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Pelvic vein expansion pills. Varicose veins of the small pelvis. Why varicose veins of the small pelvis develop in women

In addition, it is very dangerous, especially for pregnant women. We will talk about how to treat and diagnose an ailment, as well as forecasts for the future, in this article.

Features of the disease

Varicose veins of the small pelvis - the expansion of the weight of the ovaries and uterus due to pathologies, heredity and other reasons. All women of childbearing age are susceptible to the disease, especially pregnant women and those whose work is associated with difficult physical conditions.

What is the danger of varicose veins of the internal organs of the small pelvis during pregnancy? In this position, the disease must certainly be treated by a doctor, since it is dangerous for the life of the patient and the fetus due to possible inflammation. Also, the disease is an indication for a caesarean section.

The following video will tell you about the causes and features of varicose veins of the small pelvis:

Causes

Varicose veins appear against the background of connective tissue pathologies. Its main cause is connective tissue dysplasia, due to which the veins become thinner and bend.

In addition to hereditary predisposition, risk factors that provoke the appearance of varicose veins are:

• passive lifestyle;
• work associated with long standing / sitting;
• frequent weight lifting;
• lack of orgasm;
• frequent pregnancies and childbirth;
• increase in estrogen levels;
• inflammatory diseases of a gynecological nature;
• ovarian tumor;

Recent studies of the disease prove its connection with the use of hormonal contraceptives. About what are the symptoms of varicose veins of the pelvic organs, requiring treatment, you will learn further.

Symptoms of varicose veins of the small pelvis

The underlying symptomatology of varicose veins of the pelvic organs is pain in the lower abdomen and increased baseless discharge from the genitals. Most often, the pains are aching and pulling in nature, they radiate to the groin and lower back. In about half of the patients, the pain syndrome increases before menstruation, along with this, varicose veins of the perineum, buttocks and outer thighs are found.

Possible symptoms are:

1. the presence of premenstrual syndrome;
2. menstrual disorders;
3. increased sensitivity in the perineum;

Sometimes varicose veins are accompanied by increased urination.

Diagnostics

The disease is difficult to distinguish not only because of the localization, but also the absence of any characteristic symptoms. It is often confused with pelvic inflammatory disease and anti-inflammatory therapy is prescribed, which either has no effect or minimally improves the patient's condition.

For this reason, it is necessary to carry out differential diagnosis with diseases of the pelvic organs, for example, with cystitis, endometriosis, Crohn's disease and others. You can finally confirm the diagnosis with the help of hardware studies:

• Ultrasound of the venous system. The study allows you to see the expansion of the veins, their tortuosity.
• Dopplerography. Detects a decrease in systolic velocity in the veins of the uterus and ovaries.
• Laparoscopy. Detect varicose veins in the ovarian region.
• Selective ovaricography. The most accurate study. It is performed by introducing contrast through the femoral and subclavian veins.
• CT. Allows you to exclude pathologies, identify varicose veins in the uterus and ovaries, show their tortuosity and expansion on the screen.

Additional studies are also assigned to assess the patient's condition, for example, blood tests and x-rays. How to treat varicose veins of the small pelvis, we will discuss further.

Treatment

The main treatment is to comply with the therapeutic measures prescribed by the doctor. Usually, taking drugs and gymnastics is enough to normalize the patient's condition.

In rare cases, when the disease is advanced and threatens the life of the fetus or mother, doctors resort to surgery.

Therapeutic

The therapeutic method is aimed at stopping the reverse blood flow in the veins, normalizing their tone, increasing blood circulation, and relieving symptoms. Therapy includes medication and exercise.

The main role in drug therapy in the treatment of pelvic varicose veins is given to venotonic drugs that improve venous tone, as well as angioplatelet agents that prevent thrombosis. Also to patients Pentoxifylline.

Surgical

Surgical treatment is prescribed in the absence of a response to conservative, as well as for medical reasons. There are such operations:

• Ligation of the ovarian vein.
• Ligation of the genital vein. Sometimes combined with miniphlebectomy.
• The Troyanov-Trendelenburg operation, if also affected.

The embolization of ovarian veins proved to be good, since it is characterized by low trauma and an easy recovery period.

The method of surgical intervention depends on contraindications, the degree of the disease, as well as the individual characteristics of its course. In any case, it should be selected together with the doctor.

About whether it is possible to treat varicose veins of the small pelvis with folk remedies, we will tell you further.

Folk methods

Folk remedies against varicose veins include any procedures and infusions that help tone the veins, for example:

• on horse chestnut;
• chaga;
• from dandelion rhizomes;

Note! Treatment with folk remedies cannot replace the conservative one, therefore it should proceed in conjunction with the latter! Before using any prescriptions, you should consult with your doctor to avoid negative consequences.

Exercises for varicose veins of the small pelvis

Therapeutic exercise for varicose veins of the small pelvis consists of the following exercises:

• From a standing position, with the feet parallel to each other, rise on your toes and lower yourself. Repeat up to 30 times.
• From a standing position, heels are aligned, socks apart. Rise on your toes and lower yourself up to 30 times.
• Stand straight, spread your heels apart, aligning your socks. Rise on toes up to 30 times.
• Make a "bicycle" and a "birch", following the full extension of the legs.

The exercises can be done anywhere. If you wish, you can replace, add or remove any exercises, the main thing is to make sure that the body does not overstrain. Physiotherapy exercises must be combined with wearing compression stockings.

Disease prevention

With proper prevention, it is possible to avoid varicose veins in more than 90% of cases. Preventive measures begin with regular visits to the doctor, consultations with a vascular surgeon. Also important:

limit physical activity and do not lift heavy objects;

1. regularly engage in light physical exercises, physiotherapy exercises;
2. visit a massage therapist or do massage at home;
3. regulate nutrition, limit the consumption of carcinogens and animal fats;
4. monitor the regularity of bowel movements and eat foods that contribute to normal bowel movements, such as vegetable fiber or chicory;
5. take venotonic drugs at the rate prescribed by the doctor;

Pregnant women, especially in the 3rd trimester, are advised to sleep on their side, as this position helps to relax the muscles. It is important to wear compression stockings to help drain blood from your veins.

Complications

Varicose veins, especially in the later stages, are often complicated by dysfunctional bleeding of the uterus, inflammation of the pelvic organs. This is due to violations of the outflow of blood and the thinness of the walls of the veins.

Against the background of bleeding, an inflammatory process can also develop, therefore, when the first symptoms are detected, it is necessary to consult a doctor. Thromboembolism is often attributed to complications, however, this condition has other causes.

Forecast

Predicting the outcome of varicose veins of the pelvic organs in women depends on many aspects: the degree, localization, the presence of concomitant diseases and complications, the general condition of the patient. In general, in the absence of bleeding, the prognosis is favorable. More than 80% of patients, following the doctor's recommendations, feel positively.

The following video lecture on the consequences of varicose veins of the small pelvis will also be useful:

Varicose veins of the small pelvis in women are provoked by such a phenomenon as the reverse reflux of blood through the ovarian vein, which occurs against the background of squeezing of the vessels.

The trigger for the development of the disease is pregnancy, namely the hormonal changes observed during this period and the growing pressure of the uterus on the vessels of the small pelvis.

This type of varicose veins is manifested by prolonged and intense pain in the lower abdomen, usually appearing after constant heavy physical exertion or before menstruation.

Causes

Why does pelvic varicose veins occur, and what is it? In most cases, this disease is diagnosed in women, and most often this disease is found in patients aged 25 to 45 years.

Quite often, such patients first try to cure varicose veins on their own - folk remedies that are used without prescription and consultation with a specialist can lead to unwanted side effects, so you still have to contact a phlebologist.

To the factors provoking the development of this disease, include:

1. Sedentary lifestyle.
2. Unbearable physical activity.
3. Hormonal problems.
4. Inflammatory diseases of the pelvic organs.
5. Congenital pathologies of the vascular walls - underdevelopment, aplasticity, weakness.
6. Problems of a sexual nature - anorgasmia, pain and discomfort during intercourse, which are of a psychological nature, often practiced coitus interruptus.

Varicose veins of the small pelvis are very similar to the condition of varicose veins in the legs. In both cases, the valves in the veins that help blood flow to the heart are affected. The function of the valves to prevent backflow of blood is disrupted. When the valves are destroyed, blood stasis occurs in the blood veins. The veins, which are filled with blood, stretch and increase even more stagnation. Pelvic venous congestion syndrome develops mainly near the uterus, fallopian tubes, vulva, and even vagina.

Symptoms of varicose veins of the small pelvis

A number of symptoms may indicate the presence of pelvic varicose veins in women. The most important of them are causeless pain in the lower abdomen, pelvic area, often they are given to the lumbar region or perineum. Also, a woman can be bothered by mucous discharge in abundant form from the genitals, especially in the second half of the phase of the menstrual cycle.

In addition to the main ones, there are also other equally important symptoms of varicose veins of the pelvic organs in women:

1. Dysmenorrhea. The appearance of pain during menstruation.
2. In some cases, the function of childbearing is impaired.
3. Pain irradiation to the sacrum and lower back, as well as to the groin area.
4. Perceptible course of the so-called premenstrual syndromes.
5. The appearance of a pain crisis (as a result of psycho-emotional stress, physical overwork, hypothermia of the body).
6. The phenomenon of dyspareunia (the appearance of an uncomfortable feeling in the vulva or vagina both during intimacy and after it).
7. The occurrence of pain in the abdomen after prolonged exertion (both static and dynamic).

Faced with these symptoms, you should immediately consult a specialist. Because this disease can many unpleasant consequences:

• the activity of the organs of the reproductive system is disrupted;
• varicose veins can become a contraindication to natural childbirth;
• there is a feeling of anxiety and irritability;
• there is a fear of sexual relations.

It is also worth noting that the above symptoms can be expressed in different ways (weaker or stronger), some women have all the signs of the disease, and someone has 1-2 of them.

Diagnostics

To make a correct diagnosis, a woman undergoes a complete comprehensive examination.

When a patient complains of pain that occurs for an unclear reason, the doctor first determines all the factors that caused the pain syndrome. The patient's legs are carefully examined. So you can detect the appearance of varicose veins. In special cases, a consultation with a vascular doctor is carried out.

Diagnostic methods:

1. Laparoscopy. Detect varicose veins in the ovarian region.
2. Ultrasound of the venous system. The study allows you to see the expansion of the veins, their tortuosity.
3. Dopplerography. Detects a decrease in systolic velocity in the veins of the uterus and ovaries.
4. Selective ovaricography. The most accurate study. It is performed by introducing contrast through the femoral and subclavian veins.
5. CT scan. Allows you to exclude pathologies, identify varicose veins in the uterus and ovaries, show their tortuosity and expansion on the screen.

The use of such methods allows you to more accurately determine the symptoms of the disease.

Degrees

To standardize the diagnosis and attempt a differential approach to treatment, A.E. Volkov classified varicose veins of the small pelvis depending on the diameter of the dilated vessels and the localization of venous ectasia.

There are 3 degrees of this disease:

• Grade 1 - vein diameter up to 5 mm (any venous plexus of the small pelvis), "corkscrew" course of the vessel;
• Grade 2 - vein diameter 6-10 mm with a total type of varicose veins, loose ectasia of the ovarian plexus (pl.pampiniformis ovarii), VR parametric veins (pl.uterovaginalis), VR veins of the arcuate plexus of the uterus;
• Grade 3 - vein diameter >10 mm with total type of VR or main type of parametric localization.

Depending on the severity of the pathological process in the pelvis, it is possible to use conservative methods of treatment and surgical interventions.

Treatment of varicose veins of the small pelvis

If a woman has been diagnosed with varicose veins of the small pelvis, treatment is aimed at achieving the following goals:

1. Termination of reverse blood flow through the veins of the ovaries.
2. Normalization of vein tone, improvement of blood supply to tissues.
3. Removal of symptoms: pain, bleeding, and so on.

RVMT therapy includes two main components A:

1. Course medication for exacerbation.
2. Continuous use of physiotherapy exercises to prevent relapses.

In case of varicose veins of the small pelvis of the 1st or 2nd degree, as a rule, conservative methods of treatment are used (venotonics, non-specific anti-inflammatory drugs, physiotherapy exercises). Conservative treatment for pelvic venous plethora syndrome is symptomatic, including the normalization of working and rest conditions with the exclusion of significant physical exertion and prolonged stay in an upright position.

It should be understood that even the highest quality treatment does not make it possible to completely cure varicose veins of the small pelvis. But, nevertheless, adequate therapy allows you to get rid of most of the clinical manifestations and significantly improve the patient's condition.

Conservative treatment

Due to the internal location of the diseased veins, medications are prescribed orally, it is not possible to use venous gels and ointments. In this case, the following means are used:

1. Diosmin (detralex, phlebodia)- to eliminate the increased elasticity of blood vessels, reduce their permeability, prevent fragility;
2. Horse chestnut extract (escusan)- to relieve swelling and inflammation;
3. Troxerutin (troxevasin)- to improve the outflow of blood from damaged vessels, increase the tone of the veins, reduce swelling and inflammation;
4. Vitamin C (ascorutin)- to strengthen the walls of blood vessels.

Surgical intervention

The operation is an extreme measure, which is used in the case when the disease is very advanced and there is a predisposition to VR of the veins. Surgical intervention is selected depending on the location of the main violations, and provides for the following procedures:

• ligation of the ovarian vein;
• ligation of the genital vein (often in combination with miniphlebectomy of the perineum);
• Troyanov-Trendelenburg operation (crossectomy) - in case of damage also to the veins of the lower extremities.

In case of need for surgical intervention, the selection of appropriate actions is very individual, since everything depends on the localization of varicose veins.

Exercises

Therapeutic exercise for varicose veins of the small pelvis consists of the following exercises:

1. From a standing position, with the feet parallel to each other, rise on your toes and lower yourself. Repeat up to 30 times.
2. From a standing position, heels are aligned, socks apart. Rise on your toes and lower yourself up to 30 times.
3. Stand straight, spread your heels apart, aligning your socks. Rise on toes up to 30 times.
4. Make a "bicycle" and a "birch", following the full extension of the legs.

The exercises can be done anywhere. If you wish, you can replace, add or remove any exercises, the main thing is to make sure that the body does not overstrain. Physiotherapy exercises must be combined with wearing compression stockings.

Folk remedies

The most popular and famous folk remedies:

1. Infusion of kombucha (chaga).
2. Tincture of horse chestnut fruit for oral administration.
3. Treatment with leeches, which are placed on the sacrum and coccyx.
4. Infusion of dandelion root or herbal collection based on dandelion root. It has a venotonic effect.

Diet also plays a significant role in the treatment of varicose veins - nutrition should be balanced and contain a sufficient amount of animal proteins and vegetable fiber.

Prevention

1. Wear special medical tights.
2. Do breathing exercises daily.
3. Take a contrast shower, paying particular attention to the thighs, perineum, and lower abdomen.
4. During sitting or standing work, take breaks, walk for 5-10 minutes every 1-2 hours.
5. Add more fiber-rich vegetables and vegetable oil to your diet. Avoid spicy, salty, and foods that can cause constipation.

Consequences

The most common complications of this disease are:

• diseases of the uterus and appendages of an inflammatory nature;
• bladder disease;
• uterine bleeding.

In conditions of impaired venous outflow, there is a risk of developing pelvic vein thrombosis. But the frequency of this type of complications does not exceed 3-5%.

Venotonics for pelvic varicose veins and drugs of a similar spectrum of action are the main way to treat such a disease. However, before using such drugs, it is necessary to study their features and consult a doctor.

How venotonics work

Venotonics are drugs with angioprotective action, which are used to treat and prevent diseases associated with impaired venous blood flow. Currently, drugs are produced based on plant, synthetic or combined raw materials.

The main purpose of exposure to venotonics is the tissues of the venous walls. In case of violation of the movement of blood through the vessels, such drugs are used for the following purposes:

• increased vascular tone;
• protection against oxidants;
• decrease in the permeability of vascular tissues for blood plasma;
• improvement of metabolic processes in the vascular tissue;
• elimination of the inflammatory process;
• antiallergic effect;
• direct hemodynamic effect on the musculo-venous pump;
• coumarin-like effect;
• increased lymphatic drainage.

Venotonics, as a rule, are categorically contraindicated during pregnancy and lactation. Some drugs of this action (especially those made on the basis of horse chestnut and ergot) have much more contraindications, so you should consult your doctor before using them.

Types of venotonics and methods of their use

During the period of exacerbation of pelvic varicose veins, the use of venotonics becomes an integral part of the treatment of the disease. In this case, drugs that improve vascular tone play a major therapeutic role.

In many cases, such drugs are used to prevent venous diseases.

All venotonics must meet certain requirements:

1. Made from absolutely safe components. In this case, preference is given to herbal medicinal raw materials.
2. Have a long-term therapeutic effect (the duration of taking some drugs is several months).
3. Combine with other drugs that can be used in the treatment of varicose veins.
4. Be accessible to different segments of the population and easy to use.
5. Do not have a negative effect on internal organs and organ systems.

Depending on the method of application, the drugs are divided into the following forms:

• topical agents (creams, gels, ointments, rectal suppositories);
• means for internal use (tablets, capsules, injection solutions),

Depending on the components included in the preparation and the method of influencing the body, venotonics are of the following types:

• products made on the basis of medicinal plant materials;
• drugs that have a strengthening effect on vascular tissues;
• drugs with a combined effect;
• drugs synthesized by a chemical method;
• polyvalent agents.

What drugs are used for varicose veins of the small pelvis

The question of which venotonics should be used in the treatment of varicose veins in a particular case should be decided by a qualified phlebologist. The doctor examines the patient and performs the necessary diagnostic measures. Based on the information received, the specialist selects the most suitable drugs.

Treatment of varicose veins in most cases is carried out with the help of drugs for external use. It can be creams, gels and various lotions. All of these tools have the following properties:

1. Very quickly absorbed by the skin. This contributes to a faster onset of the therapeutic effect.
2. They have an unobtrusive odor. This is due to the fact that most preparations contain natural aromatic additives or essential oils. Some products also have a deodorizing effect.
3. Eliminate inflammatory processes. Any venotonics for topical use contain vitamins and mineral components that help activate the local defenses of the human body.
4. Helps eliminate puffiness and evens out skin tone. This effect is especially important with rosacea. Antistax drugs (based on grapes), Troxerutin and Troxevasin have such an effect.
5. Accelerate the process of recovery of damaged tissues. This effect is most pronounced in the drug Ginkor Gel. This drug is made on the basis of an extract from grape leaves. The active substance helps to activate the natural mechanisms of regeneration of the connective and muscle layer of the vascular tissue. The strongest effect is observed after a couple of weeks after regular use.

The most common venotonics are the following drugs:

• Detralex;
• Venarus;
• Troxevasin;
• Anavenol;
• Doppelhertz.

Flebodia and Detralex drugs have the best effect. These drugs are the primary choice of doctors in the treatment of venous circulation disorders in the pelvic vessels. Drugs have the following effects on the body:

1. Eliminate pain and discomfort. Often, pelvic varicose veins are accompanied by severe pain in the groin area, thereby forcing a person to eliminate this symptom with painkillers. When using venotonics, the need for additional analgesics is eliminated.
2. Increase the tone and strength of vascular tissue. Simultaneously with the expansion of the veins, the thinning of the vascular walls begins, resulting in the release of toxic substances of the final metabolism. Against this background, local tissue poisoning occurs. Due to the high content of flavonoids and tannins in the preparations, you can get rid of this problem in a very short time.
3. Eliminate puffiness and restore the natural color of the skin.

No less popular are Troxevasin and Troxerutin, as well as drugs with a similar effect. The active substance of these drugs is rutin. The drug is made in the form of gels for topical use and tablets. It helps improve blood flow by preventing red blood cells from clumping together. This reduces the risk of blood clots.

Such a drug helps to get rid of puffiness and relieve inflammation, as well as get rid of other unpleasant symptoms.

Troxerutin can be used during pregnancy (in the 2nd and 3rd trimesters).

Such drugs as Lyoton, Venorutinol, Phleboton, Venolan have a similar effect. Such drugs can also be used to treat hemorrhoids.

The effectiveness of venotonics

Numerous reviews of doctors and patients indicate that venotonics have a very good effect in the treatment of varicose veins. Young and middle-aged people can completely get rid of this disease with a minimal risk of relapse.

The treatment of such a pathology in the elderly is somewhat complicated by the development of a physiological form of vein expansion. However, the use of venotonics in this case brings a positive effect. Such drugs help to return a person to a full life, relieving many unpleasant symptoms.

We must not forget that it is possible to treat varicose veins by one means or another only after consulting a doctor, since some drugs can not only not bring the desired effect, but also harm.

In contact with

Varicose veins in the legs are usually diagnosed - this disease is familiar to many, since it is widespread. But in some cases, women are diagnosed with varicose veins of the small pelvis (VRVMT). The symptoms of the pathology are different, but the approaches to treatment are largely similar. It is worth considering in more detail the stages and causes of the phenomenon, the order of therapy and the best methods.

Definition

The female genital organs are supplied with blood by a whole network of vessels, while powerful, large veins are provided for the outflow of blood. Each pelvic vein has strong elastic walls and is equipped with valves that prevent backflow of blood. As a result, blood from the perineum, vagina, uterus, ovaries flows and moves into the inferior vena cava.

Under varicose veins understand the expansion of the lumen of the veins of the small pelvis, when the walls of the vessels lose their elasticity, become edematous, plethoric, the operation of the valves is disturbed. The veins are tortuous in appearance, some have saccular protrusions, the walls of the veins are flabby. The result is a violation of the collection and outflow of blood from the internal and external genital organs. Inevitably, stagnation occurs, which provokes unpleasant signs of the disease.

RVMT is noted mainly in women of childbearing age, more often it starts during pregnancy, although sometimes it is noted even in adolescent girls. After childbirth, pelvic varicose veins are diagnosed in 30% of women.

Causes of the disease

Pathology occurs when there is a malfunction of the large main veins that collect blood from the genitals. Also, often the disease occurs from a uniform weakening of the entire venous network of the small pelvis. Most often, the causes of the disease are hereditary predisposition and the presence of connective tissue dysplasia. The latter causes underdevelopment of the vascular wall and a gradual decrease in its density.

The following reasons can also cause varicose veins:

• sharp hormonal disruptions, hormone-dependent ovarian tumors and other dyshormonal diseases;
• pregnancy and childbirth (due to increased pressure in the pelvis);
• gynecological diseases - endometriosis, chronic endometritis, surgeries;
• physical labor, high sports loads;
• obesity;
• sedentary work;
• lack of orgasms, especially perennial;
• anomalies in the position of the uterus - backward bend, prolapse.

Forms and degrees of varicose veins

Varicose veins of the small pelvis according to the anatomical position are divided into three forms:

• intrapelvic;
• vulvar and perineal;
• combined.

Varicose veins are considered primary if a woman has an enlargement of the veins of the small pelvis, valve dysfunction is diagnosed. There is also secondary varicose veins - it is accompanied by a change in the uterine and other veins against the background of gynecological diseases.

The patient can register three stages of varicose veins of the small pelvis:

• the first - veins do not exceed 5–7 mm in size, convoluted vessels are observed;
• the second - the size of the veins is up to 10 mm, the process covers the organ plexuses (uterine, ovarian vessels) and extends to the periuterine tissue;
• third - the veins can expand beyond 10 mm, the expansion even covers the main vessels.

Symptoms of pathology

At an early stage, symptoms may be subtle or blurred. Some women have a whole range of unpleasant sensations, while others have one or two symptoms. The most characteristic symptom is pain in the lower abdomen, which has no explanation. Also, mucous watery discharge regularly appears from the vagina. They are associated with the sweating of plasma from inflamed vessels. Other manifestations associated with RVMT are:

• increased signs of PMS (premenstrual syndrome);
• menstrual irregularities;
• painful periods;
• urination disorders associated with plethora of the bladder;
• pain in intercourse.

The pain syndrome becomes more pronounced after physical activity, in the last days of menstruation. Outwardly, during a routine examination, the pathology may not show signs. A number of women have noticeable dilated veins on the perineum, back inner thighs, buttocks. In this case, there is a burning sensation, itching, swelling of the skin in the affected areas. If the disease occurs during pregnancy, you will have to give birth with complications - postpartum hemorrhage is usually profuse, it is difficult to stop them.

Diagnostics

Since the symptoms of varicose veins are similar to those of uterine fibroids, endometriosis, and a number of other pathologies, it is important to correctly make a differential diagnosis. Gynecological pathologies should be excluded, and a place should also be found from which the reverse flow of venous blood into the perineum comes from. A woman is assigned the following examinations:

• gynecological examination;
• Ultrasound of the small pelvis, dopplerography;
• MRI or CT;
• extrauterine phlebography;
• if necessary - laparoscopy.

The primary diagnosis is revealed by ultrasound - in the Doppler mode, tortuous, dilated veins with impaired blood flow are detected. More in-depth studies are needed to clarify the diagnosis and determine the extent of surgical treatment.

Treatment Methods

Varicose veins of the small pelvis cannot be completely cured, it is a chronic disease that gradually progresses. But it is possible to slow down its development, restore a normal quality of life and prevent complications. Goals of therapy:

• stabilization of vein tone;
• improvement of blood circulation;
• getting rid of reverse blood flow;
• relief of symptoms.

Drug treatment should be combined with therapeutic exercises, then the effect will be much higher.

Medical

Preparations against varicose veins are taken in long courses. They should contain venotonic components that improve vascular tone and optimize blood flow. The best remedies for varicose veins:

• Phlebodia;
• Detralex;
• Venarus;
• Aescusan;
• Endotelon;
• Venoruton;
• Troxerutin.

These phleboprotectors eliminate pain in a couple of weeks, but with severe inflammation and swelling, it is necessary to additionally take non-steroidal anti-inflammatory drugs (Ibuprofen, Ketoprofen). To thin the blood and improve blood microcirculation, prescribe:

• Trental;
• Actovegin;
• Pentoxifylline;
• Curantyl.

The therapy is complemented by the intake of enzymes - Phlogenzym, Wobenzym, they give a strong anti-edematous and anti-inflammatory effect.

Surgical

The operation will be required for complications of the pathology (for example, with thrombosis), as well as at advanced stages of varicose veins, when the effect of the drugs is no longer enough. The main types of operations that can be done for varicose veins are as follows:

• ligation of the veins of the ovary;
• plastic of uterine ligaments;
• clipping of dilated veins;
• crossectomy - ligation of other veins of the small pelvis;
• miniphlebectomy - removal of the affected area of ​​the vein.

Many operations are less traumatic, recovery after them is easy and fast.

Compression and sclerosing therapy

The compression effect is very effective in the early stages of the disease, especially when the external veins and perineal vessels are affected. Compression of the superficial veins improves the outflow of blood, leads to the emptying of stagnant fluid. For compression therapy, the doctor will prescribe special underwear:

• tights;
• shorts;
• leggings;
• leggings.

Sclerotherapy is considered a minimally invasive treatment. An expanded vein is punctured, a sclerosant drug (Fibro-Vein, Sclerovine) is injected into its lumen. As a result, the vessel sticks together. When superficial veins are affected, such treatment is carried out without hospitalization, but hospitalization is required to eliminate internal veins.

Treatment with folk remedies

In addition to traditional methods, alternative therapy for varicose veins of the small pelvis is often used. But you can start treatment only after the approval of the doctor, because some methods may be contraindicated. Here are popular recipes:

1. Pour a tablespoon of dandelion root with 250 ml of boiling water, leave for an hour. Drink 50 ml five times / day, the course is a month.
2. Grind 100 g of chestnuts, pour 0.5 l of vodka. Infuse for 2 weeks, drink 20 drops three times / day for 2 months.
3. Squeeze carrot juice, add a teaspoon of linseed oil per 100 ml, drink on an empty stomach in the morning. Repeat month.

exercise therapy

Exercises against varicose veins should be selected by a doctor. Lessons can be:

• on the floor in a prone position, make a “birch”, while pulling the toes of the feet up;
• do the exercise "bike";
• stand up straight, put your feet parallel to each other, move from socks to heels (at least 30 times);
• lie on your back, raise your legs above the floor, perform the exercise "scissors".

Training should be done as much as possible, do not overexert. They can be combined with wearing compression stockings.

Possible complications of varicose veins

Why is pelvic varicose veins dangerous? If you let the disease take its course, the functioning of the internal organs - the uterus, the bladder - is disrupted. Women with varicose veins have contraindications for natural childbirth, many give birth by caesarean section. At stages 2–3, almost all patients have concomitant pathologies - hemorrhoids, varicose veins of the legs.

Against the background of increased anxiety, constant pain, women often develop mental disorders - depression, anxiety, insomnia, neurosis. With the course of varicose veins, complications join - dishormonal disorders in the ovaries, uterine bleeding, cycle failures, infertility. The most severe consequences are thrombosis and thromboembolism, with the separation of a blood clot, death is possible.

Disease prevention

Diet plays an important role in disease prevention. Nutrition should be balanced, alcohol, fried foods should be removed from the menu, and the amount of animal fats should be adjusted. It is necessary to eat more vegetable fiber, cereals, moderately consume nuts, vegetable oils. Green tea, natural juices are useful for toning blood vessels. But the abundance of spices, pastries, sweets is harmful for a woman, like fast food.

To prevent varicose veins you need:

• do not abuse hormonal drugs, oral contraceptives;
• practice light physical activity, exercise therapy;
• give up alcohol, smoking.

Illness during pregnancy

The reason for the appearance of varicose veins in pregnant women is hormonal changes with an increase in the amount of progesterone (it relaxes the walls of blood vessels). An increase in pressure in the peritoneum, an increase in the volume of circulating blood, an expansion of the uterus, and low physical activity also negatively affect the state of the vessels. More often, varicose veins develop with repeated births, with the first pregnancy the risk is lower. The consequences may be:

• difficult childbirth;
• rupture of blood vessels, severe bleeding;
• the appearance of blood clots;

Natural childbirth is possible only at stage 1 of varicose veins, but during attempts, measures are taken to reduce pressure in the vessels. At stages 2-3, a caesarean section is performed. The woman wears a bandage throughout the gestation, sleeps with a pillow in her legs, takes a contrast shower.

Features of varicose veins in men

In men, the disease in this form does not happen, VRVMT is peculiar only to women. A similar course has a varicocele in men - an expansion of the vessels of the scrotum. They expand, meander in the testicles, where blood tends to stagnate. The result is a violation of the function of organs, which can cause infertility. Treatment includes taking venotonics, blood thinners. In severe cases, vascular embolization is performed.

Varicose veins of the small pelvis are difficult to diagnose. Its symptoms coincide with other diseases or are even perceived by women as "it's natural, it should be." Recently, this chronic disease has become more common among women from 17 to 45. If you find yourself with the symptoms listed below, you should consult a specialist.

Brief information about the disease

Varicose veins of the small pelvis (VRVMT) is a chronic disease that affects any girl or woman. Fortunately, it is treatable. It occurs due to obstruction of the veins in the pelvic area or blockage of the venous trunks with the emergence of new venous outflow pathways.

Causes of RVMT

RVMT is based on connective tissue dysplasia. With this phenomenon, the connecting elements of the cells of the body are weak. Dysplasia is caused by several factors:

• Fetal exposure during pregnancy;
• Poor environmental conditions;
• Long stay in a standing or sitting position (for example, at work);
• Hard work;
• Frequent pregnancies, childbirth;
• Diseases of the ovaries, uterus, urinary tract;
• Problems related to menstruation;
• Frequent interruption of sexual intercourse;
• Contraception using hormonal drugs.

Symptoms of varicose veins of the small pelvis

Let us consider in more detail the symptoms of this disease. Many of them can manifest themselves even if you are not sick with anything, but this is a reason to be examined.

Pain in the lower abdomen

Such pains are chronic and are the main symptom. They are pulling, aching, sometimes spread to the groin and other areas of the abdomen. Periodically, the pain intensifies: before menstruation, during hard work, if you sit or stand for a long time, and even during intercourse.

Other symptoms

These symptoms do not appear in everyone, but if, in addition to pain in the lower abdomen, something from the list below bothers you, you should consult a doctor.

So other symptoms:

• Severe pain in the lower abdomen during menstruation;
• Pronounced PMS;
• Abundant discharge from the genital tract;
• Soreness of the genitals;
• urination disorders;
• Visible, dilated veins in the buttocks, perineum, thighs.

Diagnostic methods

RVMT is diagnosed in several ways:

1. Ultrasound dopplerography of the veins of the small pelvis. This examination shows your veins using ultrasound.
2. Extrauterine phlebography. With this study, the veins are filled with a substance due to which they will be clearly visible on the x-ray.
3. Laparoscopy - examination of the pelvic cavity. A small puncture is made in your abdomen and examined with a stethoscope.
4. Selective ovaricography - examination of the veins of the ovaries with the help of X-rays and the injection of a contrast agent into them.
5. CT scan. This examination is carried out if VRVMT can accompany other gynecological diseases.

Treatment of varicose veins of the small pelvis

RVMT is treated in a complex way: with the help of special pills and preventive physical exercises that will prevent the recurrence of the disease. If this method of treatment is ineffective, they resort to surgical intervention. Also, for the prevention of the disease and as an addition to general therapy, use folk remedies.

Treatment with pills

Two types of drugs are used to treat RVMT:

• Preparations to improve the tone of the veins;
• Angioaggregants are drugs that prevent the formation of venous thrombosis. Phlebodia 600 tablets are an excellent and modern medicine of this type.

Prevention through exercise

To prevent a disease with a genetic disposition or in order to avoid a relapse of the disease, doctors recommend exercises that involve the muscles of the thighs and gluteal muscles, for example:

• Swimming;
• Aerobics;
• Jogging;
• Biking;
• Physical exercises such as squats, "bike", "scissors".

1. During sitting or standing work, take breaks, walk for 5-10 minutes every 1-2 hours.
2. Add more fiber-rich vegetables and vegetable oil to your diet. Avoid spicy, salty, and foods that can cause constipation.
3. Take a contrast shower, paying particular attention to the thighs, perineum, and lower abdomen.
4. Do breathing exercises daily.
5. Wear special medical tights.

Surgery

Treatment of RVMT with the help of surgical intervention is carried out in two ways:

1. Artificial blockage of the veins. This operation is the most effective and safe. It is carried out with the help of a blocking substance, which is injected into the veins using a thin catheter.
2. Removal of affected veins by surgery. Such an operation is performed if for some reason it is impossible to clog the veins.

Treatment with folk remedies

As practice has shown, the most effective herbs in the treatment of RVMT are:

• horse chestnut;
• Dandelion root;
• Tea mushroom.

Decoctions of these herbs are taken orally or used as an addition to the bath.

Although varicose veins of the small pelvis are a chronic disease, cases of its complete cure are frequent. Following all the recommendations, you can permanently get rid of pelvic pain caused by this disease.