Varicose veins of the small pelvis is a common disease today, and it affects many women between the ages of 25 and 40. Otherwise, the disease is called chronic pelvic pain syndrome or pelvic venous congestion syndrome. The cause of this problem is the reverse flow of blood through the ovarian veins, which is caused by squeezing of the blood vessels. That is, the venous expansion of the pelvic veins is a disease directly related to the decrease in the elasticity of the vein wall.
Many doctors consider this pathology to be a peculiar thing and rarely make such a diagnosis. This is due to the fact that pathology can be manifested in various symptoms, and intense pain syndromes always dominate. Therefore, most experts will use pelvic varicose to treat various inflammatory hormones or gynecological diseases. However, women’s quality of life and future fertility depend on the timely diagnosis of small pelvic varicose veins. Why does this disease develop, what symptoms does it exhibit, and how to treat pelvic varicose veins? We will discuss all of this in this article.
The characteristics of the development of varicose veins of the small pelvis
Varicose veins of the ovary and uterus have long been known in medicine. The disease was first discovered in the 1980s and has not yet been fully studied. Every year, because most people's lifestyle changes during this period, more and more cases of this pathology are encountered. Today, most people have sedentary jobs and unhealthy lifestyles. The mechanism of the formation of varicose veins in the small pelvis is caused by various hormonal changes and increased pressure of the uterus on the blood vessels of the small pelvis, which is usually observed during pregnancy.
In the blood vessels of the small pelvis, stagnation begins to occur and stimulates the development of the disease.
The pathological development algorithm is as follows:
- The vascular system of the small pelvis is very complex, composed of large blood vessels, which are divided into smaller veins. In addition, the structure of the male and female small pelvis is somewhat different, which shows that this disease mainly occurs in women.
- The squeeze of the blood vessels and the blockage of the veins change the color of the blood vessel walls and disrupt the blood flow process from the deep veins of the pelvis;
- Due to a malfunction, the pelvic veins cannot perform their functions normally. This leads to insufficient blood supply to the venous valves.
- In the blood vessels of the small pelvis, stagnation begins to occur, which leads to the development of small pelvic varicose veins.
Unlike protruding veins of the lower extremities and accompanied by varicose veins of the lower extremities, the varicose veins of the small pelvis in women are not noticed because the veins located deep in the small pelvis are affected. Therefore, many women may not even suspect that they have this disease. However, there is still a major symptom that can signify the existence of the problem in almost all situations. This symptom is pain syndrome, which is characterized by intensity and duration, and is usually observed before the critical day or after strenuous exercise.
Causes of the development of pelvic venous congestion syndrome
As mentioned earlier, the disease mainly occurs due to changes in hormone levels. The most prone to this pathological process is women of childbearing age. In particular, pregnant women and women who work in poor physical conditions are exposed to varicose veins in the small pelvis. In some cases, this type of varicose veins can develop during puberty, accompanied by changes in hormone levels.
The most common cause of disease development is pregnancy.
But in this case, unlike the course of a more mature age, the pathology is asymptomatic. The only thing that makes you suspect is the problem is increased leucorrhea. In other words, it can be said that the main reasons for the development of small pelvic varicose veins are hormonal changes in the body and pregnancy. However, there are more reasons for the development of this disease:
- Congenital connective tissue dysplasia. This phenomenon is observed in 30% of people and is characterized by thinning and tortuous veins and weakness of the venous valves.
- Severe or multiple deliveries. In the process of childbirth or the delivery of a large fetus, various complications lead to the violation of blood flow out of the small pelvic veins;
- There are several fetuses during pregnancy. This leads to increased load on the body, especially the small pelvic blood vessels;
- Some gynecological diseases;
- Long-term use of hormonal contraceptives;
- Hormone therapy
- Retraction of the uterus.
The following factors also cause the development of small pelvic varicose veins:
- Strenuous physical work, such as constant weight lifting;
- Standing or sedentary work;
- A sedentary lifestyle;
- Increased estrogen levels;
- Sexual dysfunction, such as lack of orgasm;
- Frequent use of intermittent intercourse.
However, the most common cause of pathological development is still pregnancy. During this period, almost 30% of women suffer from chronic pelvic pain syndrome. Basically, the symptoms of the disease begin to appear 8 weeks after the baby is born.
According to the nature of the course, varicose veins of the small pelvis can have two forms:
- Varicose veins of the perineum and external genital organs. If the disease progresses, varicose veins can spread to the inner surface of the thigh.
- Pelvic venous congestion syndrome.
This classification is not universal in medicine, because the two forms are produced at the same time as each other. Enlargement of the vulvar vein is often observed in pregnant women. In most cases, the pathological phenomenon will disappear on its own after delivery, but this is not always the case. According to the size of the damaged vein and the formation position of the pathology, it can be divided into 3 degrees:
- The first level. Damaged veins are no more than 5 mm in diameter, located in any venous plexus of the small pelvis, and are characterized by corkscrew-like vessels.
- The second degree. The diameter of the vein can be 6 to 10 mm, and is usually observed in the entire varicose vein type, located in the ovary or uterus.
- Three degrees. Damaged veins are more than 10 mm in diameter and have the general form or main part of varicose veins.
According to the degree of development of the disease, the appropriate treatment method is selected. Varicose veins in the small pelvis are in the first and second degrees, and doctors usually prescribe conservative treatments, including lifestyle changes, special exercises, and medications. But only with the help of surgical intervention can the third stage of pathology be cured.
Symptoms of small pelvic varicose veins
Diseases with multiple symptoms, such as small pelvic varicose veins, are often disguised as other diseases of the reproductive system organs. The main symptom of pathology is obvious pain syndrome in the lower abdomen, which can appear in the waist or perineum for no obvious reason. Moreover, pain is usually accompanied by unfounded mucus leucorrhea, which increases during the second phase of the menstrual cycle.
Symptoms: Severe pain in the lower abdomen before and after menstruation.
In addition, if you have pelvic varicose veins, the symptoms may be as follows:
- Severe pain in the lower abdomen before and after menstruation;
- Increased sensitivity of the perineum and vagina;
- Violation of the menstrual cycle;
- A feeling of heaviness in the small pelvis when standing for a long time;
- Itching and discomfort in the vulva;
- There are prominent veins and spider veins on the perineum, which are the characteristics of varicose veins;
- Discomfort, discomfort during intimacy.
Childbirth may also have problems and violate the urination process, such as the frequency of urination. And in the case of this form of disease such as enlargement of genital varicose veins, bleeding of the perineal vein and thrombophlebitis may appear in an acute form. Symptoms can be mild or obvious, it can be a symptom or a combination of symptoms. Therefore, it is difficult to diagnose the phenomenon of varicose veins in women's pelvic organs.
Consequences of small pelvic varicose veins
This type of varicose veins is not a very dangerous disease. Timely diagnosis of pathology will quickly get rid of unpleasant phenomena such as the correct choice of treatment. But it is often difficult to diagnose this disease in time, and many women are not even aware of this problem. As the disease progresses, the following serious complications begin to develop in the body:
- Reproductive system dysfunction, leading to infertility;
- Neurasthenia caused by pain syndrome;
- Worrying about intimacy due to persistent pain during intercourse;
- Inflammation of the uterus and appendages;
- Bladder disease
- Uterine bleeding.
Women's small pelvic varicose veins that have not been properly treated continue to develop and spread to neighboring organs and body parts. In 5% of cases, venous thrombosis and pulmonary thromboembolism may develop into fatal diseases.
Diagnosis and treatment of small pelvic varicose veins
Considering the generality of the signs and symptoms of the disease, varicose veins of the small pelvis are difficult to diagnose. And just 20 years ago, only 2% of cases were correctly diagnosed. Misdiagnosis of the problem sometimes even leads to hysterectomy, which can be avoided with modern diagnostic equipment. Today, in order to make a correct diagnosis, a comprehensive examination was carried out accompanied by a gynecologist and a phlebologist.
A popular treatment for the disease is laparoscopy.
After a thorough questioning and examination of the patient, the doctor prescribed the most accurate diagnosis method for today's pelvic varicose:
- Vascular Doppler ultrasound examination;
- Ultrasound of the venous system;
- Selective ovarian imaging
- Computed tomography and MRI;
- Varicose veins.
In addition, the doctor may prescribe other studies, such as blood tests and X-ray examinations, so that the patient's condition can be assessed more accurately. After making an accurate diagnosis, the doctor will choose the most appropriate treatment method, the purpose of which is to:
- Normalization of vascular tone;
- Improve the blood supply of the tissue;
- Eliminate symptoms;
- Prevent the development of stagnation and various complications.
The treatment of pelvic varicose veins should be complicated, and may include medication and basic therapies, surgery, and folk remedies. The basic treatments for the disease include:
- Regular remedial gymnastics;
- Special diet
- Hot and cold shower;
- Wear special underwear.
In addition, if necessary, you should modify the daily work. If the cause of the formation of varicose veins is physical overwork due to specific reasons at work, you need to move to a more relaxed job. Medical treatment of pelvic varicose includes the use of the following drugs:
- Intestinal absorber
- Intravenous protective agent;
- Hormonal drugs.
Only in the late stage of varicose vein enlargement, when conservative treatment fails or the pain syndrome cannot be eliminated, surgical intervention is started. Among other things, your doctor may recommend that you use herbs, including dandelion, horse chestnut, or chaga.