ovarian vein ligation;
- ovarian vein embolization;
- angiography (administration of contrast agents);
- open removal of gonadal veins.
If the patient with varicose veins is observed not only in the pelvic organs, but also in the legs, then the Troyanov-Trendelenburg operation is used, which consists in the removal of the large saphenous vein. This method is common in the fight against the third stage of varicose veins of the uterus and total venous dilation. With early diagnosis, it is possible to avoid surgical intervention, to stop its development in the early stages. Factors It is necessary to exclude the factors that accompany varicose veins and complications:
- smoking;
- alcohol;
- sedentary lifestyle;
- self-medication during hormonal changes, gynecological diseases;
- improper nutrition.