Causes, signs and treatments of varicose veins of the small pelvis

7 January 2021

Varicose veins of the small pelvis, unlike a similar disorder in the lower extremities, are not always noticeable, but are very harmful to health. It can lead to impaired blood flow in internal organs and impaired function.

The difference between varicose veins and healthy veins

The wall of a healthy vessel is always in good shape, allowing it to maintain blood flow.

The walls contract, although not as much as in the arteries. This effect is enhanced by contractions of the smooth and skeletal muscles.

All the veins under the heart, that is, in the extremities, abdomen, small pelvis, chest, they have valves in their walls. They are "bags" formed by the vascular endothelium.

Arranged in such a way that the blood flowing to the heart passes unhindered. In retrograde motion, it fills the valves and closes the vessel.

Blood always flows from the periphery towards the heart, even against gravity.

Varicose veins undergo a series of changes in the valve apparatus. Its wall tone is reduced and its permeability increases. Thus, the conditions for stagnation of blood are created.

Some of the liquid flows, causing the healthy vessels to overflow. And also provoking pitch violations already in them.

What is it and what is dangerous

Varicose veins can affect peripheral vessels in any area of the body.

The manifestations of pathology in the legs are more noticeable, this creates a significant aesthetic defect. But the same phenomenon in the organs of the abdomen or small pelvis is asymptomatic for a long time.

More dangerous for the female reproductive organs, less often for the bladder. Varicose lesions of the rectum are manifested by hemorrhoids.

Pelvic varicose veins can have several causes. The disease leads to poor blood flow in the reproductive system, as a result, a deterioration in its function.

A woman may notice a change in the menstrual cycle, pain, the appearance of signs of hormonal disorders. With physical impact, rupture of the vessel and bleeding is possible.

Reasons

It refers to multifactorial, that is, it arises from the confluence of a series of reasons. Among them:

hereditary predisposition;
lack of physical activity;
pregnancy complications;
overweight;
diseases of the urinary system and intestines;
hard physical work.

The presence of one or even more adverse factors does not mean that the pelvic veins are dilated. This indicates a high risk of such a pathology.

Women with children are more likely to suffer from it than men.

The first signs usually appear around the age of 40 or later during pregnancy. The actual onset of the pathology occurs much earlier.

Degrees

There are three stages in the development of varicose veins:

Mild: damage to one or more peripheral vessels of the genital organs. Very often asymptomatic, may be temporary, a new examination is required.
Medium grade: expansion of the large veins of the parametrium, the outer layer of the uterus, or myometrium, the muscle membrane. Causes menstrual irregularities, deterioration of health.
Severe: varicose lesions and inflammation of most organs of the female reproductive system. Causes serious violations in the genital area, a high risk of disease and infertility.

Symptoms

Symptoms vary depending on the location and extent of the injury. In the initial stages, most of the time it progresses without symptoms.

With the development of the disease, itching appears in the external genital area, heaviness and pain.

These sensations change in intensity depending on the phase of the menstrual cycle. They can intensify during bleeding and disappear after a few days.

A woman may notice that her period has become more painful and profuse. Sexual intercourse becomes painful, there are problems conceiving and having a pregnancy. <

Diagnostic methods

There are several ways to identify a disease.

The first and easiest of these is a gynecological exam. Reveals enlarged veins on the skin, vaginal wall, and cervix. Your data may indirectly indicate the cause: endometriosis, erosion of the cervix.

The most reliable method is gynecological ultrasound. Its advantage is that it allows to identify the expansion of the parametrium, the fallopian tubes and the ovaries. The results of this study provide more complete information on the state of the reproductive system.

In controversial cases, an MRI, a vaginal swab, a blood test for sex hormones, and a diagnostic curettage are prescribed.

Which specialist to contact for help

Treatment is performed by a gynecologist in cooperation with a vascular surgeon. In case of hormonal disorders, consultation of an endocrinologist is necessary. Medicine Since the disease is multifactorial, other specialists can also join your treatment if necessary.

Treatment methods

Before starting treatment, you should have a complete reproductive system exam. Identify possible pathologies. As a rule, the disease progresses against the background of other disorders.

For greater efficiency, an integrated approach is used. Several methods of therapy are used at the same time, which makes it more successful.

Medications

Includes taking drugs that increase the tone of the vascular wall - Diosmin.

To reduce the permeability of the vascular wall tissue, designate:

Ascorbic acid;
nicotinic acid;
Routine.

They can be taken even during pregnancy and after delivery, if the first symptoms appeared at that time.

In addition, the doctor may recommend anticoagulants: acetylsalicylic acid, vitamin K.

During pregnancy, its use is allowed only after consultation with an obstetrician-gynecologist, if the benefits outweigh the potential harm.

Compression and sclerotherapy

Compression belts and tights are used to prevent complications from varicose veins. They create pressure on the vessels of the external genital organs, preventing their overflow.

Because of this, normal or close to normal venous flow is maintained throughout the small pelvis. The degree of compression is determined by the doctor. You can also wear such underwear during pregnancy.

Sclerotherapy is a procedure to inject a special drug into the vessels that stimulates a short-term inflammatory response. And then complete obstruction of the damaged vein and its transformation into a constriction. Blood flow stops completely.

This procedure can be performed in the second trimester of pregnancy if there are no contraindications.

Operation

Surgical treatment consists of the removal of the affected area. It can be done in several ways, depending on the patient's condition.

In some cases, a partial resection of the ovary is necessary. And sometimes the complete removal of the uterus / fallopian tubes.

In women of childbearing age, doctors try to preserve the reproductive organs.

Physiotherapy exercises

These are exercises that improve blood flow and reduce venous congestion. More effective:

"birch";
the back bends in the knee-elbow position;
Exercises to lift the legs and the sacrum area.

They promote blood flow through gravity.

Folk remedies

Traditional treatments are less effective than hospital therapy, however, they can significantly improve the patient's well-being.

For this, baths with medicinal plants are used: willow branches, oak branches, dried grass and chamomile grass.

They have a calming effect, reduce tension and stimulate blood flow.

Prevention Tips

It is impossible to completely eliminate all factors that affect venous flow. But you can reduce its impact. For example, set aside time to exercise, keep the weight within normal limits.

Of particular importance is the prevention of diseases during pregnancy. During this period, it is imperative to monitor both nutrition and physical activity. And also for a sufficient amount of vitamins.

Small pelvic varicose veins in women: symptoms and causes, diagnosis and treatment

Pelvic varicose veins are more common in women of reproductive age.

The disease can easily be confused with a number of gynecological diseases, so a correct diagnosis and proper treatment is needed.

Today, varicose veins get sick much more often than decades ago. This is due to a sedentary lifestyle.

The disease itself implies a decrease in the elasticity of the venous wall. It can be called in another way: varicose veins of the small pelvis, varicocele, chronic pelvic pain syndrome. More often, women of childbearing age suffer from the disease.

Occurrence factors

The most common causes of varicose veins in womenare pregnancy and changes in the body's hormone ratio.

The following factors also lead to this:

use of hormonal drugs;
constant use of the interruption of intercourse as a contraceptive method;
sexual dysfunctions: pain during intimate contact and lack of orgasm;
numerous and complex deliveries;
sedentary lifestyle and sedentary lifestyle or excessive physical activity;
congenital diseases of the connective tissue, weakness of the valves of the veins and walls of the blood vessels.

The risk of varicocele increases in women with high concentrations of the hormone estrogen.

About the symptoms and treatment of varicose veins of the pelvic organs in women in this video:

Symptoms

When the disease begins in adolescence, pathological symptoms are often absent.

The girl may feel completely normal. And changes in the small pelvis are detected by chance with detailed research methods.

In adolescent girls with varicocele, the only symptom will be a heavy mucous vaginal discharge, which can lead to treatment for colitis.

The most characteristic symptom of varicose veins appears after a woman reaches reproductive age. This is a pain syndrome that affects more than 95% of patients.

It can bother a woman periodically or all the time, but it is observed throughout life and becomes pronounced with menopause.

Pain increases after ovulation, in the second phase of the cycle.

Appears in the lower abdomen, can be painful or sharp, can hit the lower back or sacrum.

Varicose veins of the small pelvis can manifest with the following symptoms:

severe premenstrual syndrome;
regular vaginal discharge. They are whitish, transparent;
increased sensitivity of the skin in the perineum and vaginal mucosa;
menstrual irregularities;
feeling of pressure and heaviness in the small pelvis, especially if you stay in one position for a long time;
pain can occur at the end of the day, during sexual intercourse;
sometimes urination pathologies appear;
pain may appear late in pregnancy;
pain is noted when probing the lower abdomen;
swollen veins may appear on the outer thigh, external genitalia, buttocks;
possible swelling of the vagina and vulva;
due to fluid spillage in the pelvic area, body weight may periodically increase by 2-4 kg;
possible apathy, weakness, constant fatigue, depression.

What Causes Small Pelvic Varicose Veins?

Varicose veins are a common pathology of the circulatory system. Residents of economically developed countries are the most susceptible to the disease. In some regions, one in three suffers from it. In this article you can find useful information about varicose veins of the small pelvis: symptoms, treatment and the first manifestations of this form of varicose veins.

What are pelvic varicose veins? Varicose veins in the small pelvis occur due to poor blood flow. The containers are filled with too much liquid. Due to excessive pressure, the walls of the veins become inflamed. The chronic process leads to excessive stretching of the blood vessels.

Although varicose veins of the small pelvis mainly affect the vessels of the genital organs, the patient should not be observed by a gynecologist or urologist, but by a phlebologist, a specialist in vascular surgery.

With varicose veins of the small pelvis, the photo, on an enlarged scale, clearly demonstrates the excessive elasticity of the vascular walls.

Some people, who have a disease like varicose veins of the small pelvis, its symptoms and manifestations can be confused with some diseases of the reproductive system.

Symptoms of small pelvic veins

Many patients receive inadequate treatment before specialists recognize pelvic varicose veins. Symptoms of the disease are not specific; they cannot be used to make an accurate diagnosis:

Discomfort inside and above the pubis, accompanied by painful sensations. The pains are characterized by being dull and drawing, the intensity of the manifestation increases with physical exertion, sitting and standing for long periods, overheating and excessive cooling. Due to the close location of the venous vessels and the spine, patients complain of unpleasant sensations in the lumbar region. Pain is often felt in the perineum.
Manifestation of varicose veins in the veins of the external genital organs, on the buttocks and upper legs.
General weakness.
Depression, apathy, feelings of depression.

Dilated vessels of the genital organs are unconditional signs of varicose veins of the small pelvis. The photographs show spider veins and nodular bumps on the patients' skin.

Symptoms in women

There are symptoms of pelvic varicose veins that are specific to women.

The severity of premenstrual syndrome.
Dysmenorrhea.
Pain during intercourse.
Mucus discharge from the vagina.
Swelling in the external genital area.

Symptoms in men

Symptoms in men are different from the female manifestations of varicose veins in the small pelvis.

Varicose veins (varicose veins) of the small pelvis in men in most cases are asymptomatic. The only characteristic manifestations of this sex can be: periodic pulling pains and a feeling of heaviness in the scrotum area.

Causes of occurrence

By themselves, varicose veins (varicose veins) of the small pelvis, the underlying causes of appearance are quite prosaic, ranging from the consequences of heavy lifting to bad habits and a sedentary lifestyle. . Women of childbearing age are more likely to suffer from this ailment. With the first manifestations of menopause, the risk of developing this pathology decreases dramatically.

Listing the main causes that can cause varicose veins of the small pelvis, are:

Disorder of normal blood circulation in the abdominal organs during pregnancy.
A sedentary lifestyle in which a lot of time is spent sitting or standing.
Work related to lifting weights.
Violation of blood circulation in the vessels of the small pelvis due to the interruption of sexual intercourse.
Use of hormonal contraceptives.
The negative effect of cigarette smoke on the general condition of the blood vessels.

If, after a diagnostic examination, varicose veins of the small pelvis are detected, treatment is likely to include a wide range of measures to alleviate the consequences, reduce pain, and at the same time prevent further developmentof the illness.

Pelvic vein treatment

For pelvic varicose veins, treatment consists of taking medication, doing special exercises, using compression products, and following the prescribed diet. Surgical intervention is performed when conservative therapy methods are ineffective.

When looking to buy compression products, keep in mind that putting them on isn't easy without proper practice. Don't make it easy for yourself by buying a size larger than you need. The scrub top should support the blood vessels and not just touch the skin.

In any case, before making your choice in favor of this or that compression stocking product, it is best to first consult with your treating doctor and find out his opinion regarding which model from which manufacturer he recommends in your case. You can also search for information and reviews about the use of compression stockings from various manufacturers in special medical themed forums.

Medications

The standard treatment regimen uses:

diosmin: to eliminate the increased elasticity of blood vessels, reduce their permeability, prevent brittleness;
horse chestnut extract (escuzan) - to relieve swelling and inflammation;
troxerutin - to improve blood outflow from damaged vessels, increase venous tone, reduce edema and inflammation;
vitamin C (ascorutin) - to strengthen the walls of blood vessels.

Don't self-medicate for varicose manifestations! This can have serious consequences! If you find the right symptoms, contact a specialist.

Pelvic varicose veins and pregnancy

The greatest risk of this vascular pathology in pregnant women. There are several factors that trigger the disease:

Increase in circulating blood volume.
Provides increased load on the vessels of the developing fetus. It compresses the veins and sometimes completely blocks blood circulation in some areas.
Increase in hormone levels. Some of them cause a decrease in vascular tone.
Rapid weight gain during pregnancy.

Pelvic varicose veins during pregnancy cause poor blood supply to the fetus. The growing body will feel a lack of oxygen and nutrients. The results of the described violations may manifest as developmental defects of the child.

Varicose veins of the small pelvis are often the culprits of female and male infertility. It can interfere with successful fertilization, preventing the embryo from attaching to the wall of the uterus and disrupting the normal formation of the placenta or reducing sperm production.