Varicose veins of the small pelvis is a difficult to diagnose disease that occurs mainly in women in the reproductive period of their life.The disease is characterized by dilation of the veins in the small pelvis, which makes it difficult for the blood to flow back.Before the introduction of the latest research methods in medical practice, the diagnosis was rarely made, and women were treated for years for other suspected pathologies of the genital area without results.
Causes of varicose veins of the small pelvis
Varicose veins in the pelvis usually occur in women who have had one or more pregnancies.While carrying a child, the growing uterus presses on the blood vessels of the organs, which leads to problems with blood circulation in them.Pregnancy serves as a kind of trigger;in addition, the following causes predispose to the appearance of the disease:
- Constant carrying of heavy objects, which may be related to professional activities.
- A job that requires you to stand or sit all day.
- A change in the location or shape of the uterus.
- Hereditary predisposition.Relatives tend to weaken the walls of blood vessels.
- Sexual dysfunctions - lack of orgasm, pain during intercourse.
Enlargement of the pelvic veins is often combined with venous insufficiency of the lower extremities.Therefore, if a woman suffers from varicose veins of the legs, it is necessary to carry out a detailed examination of the pelvic cavity;identifying the disease in the early stages will help a positive outcome of the treatment.
Signs of varicose veins of the pelvis
Symptoms of varicose veins of the small pelvis in the initial stage of development of the disease are not determined.As the blood vessels undergo pathological changes and the outflow of blood worsens, constant, painful pain in the lower abdomen may be observed.A woman may suspect a disease based on the following signs:
- Pain of varying intensity in the lower abdomen.There is a transition of pain to the groin and lumbar region, to the perineum and sacrum.The pain intensifies during sexual intercourse and with a prolonged standing position of the body.
- Severity of premenstrual syndrome with pain and nerve symptoms.
- Menstrual irregularities.
- Separation of copious discharge from the genital tract.
If the disease continues for a long time without proper therapy, the patient can be replaced by the presence of cobwebs on the buttocks, upper thighs and perineum.The symptoms of the disease are similar to other gynecological problems, and therefore, without a complete examination of the body, a woman can be treated for many years with drugs from an unnecessary group of drugs that can also increase vasodilation.
The consequences of long untreated varicose veins of the small pelvis can be very sad.The main ones:
- Reproductive dysfunction.Women suffering from varicose veins cannot get pregnant for a long time.
- Varicose veins in the pelvis are a contraindication for natural childbirth.A woman with such a diagnosis is required to have a caesarean section.
- The disease significantly worsens the quality of sexual life, which is due to pain and the inability to relax during intimate contact.
Varicose veins of the pelvis are often combined with hemorrhoids and dilation of large and small veins in the legs.An extreme complication of varicose veins is the appearance of a blood clot that can break off and block the vessel.
Treatment
Treatment of varicose veins of the small pelvis is carried out after a complete examination of the patient.Any woman who suffers from vague and persistent pain in the lower abdomen should undergo an ultrasound examination.Modern equipment looks at the pelvic organs in three projections, which makes it possible to more accurately determine the cause of the pain.In addition to ultrasound, Doppler sonography is used - a study that allows identifying the characteristics of blood circulation.A diagnostic laparoscopy is performed if the examination cannot pinpoint the cause.
The prescription of conservative therapy or surgical intervention depends on the stage of the disease.In the first stages, as a result of the treatment, it is necessary to achieve:
- Stabilization of venous tone.
- Prevention of stagnation in the pelvic vessels.
- Improvement of metabolic processes in tissues.
To treat the disease, venotonics, physiotherapy and wearing compression clothing are used.Special stockings tighten the walls of blood vessels, thereby improving blood flow to the extremities and, therefore, to all organs and vessels of the small pelvis.Compression stockings should be worn if you have varicose veins in the pelvis during pregnancy, when lifting weights and when standing for long periods of time.Operations are used in the last stages of the disease, when drug therapy is ineffective.Modern medicine uses mini-interventions during surgery, which reduces the risk of developing adhesive disease and is less traumatic for patients.
Medicines are prescribed during the acute stage of the disease;during remissions it is necessary to follow the recommendations suggested by the phlebologist.It is a diet rich in plant foods that helps avoid constipation.A daily contrast shower directed at the perineal area is indicated.When you play sports, you should definitely wear special tights.The doctor should recommend a series of exercises aimed at unloading the pelvic veins.Breathing exercises also help improve blood flow.The patient should give up alcohol and smoking.