Varicose veins of the small pelvis in women.

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

Intensification of the development of the disease is pregnancy.

Internal varicose veins of the small pelvis are expressed by severe and prolonged pain in the lower abdomen.

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

In the vast 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 the point of view of gynecology, but, first of all, from the point of view of phlebology.

The causes of the appearance of pathology

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

Often times, patients with varicose veins of the small pelvis first attempt treatment at home. Folk methods, used without the advice and recommendations of a doctor, can provoke the appearance of negative side effects, so after a while you need to go to 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 the walls of blood vessels: weakening, plasticity, underdevelopment.
4. Inflammation processes in the pelvic organs.
5. Hormonal imbalance

Pathology of the sexual plan: anorgasmia, pain and the appearance of discomfort during sexual intercourse, which have a psychological etiology of appearance, while very often they practice interrupted sexual contact.

At the same time, varicose veins of the small pelvis, the treatment and symptoms of this disease are similar to varicose veins of the legs. In this situation, the valves in the veins begin to interrupt the work of the valves that help the flow of blood circulation to the heart muscle.

A dysfunction of the valves appears, which act as protection for the reverse blood flow.

If its work is interrupted, then stagnation of blood in the veins begins. Veins filled with blood increase in volume, which further increases the stagnation phenomenon.

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 of the signs of this disease is unreasonable pain in the lower abdomen, in the pelvic region, often beginning to radiate to the perineum or lumbar region. The patient is also bothered by the abundant 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 observed in women.
2. Dysmenorrhea Manifestation of pain during menstruation.
3. Perceptible passage of premenstrual symptoms.
4. Radiation of pain in the groin, lower back and sacrum.
5. A symptom of dyspareunia (the manifestation of a feeling of discomfort in the vagina or vulva, both during sexual intercourse and after its completion).
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).

Faced with this clinical symptomatology, it is necessary to consult a doctor as soon as possible, since this pathology can have a large number of unpleasant complications:

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

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

Methods for diagnosing the disease.

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

The main diagnostic methods are as follows:

1. Venous system ultrasound. The exam allows the tortuosity and varicose veins to be examined.
2. LaparoscopyDetermine varicose veins in the ovarian region.
3. CONNECTICUT. It allows to exclude the disease, identify varicose veins in the ovaries and uterus, see the enlargement on the monitor, as well as its tortuosity.
4. Selective ovaricography. The most accurate test. It is done by injecting a contrast medium into the subclavian and femoral veins.
5. Doppler ultrasound. It determines in the veins of the ovaries and the uterus a decrease in the systolic speed of the process.

The use of these methods allows the symptoms of the disease to be more clearly defined.

Degrees and differential focus

To standardize the diagnosis and the possibility of a differential treatment approach, A. E. Volkov divided varicose veins taking into account the place 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 container, the size of the vein is no more than 6 mm;
• the second stage: the size of the vein is not more than 7-11 mm during the total type of varicose veins, VR of the arcuate veins of the uterine plexus, VR of the parametric veins, loose ectasia of the ovarian plexus;
• the third stage: the size of the vein is more than 11 mm during the main form of parametric formation or total type of VR.

Taking into account the severity of the pathological process, you can use drug treatment or surgery methods.

Methods for the treatment of varicose veins.

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

Conservative therapy during venous congestion syndrome is symptomatic, including normalization of rest and physical activity, excluding excessive active loads and prolonged standing.

When the patient is diagnosed with varicose veins, the treatment procedures are primarily aimed at accomplishing the following tasks:

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

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

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

EMCT treatment includes several main components:

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

Conservative therapy of the affected veins.

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

During this disease, the following medications are used:

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

Doctors recommend combining conservative treatment with exercise therapy, as well as the use of compression underwear. Compression garments are especially necessary during pregnancy.

Surgical intervention

Surgical intervention is an extreme treatment method, which is used if the disease is in a very advanced stage and RV of the veins is assumed.

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

• crossectomy operation - also used for diseases of the veins of the legs;
• ligation of a vein in the genitals (usually performed simultaneously with perineal mini-phlebectomy);
• ligation of the ovarian vein.

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

Exercise and recovery gymnastics.

If we consider the necessary physical exercises, women during this disease should do at least one of the exercises every day: "birch", "bicycle", "scissors".

A contrast shower 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 stand up as high as possible. The exercise is done about 10 times.
2. In a supine position, straighten your legs, then, bending over, pull to the chest area. Run at least 10 times.
3. For half an hour, you will need to walk around the room. First on the toes, then on the heels, then lifting the 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.

Recipes and folk remedies.

Varicose veins can be treated at home.

The most famous and common popular methods of treatment:

1. Infusion of horse chestnut.
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 fiber and natural proteins.

Preventive actions

You also need to use some simple tips that serve as prevention of VVMT. In addition, if they are constantly observed, they can also improve the general condition of the body:

1. Exercise every day.
2. Use special stockings for treatment.
3. Add more vegetables to your daily diet. Avoid foods that make you constipated.
4. During sedentary work, take breaks, you need to walk for at least 10 minutes every two hours.
5. Do not abuse alcohol or smoke.
6. Do not take hormonal medications uncontrollably.
7. After surgery for VVMT, you should take prophylactic doses of medications prescribed by your doctor.

Possible forecast

If the varicose condition is not treated at all, after a while the veins begin to enlarge even more (by 90%), which threatens serious side effects, including thrombosis. In the remaining 10% of patients with varicose veins, in whom it appeared after pregnancy, the disease does not progress to a more serious stage, however, it never goes away on its own.

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