Small pelvic varices in women

Small pelvic varices in women (ectasia, parametry, dilatation or phlebostasia) are triggered by this condition due to the reverse flow of blood through the ovarian artery, which appears due to vascular compression.

The intensification of the development of the disease is pregnancy.

Small pelvis internal varicose veins are expressed by intense and prolonged pain in the lower abdomen.

In the literature, small pelvic varicose veins are also designated by the terms "pelvic venous congestion syndrome", "variocele in women", "chronic pelvic pain syndrome".

In the overwhelming majority of cases (80%), varicose transformation affects the ovarian veins and is extremely rare (1%) seen in the veins of the broad ligament of the uterus.

According to modern medical approaches, the treatment of VVMT should be carried out not so much from a gynecology point of view, but rather from a phlebology point of view.

The causes of the onset of the pathology

Most of the time, ectasia of the pelvic veins is determined in women. Also, as a rule, this disease in gynecology is diagnosed in patients aged between 20-40 years.

Often, patients with small pelvic varicose veins first attempt treatment at home. Popular methods, used without a doctor's advice and recommendations, can lead to negative side effects, so after a while you should see a phlebologist for a consultation.

The main factors that lead to the appearance of this pathology include:

1. Excessively increased physical activity.
2. Passive lifestyle.
3. Congenital diseases of blood vessel walls - weakening, plasticity, underdevelopment.
4. Inflammation processes in Organs pelvic organs.
5. Hormonal imbalance.

Pathology of the sexual plane - anorgasmia, pain and the appearance of discomfort during intercourse, which have a psychological etiology of the aspect, although they often practice interrupted sexual contact.

At the same time, small pelvic varicose veins, the treatment and symptoms of this disease are similar to varicose veins in the legs. In this situation, the valves in the veins start to interfere with the functioning of the valves that help the blood circulation flow to the heart muscle.

Dysfunction of the valves, which act as a protection for reverse blood flow, arises.

If your work is interrupted, blood stasis starts in your veins. Blood-filled veins increase in volume, which further increases the phenomenon of stagnation.

Pelvic venous congestion usually occurs near the vulva, fallopian tubes, uterine region and can even dilate the veins in the vagina.

first signs and symptoms

Several basic clinical symptoms indicate the development of varicose veins. The most important sign of this disease is exaggerated pain in the lower abdominal region, in the pelvic region, which often begins to radiate to the perineum or lower back. The patient is also bothered by the copious discharge of mucus from the vagina, especially in the middle of the monthly cycle.

In addition to the main symptoms, there are also other very important symptoms of varicose veins:

1. In certain cases, infertility is seen in women.
2. Dysmenorrhea. Manifestation of pain during menstruation.
3. Noticeable passing of premenstrual symptoms.
4. Irradiation of pain in the groin, lower back and sacrum.
5. A symptom of dyspareunia (manifestation of a feeling of discomfort in the vagina or vulva, both during intercourse and after intercourse).
6. Manifestation of a painful crisis (as a result of severe hypothermia of the body, excessive physical fatigue, psycho-emotional stress).
7. The appearance of pain in the abdomen after prolonged overload (dynamic or static).

Given this clinical symptomatology, it is necessary to consult the doctor as soon as possible, as this pathology can present a large number of unpleasant complications:

• varicose veins may be a contraindication to natural childbirth;
• the work of Organs reproductive organs is interrupted;
• there is fear of sexual contact;
• irritability and anxiety appear.

It should also be said that all of the above symptoms can be expressed in different ways, in some patients all signs of the disease are noticed and in some only some of them.

Methods for diagnosing the disease

To establish the correct diagnosis, the patient must undergo a thorough examination. If a woman complains of pain arising for an unknown reason, then the specialist first determines all the reasons that are factors in the presentation of the pain symptom. The patient's lower extremities are carefully examined. Thus, you can identify the manifestation of varicose veins. In some situations, the diagnosis is made by a vascular doctor.

The main diagnostic methods are as follows:

1. Ultrasound of the venous system. The exam allows you to examine the tortuosity and varicose veins.
2. Laparoscopy. Determine the varicose veins in the ovarian region.
3. CT. Allows you to exclude the disease, identify varicose veins in the ovaries and uterus, see the increase on the monitor, as well as its tortuosity.
4. Selective Ovaricography. The most accurate exam. It is performed by injecting a contrast agent into the subclavian and femoral veins.
5. Doppler ultrasound. It determines in the veins of the ovaries and uterus a decrease in the systolic speed of the process.

The use of these methods makes it possible to define the symptoms of the disease more clearly.

Degrees and Differential Approach

To standardize the diagnosis and the possibility of differential treatment approach, A. E. Volkov divided the varicose veins taking into account the site of formation of venous ectasia and the size of the dilated vessels.

Three stages of this disease are classified:

• the first stage - corkscrew movement of the vessel, the size of the vein is not greater than 6 mm;
• second stage - vein size does not exceed 7-11 mm during total type of varices, RV arcuate uterine plexus veins, VR parametric veins, loose ovarian plexus ectasia;
• the third stage - the vein size is greater than 11 mm during the main form of parametric formation or total type of VR.

Taking into account the severity of the pathological process, drug treatment or surgery can be used.

Methods for the treatment of varicose veins

During stage 1-2 of varicose disease, conservative methods of therapy are used more often (corrective gymnastics, NPS drugs, venotonics).

Conservative therapy during venous congestion syndrome is symptomatic, which includes normalization of rest and physical activity, which excludes excessive active loads and prolonged stay.

When the patient is diagnosed with varicose veins, treatment procedures are primarily intended to perform the following tasks:

1. Relief of symptoms of bleeding, pain, etc.
2. Restoration of tone of veins, increased blood circulation in tissues.
3. Cessation of reverse blood flow through the venous system of the ovaries.

It is necessary to realize that even high quality therapy for this pathology does not completely cure varicose veins.

However, proper treatment will prevent the main clinical symptoms and significantly improve the patient's condition.

The treatment of EMCT includes several main components:

1. Regular exercise in medical gymnastics to prevent the onset of the disease.
2. Course of drug use during an exacerbation.

Conservative therapy of affected veins

Due to the internal location of the veins infected with the pathology, drugs are used orally, making it simply impossible to apply venous ointments and gels.

During this illness, the following medications are used:

1. Horse Chestnut Extract - to relieve inflammation and swelling.
2. Based on diosmin - to get rid of high vascular elasticity, prevent damage, reduce permeability.
3. Vitamin C - strengthens vascular walls.

Doctors advise combining conservative treatment with exercise therapy as well as wearing compression underwear. Compression garments are especially needed during pregnancy.

Surgical intervention

Surgical intervention is an extreme method of treatment, used if the disease is at a very advanced stage and there is a presumptive VR of the veins.

The surgical operation is selected taking into account the location of the main rupture of the veins and involves the following interventions:

• cross operation - also used for leg vein diseases;
• ligation of a vein in the genitals (usually performed simultaneously with perineal miniphlebectomy);
• ligation of the ovarian vein.

If an operation is necessary, the choice of appropriate manipulations is quite individual, as everything will depend on the location of the varicose veins.

Exercises and corrective gymnastics

If we consider the necessary physical exercises, then women during this illness need to do at least one of the exercises every day - "birch", "bike", "scissors".

A contrast bath in the pelvic area and breathing exercises are also very helpful. At the same time, gymnastics performed correctly and efficiently is the fastest way to restore a healthy and normal life.

The simplest but effective exercises are as follows:

1. While lying on your back, lift your legs, then bend and lift as high as possible. The exercise is done about 10 times.
2. Position yourself in a supine position, straighten your legs and then, bending over, pull towards your chest area. Run at least 10 times.
3. For half an hour, you will need to walk around the room. First - on tiptoes, then - heels, then - lifting your knees as high as possible.
4. Lying on your stomach, take turns lifting your legs. In the maximum position, the leg should be fixed for a few seconds. At least 7 approaches for each leg.

Popular recipes and remedies

Varicose veins can be treated at home.

The most famous and common popular treatment methods:

1. Indian Chestnut Infusion.
2. Kombucha tincture.
3. Dandelion root tincture.
4. Treatment with leeches, which are applied to the coccyx and sacral region.

Diet plays an important role in the treatment of varicose veins. The daily diet must be balanced and have enough natural fiber and protein.

Preventive actions

It is also necessary to use some simple tips that serve as VVMT prevention. Furthermore, if they are constantly observed, they can also improve the general condition of the body:

1. Exercise every day.
2. Wear special pantyhose for treatment.
3. Add more vegetables to your daily diet. Avoid foods that cause constipation.
4. During sedentary work, take breaks, you need to walk at least 10 minutes every two hours.
5. Do not abuse alcohol or smoke.
6. Do not take hormonal medications out of control.
7. After surgical intervention for VVMT, you need to take prophylactic doses of medication prescribed by your doctor.

Possible forecast

If the varicose condition is not treated, after a while the veins start to enlarge even more (by 90%), which threatens serious side effects, including thrombosis. In the remaining 10% of patients with varicose veins, which appeared after pregnancy, the disease does not progress to a more severe stage, but it never disappears on its own.

If you start treating the pathology, you can achieve full recovery (15-25%, taking into account the severity) or significant improvement (55-60%), especially in the case of simultaneous combination of operative and conservative methods. But, one way or another, after complex therapy, lifelong prophylaxis must be performed, which consists of adhering to a correct lifestyle, regular medication or compressive support of the veins.