Treatment and rehabilitation of varicose veins of the pelvis

causes of pelvic varicose veins

Both men and women are susceptible to varicose veins, but the weaker sex often suffers from the consequences of this disease. The most common associations at the mention of varicose veins occur with swelling of the veins in the legs below the knee, but in women there are such things as varicose veins of the pelvis. This is a fairly common disease, which risks infecting all women during the fertile period.

Varicose veins in the small pelvis most often occur in women who do hard physical work or during pregnancy. This is due to the increased stress on the female body, which causes increased venous pressure, which provokes varicose veins of the hip.

Sudden pain in the lower abdomen is the first symptom of varicose veins in the small pelvis.

Varicose veins of the internal organs are especially dangerous for pregnant women and is one of the main reasons for prescribing a cesarean section. Doctors explain this by the fact that natural childbirth can cause bleeding and the lives of the mother and baby will be endangered. The incidence of this disease during pregnancy is a consequence of the fact that the enlarged uterus is compressed and interferes with normal blood circulation. Increased hormone levels are also a factor that affects the appearance of varicose veins in the small pelvis.

Due to changes in hormonal levels in mature women, the disease can begin to develop during puberty. The situation is complicated by the fact that it is quite difficult to detect varicose veins of the pelvic veins, because the disease that arose in this period of life rarely passes with obvious symptoms. An indirect reason for visiting a specialist may be increased discharge from the female reproductive system.

Dilated pelvic veins in women often occur during sedentary work in the office. This is caused by the loss of plasticity of the venous walls, due to the poor mobility of the person. Men are also susceptible to this disease, but much less often than women.

The most obvious symptom of varicose veins in the small pelvis can become more frequent pain in the lower abdomen, especially when standing, when the body is upright. Often the pain can be caused by intercourse or other strong stress on the body. Also, from the small pelvis, varicose veins can expand to the perineum and gluteal region.

Experts call the internal varicose vein of the pelvis a complex disease. This is due to difficulties in diagnosis, because there are not so many symptoms of the onset of the disease and they do not appear clearly. The timely detection of varicose veins gives hope for complete recovery. There is also a high probability of misdiagnosis at an early stage of disease development.

Major pathogens

how varicose veins of the pelvis manifest

Poor heredity can be a problem.

Connective tissue dysplasia is considered a harbinger of their pathology causing varicose veins of the pelvis. Often these problems are caused by poor heredity, but people whose lives are combined with the following factors can also suffer from varicose veins:

  • Office work or some other inactive occupation;
  • Heavy physical activity, if the body is not prepared for them in advance;
  • Irregular sexual activity;
  • High estrogen hormone;
  • Gynecological diseases of women, frequent inflammations;
  • Tumors located near internal organs.

Studies have shown a link to the use of contraceptives and other hormonal drugs with the appearance of varicose veins in the pelvis.

Covering this disease in pregnant women requires special attention. Unfortunately, up to 30% of all cases, the disease is observed in women during this period. Doctors tend to believe that pregnancy can give rise to connective tissue dysplasia in a woman’s body, leading to varicose veins.

Varicose veins of the pelvis in women are caused by an increase in the number of female hormones in the body, their effect has a similar effect on the body with the use of contraception. This is exacerbated by the fact that during fetal development, pressure is exerted on the internal veins of the pelvis, causing increased compression. Additional pathways are formed for the outflow of blood, which are no longer needed after the birth, and a recovery procedure is needed to remove them.

In the prenatal clinic for those who register, there is a risk group, which includes women with a predisposition to inflammation of the reproductive organs. Pregnant women with high estrogen levels also require special attention.

Symptoms of the disease

main symptoms of pelvic varicose veins

The main symptoms of varicose veins of the pelvic organs include more frequent pain in the lower abdomen, as well as copious secretion of mucus from the genitals. But these signs can have other reasons, which is why it is so difficult to diagnose such varicose veins of the small pelvis in the early stages.

Indirect signs include the detection of swollen veins on the buttocks and perineum. In some patients, lower abdominal pain increases during the first days of the menstrual cycle.

Among the main symptoms that indicate varicose pelvic veins in women are:

  • Pain before menstruation is stronger than usual;
  • Menstrual irregularities;
  • Enhancement of sensitive sensations in the perineal region;
  • Pain radiating from the lower abdomen to the lower back;
  • Increased sensitivity of the vagina;
  • Frequent urination;
  • Severity of the lumbar spine when standing or sitting for a long time.

Depending on the stage of development of varicose veins of the pelvis and the individual characteristics of each woman, several symptoms can be noticed at once, or each of them separately. In any case, if one of the above signs is detected, visit a gynecologist's office.

Diagnostic Methods

There are several methods to detect and diagnose varicose veins of the pelvic organs, but Doppler ultrasound is considered the main one. When using this procedure, it is possible to identify the contours of the veins with ultrasonic waves and project them on the screen of the device or take photos. The image allows you to detect all places of deformation of the veins, whose blood flow is reduced.

diagnostic options for pelvic varicose veins

For a clearer picture, doctors use phlebography in diagnostics. The uterine veins are filled with a contrast-enhancing substance during fluoroscopy.

Difficulty in diagnosis, with mild symptoms, is the absence of a specific site of localization, varicose veins of the small pelvis.

When the doctor diagnoses, varicose veins can be replaced with the usual inflammatory process, the likelihood of such a mistake is especially high in the early stages.

Important!If a gynecologist has diagnosed inflammation and prescribed therapy, but it does not help to cope with the symptoms, it must be understood that such an effect is not normal and it is necessary to make a second visit to a specialist.

With a great deal of confidence, you can make the correct diagnosis using the following methods:

  • Doppler ultrasound;
  • Phlebography - fairly accurately diagnoses varicose veins of the pelvis;
  • Ultrasound of the venous system - vaginal examination or transabdominal scanning is used in different situations;
  • Laparoscopy - thanks to this method you can also recognize varicose formations in the ovaries;
  • Selective ovaries - with this diagnostic method you can most likely detect varicose veins in the small pelvis. For this, contrast fluid is injected into the thigh veins and the subclavian region.

If the diagnosis does not give accurate results, the patient can be sent for additional examination. A blood test is prescribed.

Classification of disease degrees

Depending on the stage and severity of varicose veins of the pelvis, it can be divided into three categories. An important parameter in this regard is the location of the dilatation of the vein.

  • Varicose veins in the small pelvis in the first stage inflate the veins up to 5 mm due to the appearance of a small number of deformed areas;
  • In the second stage, the veins become 6 to 10 mm in diameter, and loose ectasia of the plexus occurs in the ovary;
  • The last stage is the most dangerous, the patient's venous swelling exceeds the volume of 10 mm. The third degree of damage is characterized by parametric localization of the main type.

After successful diagnosis and determination of the stage of the disease, appropriate treatment of varicose veins is prescribed.

Conservative methods of treatment

methods of treating varicose veins of the small pelvis

It is best to contact the appropriate experts after an accurate diagnosis is made. Diseases associated with varicose veins are treated by a phlebologist. You can get a referral for it only after the gynecologist makes the diagnosis, and the urologist confirms the dilation of the pelvic veins in men.

The main tasks that set the doctor on the patient's recovery path are:

  • Restoration of damaged vein walls and restoration of their usual tones;
  • Preventing the formation of subsequent blood stagnation in the veins of the small pelvis;
  • Improving the condition of venous tissue.

Complex therapy is used to solve the set tasks, which includes a special diet, rehabilitation exercises, medications for the treatment of varicose veins and the use of special underwear for shaping.

Therapeutic phase of treatment

The main goal of pelvic varicose vein therapy is to restore blood flow and normalize the tone of elastic tissues. No less important are the stages of eliminating the unpleasant symptoms of the disease and increased blood circulation in the veins.

Preparations for varicose veins should be prescribed only by a phlebologist. There are two groups of drugs prescribed for this disease. The first (venotamine drugs) - improves the tone of venous tissues, and the second (angiagregants) - prevents the formation of new blood clots.

In case of exacerbation of varicose veins of the small pelvis, taking medication on courses is an important part of therapy. The main role in treatment is assigned to venotonic drugs that improve vascular tone. To prevent recurrence of the disease, these drugs are prescribed for prophylaxis.

Preparations for the treatment of varicose veins of the small pelvis can only be prescribed by a doctor, self-medication is unacceptable!

drugs to treat varicose veins in the small pelvis

In general, preparations for varicose veins contribute:

  • Stop blood flow back;
  • Normalization of venous tone;
  • They help supply the tissues with blood;
  • Reducing discomfort due to disease symptoms.

It should be borne in mind that the use of drugs must be combined with special exercises and prescribed diet.

Traditional medicine

For the treatment of varicose veins small pelvis often resort to folk methods, among which the main drugs are herbal infusions that restore normal vein tone. The most popular decoctions are horse chestnut, chaga and dandelion root.

Hirudotherapy has proven itself well in the people: leeches should be applied to the area of ​​the sacrum and coccyx.

Important to know!It is impossible to let the discovered varicose veins in the small pelvis be withdrawn or to trust only the means of traditional medicine. This rather dangerous disease should be treated in a comprehensive way, with the obligatory intake of medicines, and the use of infusions and decoctions can only be an additional means.

Preventive gymnastics

There are several physical training techniques to restore tissue tone.

  • Lifting and lowering on the toes, the exercise is performed in a standing position, the number of repetitions is at least 30, the toes and heels are parallel;
  • Same thing, just spread out your socks and straighten your heels, 30 times;
  • Repeat raising the toes, spreading the heels to the maximum and bringing the toes closer together;
  • Varicose veins of the pelvis can be treated with slow breathing exercises imagining how all the abdominal muscles are involved;
  • In the back position, lift the pelvis, propping it up with your hands, and make a “bike” movement, because for those who find this exercise difficult, you can replace it with a “birch” or alternate them.
gymnastics as a method of treating varicose veins of the small pelvis

Physiotherapy is a good exercise if the veins of the small pelvis are dilated, in addition, it is convenient to do it anywhere. The main condition for success will be the regularity of performing special exercises, but in no case should you exert yourself excessively during classes.

It is equally important to lead a healthy lifestyle if you are diagnosed with venous dilatation. You should take regular breaks during physical work, and if this is associated with a long stay in a static position, you should occasionally take breaks, warm up and walk.

A good solution would be to use a contrast shower, because varicose veins cause unpleasant sensations in the perineal area, so it will not be superfluous to direct a jet of water to this area.

Proper nutrition

It is important to develop a diet to avoid stool problems, especially constipation. With this, varicose veins can be exacerbated by an increase in internal pressure during bowel emptying. It is also better to exclude too spicy and fatty foods as it affects the formation of blood clots.

Dietary correction of pelvic varicose veins includes the exclusion of foods high in saturated fat and any alcoholic beverages. Preference in the diet should be given in favor of foods rich in fiber (vegetables and fruits, cereals), healthy fats (vegetable oils).

Once you have learned from your doctor how to treat varicose veins of the small pelvis and what dietary restrictions should be applied, you need to take care of the general condition of the body, because during rehabilitation it is better to quit bad habits (smoking and alcohol).

Possible complications

possible complications of pelvic varicose veins

Varicose veins of the pelvic organs can cause serious complications for the female body, especially in the later stages of the disease. Sometimes the inflammation spreads to neighboring organs, and uterine bleeding looks frightening.

For better protection you should understand the danger of varicose veins of the pelvis. Frequent bleeding in the uterus can contribute to the formation of thrombosis, as well as develop into an extensive inflammatory process.

Prediction

Varicose veins of the pelvis in women can contribute to the development of serious consequences, but most often occur in the later stages, due to late detection of the disease. Therefore, you should pay attention to the pain in varicose veins of the pelvis because they are the most obvious symptom that indicates the need to go to the doctor.