Varicose veins of the pelvis in women: symptoms and treatment

From this article, you will learn: why varicose veins of the pelvis is considered to be a separate disease, and not a variety of varicose veins in the legs? in whom this disease can happen and why. The symptoms and diagnosis of this pathology, such as right treatment, the chances of recovery.

varicose veins of the pelvis

Varicose veins of the pelvis is the weakening of the walls of the internal or external venous vessels the pelvic region, with the result that the excessive extension of the diameter. Varicose modified vienna is not in a position to provide the outflow of blood from the pelvis, resulting in the stagnation and the complete destruction of the vascular wall. As a result – violation of the structure and the functions of the female reproductive system.

The initial stages of the disease cause only minor discomfort in the region of the external genital organs and the lower part of the abdomen. Women with the executed forms of the basin of varicose veins suffering from continual pains, various gynecological diseases, infertile, have a cosmetic flaw as convoluted extensive venous nodes of the perineum, the genitals lip or at the entrance of the vagina.

The disease can be cured completely, but to avoid relapse is necessary for life prevent. Dealing with this problem together surgeons, obstetrician-gynecologists.

Varicose veins of the pelvis in men in this form, as women are not. But similar disease there is a varicocele. The mechanisms of occurrence and events that are similar to those when your varicose veins. Dilatation occurs in the left testicle and in the course of the spermatic cord than in the left vienna egg stagnant blood. Is back thrown by the left renal vein, which flows into the vienna.

The essence of the pathology, how serious this is

External and internal female genitalia is a good krovosnabjaemah. To ensure adequate blood flow in need of a strong network of venous vessels. Therefore, the venous system of the pelvis in women developed. Each vein has resistant walls, has valves, is associated with a number of passers-by veins. All of these are a smooth activity of the venous network of the region of the pelvis, which collects the blood from the perineum, external reproductive organs (vulva, vagina), special structures (ovaries, uterus), and passes it to the lower part Polow vein.

Varicose modified veins of the pelvis differ from the healthy fact that:

  • Expanded in diameter;
  • Filled with blood?
  • Too twisted to you?
  • They have a protrusion in the form of knots?
  • Flabby and can.

Pelvic of vienna, the affected varicose veins, can gather the blood of the external genital organs and other bodies, but is not in a position to okay the transfer of the more major blood vessels (vena cava). This leads to the fact that the blood stagnates in the basin, and penetrates through the vein wall, it affects the fabrics, from which we should not. Become swollen, inflamed and lose its functions.

But, above all, varicose veins of the pelvis dangerous:

  • Various disorders of the ovary?
  • Uterine bleeding bleeding and different disorders?
  • Infertility, the threat of termination of pregnancy and the impossibility of a natural labor?
  • The formation of blood clots in the lumen of the varicose abnormal vein, that threatens their difference from the field of education and migration in the heart and the blood vessels of the lungs. This is the most dangerous complication, life-threatening pulmonary embolism (PE).

Causes

Mainly varicose veins of the pelvis are apparent in mature women:

  • 20 years ago – 20%;
  • 20-30 years – 30%
  • 30 – 45 years old – 50%

Mechanisms κιρσώδειςGuo regeneration of the venous system of the pelvis:

symptoms of varicose veins
  1. (80%). These are the most large trunk veins, which collect the blood from the uterine and ovarian cancer, and to transfer directly into the ivc (right) or renal (left) of vienna. If this damage occurs, it is completely prevents the venous outflow.
  2. Uniform weakening or destruction of the venous wall of all of the pelvic veins – all at the same time extends to and is not in a position to contract to push the blood in the upper lines represent the strings sections.
  3. Reverse drop of blood from deep veins of the thigh in the sexual vein, which collects blood from the perineum and external genital organs, prevents the outflow. As a result, the pressure in it increases, while the gun and the outflow varicose extend.

Direct causes for the implementation of these mechanisms can be such as:

  • Inherent weakness or dysplasia (underdevelopment) of the venous wall and of valves.
  • Hormonal adjustment in the female body (puberty, pregnancy, menopause, diseases of the ovaries).
  • Frequent inflammatory processes, endometriosis, operation, adhesive process in a basin.
  • Moved thrombosis and thrombophlebitis of pelvic veins.
  • The heavy physical work.
  • The prolonged stay in the supine position or sitting.
  • The excessive weight.
  • Pregnancy and childbirth.
  • The regular interruption of the sexual act for many years, especially with the absence of orgasm.
  • Bends of the uterus backward or ahead.
  • Tumors of the pelvis.
  • A mess of the uterus.

Degree of varicose veins – classification

With anatomical base (prevalence) varicose veins of the pelvis are divided into three types:

  1. Venous plethora in tazoult-lambese it?
  2. Perineal varicose veins, etc.?
  3. In combination form.

For the reflection of the pathological changes of a disease are divided into three grades:

  1. The first – advanced vessels of any organ mesh of the pelvis does not exceed a diameter of 0.5 cm, redundancy twisted.
  2. The second – the diameter of the veins increases up to 1 cm, the procedure is widespread not only in the grid of the institutions(royal, ovarian), but also around them (okolomatocnah fiber).
  3. The third – expansion (ectasia) of greater than 1 cm, which affect the blood vessels – intraorganic, about organs and trunk (torso ovaries of vienna).

The higher the grade of the disease, the worse it is dilated veins and heavier stagnation of the blood in the basin.

Characteristics symptoms

Women with varicose veins basin note:

  • The persistent or recurrent pain in the lower part of the abdomen, increased in the evening or after exercise, especially during the second half of the cycle (closer to months). With 3 degrees of pain can be very strong.
  • Itching, burning sensation, swelling and lividity of the genital organs.
  • Painful periods, and the sexual act.
  • Profuse menstruation and uterine bleeding, irregular cycle.
  • The inability to become pregnant.
  • Thickened twisted veins in the region of the perineum and of the lips.
  • Frequent and painful urination.
  • Pronounced symptoms of premenstrual syndrome.
pregnancy

Diagnosis

For confirmation of the diagnosis is carried out:

  • The ULTRASOUND through the stomach and through the vagina (transvaginal) with the use of special sensor – a doppler and two-way treatment of veins of the pelvis. The most simple and informative method.
  • Endovascular phlebography – x- introduction-specific drugs in ovarian vein.
  • The ct scan with contrast.
  • The diagnostic laparoscopy.

Methods of treatment

Varicose veins of the pelvis together treated surgeons or obstetrician-gynecologists. According to modern concepts, the treatment consists of such directions:

  1. Normalization of a way of life?
  2. The conservative medical treatment?
  3. Neuropathy compression and other treatment?
  4. The surgery treatment.

Heal varicose veins of the pelvis. For this, the experts are a personalized treatment program, while patients women should always stick with treatment and preventive recommendations.

1. Normalization of a way of life

Because a wrong way of life serves as a background and a direct cause of varicose pelvic veins, the normalization will help you to heal:

  • Eliminate the prolonged stay in a standing or sitting position (more than 2-3 hours without a break).
  • Do not lift weights and to opt out of strenuous physical work.
  • During the day make a landing in gymnastics for pelvic (exercises, birch, bike or just lie down for 10-15 minutes, with a increased above the level of the body basin.
  • Reduce weight (obesity).
  • Do not take a hot bath, replace with shower.
  • Abstain from alcohol and smoking.

2. Medical treatment

Treatment of varicose pelvic veins of each extent is not possible without medicine support. In the first instance is the main therapeutic exercise, during the second and the third completes the comprehensive treatment.

Used drugs such as:

  • Special drugs – strengthening of the venous vessels.
  • Anticoagulant – liquefying blood, facilitate the promotion of blood vessels.
  • Drugs that improve the microcirculation.

For more groups of drugs is granted subject to the available anomalies in the body:

  • Medications of female genital hormones (during dishormonal disorders).
  • Painkillers and anti-inflammatory drugs.
  • Medicines to stop the blood – hemostatic drugs for the treatment of uterine bleeding.

3. Neuropathy compression therapy

One of the effective means in the treatment of varicose veins in the area of the external genitalia and the perineum is a compression effects. The principle of this method is similar to the use of tire dressings on varicose veins in the legs. Compression (compression) superficial veins of the outer promotes the emptying of the blood. To create this effect is to place special tights or shorts from compression therapeutic jersey. Buy in specialized pharmacies, shops, salons, medical products, individually, by selecting the desired size and compression strength.

Sclerotherapy – hole varicose extended veins with the introduction in the lumen of the specific drug, causing accumulation. This treatment is performed when an external (subcutaneous) of your varicose veins without hospitalization. Internal veins also can be treated, but this procedure is technically more difficult and is carried out in the environment of the operating.

4. The surgical treatment

Varicose veins of the pelvis is best for the treatment of put into operation when:

  • 2-3 extent of the disease?
  • Fast-paced the progress of the disease?
  • The design of pregnancy?
  • Expressed pain syndrome to you?
  • Permanent uterine bleeding and other gynecological disorders.

Basic types of operations when your varicose veins:

  1. Laparoscopic – specific business through the holes in the belly. Carry out a bandage, crossing, or the removal of the ovaries of vienna. So is restored the reverse shed blood.
  2. Removal of the esophagus varicose veins through small punctures or incisions of the skin are removed, modified subcutaneous veins, optional external sexual vein at the point of contribution to the femoral vessels.
  3. Gynecological surgery – removal of tumors, treatment bends of the uterus.
diagnosis and treatment

Prognosis

If not treated varicose veins of the pelvis, over time, to be even more expanded (95%), threatening dangerous complications. The remaining 5% of women with subcutaneous varicose veins crotch 1-2 degree, which arose after the birth, the pathology is not reinforced, and will never pass by itself.

If the treatment of the disease, can achieve complete recovery (10-50% depending on the degree) or a significant improvement of the situation (45-50%), especially in the case of a combination of surgical methods with conservative. But in any case, after a comprehensive treatment should be lifetime prevention, which consists in the observance of the recommendations for lifestyle, magazine, medical, or compression support to the weakened veins.