Varicose veins in the pelvic area are a difficult disease to diagnose and occur primarily in women of childbearing age.The disease is characterized by dilatation of the veins in the pelvis, which makes it difficult for blood to flow back.Before the introduction of modern examination methods in medical practice, the diagnosis was rarely made and women were treated in vain for other suspected pathologies in the genital area for years.
Causes of varicose veins in the pelvis
Varicose veins in the pelvic area usually occur in women who have had one or more pregnancies.When carrying a child, the growing uterus compresses the blood vessels of the organs, which leads to impaired blood circulation in these organs.Pregnancy serves as a kind of trigger;In addition, the following reasons predispose to the onset of the disease:
- Constant carrying of heavy objects, which may be associated with professional activities.
- A job that requires you to stand or sit all day.
- Change in the position or shape of the uterus.
- Hereditary predisposition.Relatives tend to weaken the walls of blood vessels.
- Sexual dysfunction – lack of orgasm, pain during intercourse.
Enlargement of the pelvic veins is often associated with venous insufficiency of the lower extremities.Therefore, if a woman suffers from varicose veins on the legs, a detailed examination of the pelvic cavity is required.Detecting the disease in its early stages contributes to a positive treatment outcome.
Signs of varicose veins in the pelvis
The symptoms of varicose veins of the small pelvis at the initial stage of the development of the disease are not detected.As the blood vessels change pathologically and blood flow worsens, persistent, aching pain in the lower abdomen can occur.A woman may suspect an illness based on the following signs:
- Pain of varying intensity in the lower abdomen.Pain spreads to the groin and lumbar region, to the perineum and sacrum.The pain increases during sexual intercourse and when the body remains in an upright position for a long time.
- The severity of premenstrual syndrome with pain and nervous symptoms.
- Menstrual irregularities.
- Discharge of copious secretions from the genital tract.
If the disease persists for a long period of time without appropriate therapy, the patient may be replaced by the presence of spider veins on the buttocks, thighs and perineum.The symptoms of the disease are similar to those of 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, which can also increase vasodilatation.
The consequences of untreated pelvic varicose veins over a long period of time can be very sad.The most important:
- reproductive disorder.Women suffering from varicose veins cannot become pregnant for a long period of time.
- Varicose veins in the pelvis are contraindications to natural childbirth.A woman with such a diagnosis must have a cesarean section.
- The disease significantly worsens the quality of sexual life, which is due to pain and the inability to relax during intimate contact.
Pelvic varicose veins are often accompanied by 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 pelvis occurs after a complete examination of the patient.Any woman who suffers from unclear and persistent pain in the lower abdomen should undergo an ultrasound scan.Modern devices view the pelvic organs in three projections, which allows for a more accurate determination of the cause of pain.In addition to ultrasound, Doppler sonography is used - an examination that makes it possible to identify the features of blood circulation.A diagnostic laparoscopy is performed when the examination cannot accurately identify 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 treatment, the following must be achieved:
- Stabilization of venous tone.
- Prevents stagnation of the pelvic vessels.
- Improvement of metabolic processes in tissue.
Venotonics, physiotherapy and wearing compression stockings are used to treat the disease.Special stockings tighten the walls of the blood vessels and thus improve blood circulation in the extremities and thus all organs and vessels in the pelvis.If you have varicose veins in the pelvis during pregnancy, lifting weights and standing for long periods, you need to wear compression tights.Operations are used in the final stages of the disease, when drug therapy is ineffective.Modern medicine uses mini-procedures during surgery, which reduce the risk of adhesive disease and are less traumatic for the patient.
In the acute stage of the disease, medications are prescribed;In case of remissions, the phlebologist's recommendations must be followed.This is a diet rich in plant foods that helps prevent constipation.A daily contrast shower targeted at the perineal area is indicated.When doing sports, you should definitely wear special tights.The doctor should recommend a series of exercises aimed at relieving pressure on the pelvic veins.Breathing exercises also help improve blood circulation.The patient should avoid alcohol and smoking.