Varicose veins are considered a common disease of the circulatory system. It is not only the lower limbs that are under attack. Deformation of the venous walls can occur in organs located in the pelvic floor. Pathology most often occurs in women of childbearing age. In the initial stage, the symptoms of pelvic varicose veins are not always pronounced, which makes it difficult to diagnose the problem in a timely manner. Chronic pathology requires long-term treatment and constant medical supervision.
The reasons for the development of varicose veins of the small pelvis
Varicose veins affecting the pelvic organs are chronic pathologies characteristic of the female half of the population. The disease has a primary and secondary form associated with valvular insufficiency of the veins and disorders in the field of gynecology, respectively.
Veins are equipped with unique valves that allow blood to move in the right direction - up, and prevent attempts to go down. The mechanism becomes unusable with the development of varicose veins. Constant excessive blood pressure affects the shape of blood vessels and veins and reduces their elasticity. In the small pelvis, the development of the disease is facilitated by the "breakage" of the valve in the ovarian vein (varicose veins of the first degree).
Experts say that pregnancy is most often the trigger for the development of the disease. In addition, predisposing factors can be considered:
- Excessive physical activity.
- Forced prolonged sitting or standing.
- Irregular shape of the uterus (bend).
- Pathology of the appendages.
- Sedentary lifestyle.
- Hereditary connective tissue problems.
- Multiple pregnancies.
- Taking hormonal contraception.
- Improper protection against unwanted pregnancy (interrupted intercourse).
The presence of varicose veins of the lower extremities also refers to the reasons for the development of the pathological condition of the veins of the organs located in the small pelvis. A woman needs to undergo additional examination to exclude and prevent lesions of the vessels of the small pelvis.
Diseases of a gynecological and urological nature can give complications in the form of changes in the shape of the walls of blood vessels and veins.
The disease is a serious danger and cannot be left without adequate treatment. Timely medical intervention is a guarantee of successful getting rid of the pathological condition and the absence of serious complications.
Any woman of childbearing age can develop vascular disease.
Clinical manifestations and diagnosis
Varicose veins of the small pelvis refers to pathologies that at the initial stage are almost impossible to diagnose, because there are no characteristic signs. The disease is still poorly understood and is rare. This makes it difficult to establish the general picture and features, thanks to which it will be possible to arrest the pathological process at an early stage.
The first thing you need to pay attention to is pain, which is localized in the lower abdomen, is given to the groin, sacrum and lower back. The menstrual cycle becomes irregular, with severe pain.
The difference can only be noticed by those girls whose onset of menstruation is not accompanied by pulling pain and discomfort. Abundant or, conversely, scanty bleeding should also alert.
If the disease develops in full swing, more pronounced symptoms occur. First of all, spider veins appear on the skin of the buttocks, external genitals and inner thighs, and veins begin to protrude.
Pain syndrome develops during proximity, with physical exertion, after a hard day. Along with pain, patients often complain of oversensitivity.
For a long time, experts could not timely determine the presence of varicose veins, mistaking the ailment for others, similar in symptomatology, pathology. An incorrect diagnosis led to incorrect treatment and prolongation of the underlying disease. Currently, doctors prescribe a comprehensive examination in order to avoid mistakes and timely detect the slightest deviation.
Ultrasound is used as the main diagnostic method to identify the cause of pain of an unclear nature.
During the examination, the specialist can assess the condition of the bladder, ovaries, uterus. The features of blood circulation in this area are examined using Doppler ultrasonography. The most accurate picture is obtained by selective ovarycography. The technique involves the introduction of a contrast agent through the veins located on the thighs and under the collarbone.
Regular pain, radiating to the groin and lower back, is the first sign of pelvic varicose veins.
Is the pathology compatible with pregnancy?
The greatest danger is the disease for women in position. The first signs in the form of small spider veins on the legs are observed by most pregnant women, and about a third of them still encounter pelvic varicose veins.
The growing uterus and pressing on the veins impairs blood flow, which only accelerates the development of the disease. The first alarming signals in the form of edema, cramps in the calf muscles, pulling pain in the lower abdomen. Expanded veins pose a threat to the normal bearing of a child and therefore it is necessary to respond to symptoms immediately.
Only a doctor can confirm the diagnosis by performing an ultrasound examination (most often intravaginal). The affected vessels and veins negatively affect the functionality of the uterus.
Treatment of a pregnant woman should be carried out under full medical supervision. The most gentle therapeutic methods are selected.
The possibility of avoiding a cesarean section for varicose veins exists and depends entirely on the decision of the attending physician. If the disease is only in the initial stage, a woman may well give birth to a baby on her own and without complications.
After childbirth, you should be examined by a phlebologist to prevent the development of varicose veins.
What are the consequences of pelvic varicose veins?
Symptoms of varicose veins of the pelvic organs cannot be ignored
Ignoring the body signals indicating the development of varicose veins, the patient runs the risk of aggravating the condition and getting a number of extremely undesirable health consequences.
In an advanced stage, pathology threatens the development of the following complications:
- Reproductive system disorder. Patients with this diagnosis have difficulty conceiving a child. Similar disorders are observed in men with varicose veins.
- Prohibition of natural delivery. If the pathology first manifested itself during the carrying of the baby, the woman is almost always sent for a cesarean section. In some cases, natural childbirth is possible.
- Deterioration of the functioning of the uterus. Patients with varicose veins affecting the pelvic area often face the problem of miscarriage.
- The development of concomitant ailments. In the absence of proper treatment, varicose veins in the legs and hemorrhoids often develop.
- Problems in intimate life. Fear of sexual intercourse develops against the background of painful sensations arising in the process.
- Mental disorders. The lack of a full-fledged sex life negatively affects a woman's self-esteem, making her irritable and nervous.
If you find the slightest suspicion of the development of varicose veins and to prevent negative consequences, it is recommended to consult a phlebologist.
Methods for treating varicose veins of the small pelvis
Experts say that it is impossible to completely get rid of varicose veins. Comprehensive treatment consists in combining drug therapy, wearing compression underwear, and therapeutic gymnastics helps to eliminate unpleasant signs of the disease and improve the general condition.
When treating, it is important to follow the recommendations of the attending physician
Sparing methods often give a positive result if the patient follows the doctor's recommendations. The drug effect consists in taking venotonics - drugs that help to normalize venous tone. Improvements are only possible if treatment with pills is carried out at an early stage.
You should not reject the possibility of improving your condition by wearing compression underwear. This option is considered the safest and most necessary during pregnancy. The doctor will help you to choose special stockings that help to compress the veins and improve blood flow. The linen must be put on in the morning, even before getting out of bed.
Drastic measures are indicated in advanced cases when there is a danger to the patient's life. However, even surgery cannot guarantee that the pathology will not manifest itself in the future. The embolization method has shown itself to be less traumatic and effective.
The procedure is performed under angiographic control. It is also possible to bandage and remove the affected veins. The method of surgical intervention should be determined by a specialist on an individual basis.
Varicose veins of the small pelvis is a serious ailment associated with a violation of the functionality of the circulatory system. Women face this pathology more often than men. In an advanced stage, the disease is fraught with the development of severe deviations. Undesirable consequences can be prevented only with timely access to a doctor and a comprehensive impact on the problem.