Treatment and rehabilitation of pelvic varicose veins

causes of pelvic varicose veins

Both men and women are susceptible to varicose diseases, but the weaker sex often suffer from the consequences of this disease. Most often, associations with the mention of varicose veins arise with swelling of the veins in the legs below the knee, but in women there are varicose veins of the small pelvis. This is a fairly common disease, which all women of childbearing age are at risk of contracting.

Most often, varicose veins in the small pelvis occur in women who perform heavy physical work or during pregnancy. This is due to the increased stress on the female body, which causes an increase in venous pressure, which causes varicose veins in the hip.

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

Varicose veins of internal organs are especially dangerous for pregnant women and is one of the main reasons for prescribing a caesarean section. Doctors explain this by the fact that natural childbirth can cause bleeding and the lives of the mother and baby will be at risk. The incidence of this disease during pregnancy is due to the enlarged uterus being compressed and interfering with normal blood circulation. The increase in hormone levels is also a contributing factor to the appearance of varicose veins in the small pelvis.

Due to changes in hormone 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 during this period of life rarely proceeds with noticeable symptoms. An indirect reason for visiting a specialist may be increased discharge from the organs of the female reproductive system.

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

The most noticeable 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 sexual intercourse or other severe stress on the body. Also, from the small pelvis, varicose veins can spread to the perineum and gluteal region.

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

The main causes of the disease

how pelvic varicose veins manifest

The problem may be poor inheritability.

Dysplasia of connective tissues is considered a harbinger of their pathology, which causes varicose veins of the pelvic vessels. Often these problems are caused by poor heredity, but people whose life is combined with the following factors can also suffer from varicose veins:

  • Office work or other sedentary occupation;
  • Heavy physical activity, if the body is not prepared in advance for them;
  • Irregular sexual activity;
  • Hormone high in estrogen;
  • Gynecological diseases of women, frequent inflammation;
  • Tumors located near internal organs.

The studies carried out show the connection with the use of contraceptives and other hormonal drugs with the occurrence of varicose veins in the small pelvis.

Coverage of this disease in pregnant women requires special attention. Unfortunately, up to 30% of all cases, diseases are observed in women during this period. Doctors are inclined to believe that pregnancy can give an impetus to the appearance of connective tissue dysplasia in a woman's body, which leads to varicose veins.

Varicose veins of the small pelvis in women occur due to an increase in the number of female hormones in the body, their effect has a similar effect on the body with the use of contraceptives. This is aggravated by the fact that during the development of the fetus, pressure is exerted on the internal veins of the pelvis, causing greater compression. Additional pathways for blood outflow are formed, which are no longer needed after childbirth and a recovery procedure is required to eliminate them.

In the antenatal clinic for those who are registered, 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

the main symptoms of pelvic varicose veins

The main symptoms of varicose veins of the pelvic organs include more frequent pain in the lower abdomen and copious secretion of mucus from the genitals. But these signs may 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 in the buttocks and perineum. In some patients, pain in the lower abdomen increases during the first few days of the menstrual cycle.

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

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

Depending on the stage of development of the pelvic varicose veins and the individual characteristics of each woman, several symptoms can be observed at once or each of them separately. In any case, if any of the listed signs are detected, you should visit the gynecologist's office.

Diagnostic methods

There are several methods for detecting and diagnosing varicose veins of the pelvic organs, but Doppler ultrasound is considered the main one. When using this procedure, it is possible with ultrasonic waves to identify the contours of the veins and project them on the apparatus screen or take a picture. The image allows you to detect all points of deformation of the veins, the blood flow of which is reduced.

diagnostic options for pelvic varicose veins

For a clearer picture, doctors use venography in diagnostics. The uterine veins are filled with a substance that gives contrast during fluoroscopy.

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

When diagnosed by a doctor, varicose veins can be confused with a common inflammatory process, the likelihood of such an error is especially high in the early stages.

Important!If the 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 imperative to make a second visit to the specialist.

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

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

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

Classification of the degree of disease

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

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

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

Conservative treatment methods

methods of treatment of varicose veins of the small pelvis

It is best to contact the appropriate specialists after an accurate diagnosis has been established. Diseases associated with varicose veins are treated by a phlebologist. It is possible to get a referral to it only after the diagnosis has been made by a gynecologist and the expansion of the pelvic veins in men is confirmed by a urologist.

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

  • Restore damaged venous walls and bring them back to their usual tone;
  • Prevention of subsequent blood stagnation in the veins of the small pelvis;
  • Improve the condition of the venous tissue.

To solve the set tasks, complex therapy is used, which includes a special diet, rehabilitation exercises, drugs for the treatment of varicose veins and the use of special modeling underwear.

Therapeutic phase of treatment

The main goal of therapy for small pelvic varicose veins is to restore blood flow and normalize the tone of elastic tissues. The stages of removing the unpleasant symptoms of the disease and increasing blood circulation in the veins are no less important.

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

In case of exacerbation of varicose veins of the small pelvis, taking medications during courses is an important part of therapy. The main role in treatment is assigned to venotonic drugs, which improve vascular tone. To prevent the 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 for the treatment of varicose veins in the small pelvis

In general, drugs for varicose veins contribute to:

  • Stops the backflow of blood;
  • Normalization of venous tone;
  • Helps the blood supply to the tissues;
  • Reduce discomfort from disease symptoms.

It should be remembered that the use of drugs must be combined with special exercises and a prescribed diet.

Traditional medicine

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

Hirudotherapy has proven effective among people: leeches should be applied in the region of the sacrum and coccyx.

Important to know!It is impossible to let the varicose veins revealed in the small pelvis drift or to rely only on the means of traditional medicine. This rather dangerous disease should be treated comprehensively, with the mandatory intake of drugs 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.

  • Raising 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;
  • The same thing, it will be enough to spread the socks and align the heels 30 times;
  • Repeat the toe lift, widening the heels to the maximum and bringing the toes together;
  • Pelvic varicose veins can be treated with breathing exercises by slowing it down by imagining how all the abdominal muscles are involved;
  • In the prone position, lift the pelvis, supporting it with your hands, and make a "bicycle" movement, for those who have difficulty in this exercise you can replace it with a "birch" or alternate them.
gymnastics as a method of treating varicose veins of the small pelvis

Physiotherapy works well if the veins of the small pelvis are dilated, moreover, it is convenient to do it everywhere. The main condition for success will be regularity in performing special exercises, but in no case should you try too hard during classes.

It is equally important to follow a healthy lifestyle if you have been diagnosed with venous dilation. During physical work, it is necessary to take regular breaks, and if it is associated with a long stay in a static position, it is necessary to periodically take a break, warm up and walk.

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

Correct power supply

It is important to develop a diet so that there are no problems with stool, especially constipation. With these, venous expansion can be aggravated by an increase in internal pressure during bowel movements. It is also better to avoid eating too spicy and fatty foods, as they affect the formation of blood clots.

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

Having learned from the doctor how to treat varicose veins of the small pelvis and what restrictions on food to apply, you should take care of the general condition of the body, for this it is better to give up bad habits (smoking and alcohol) during rehabilitation.

Possible complications

possible complications of pelvic varicose veins

Varicose veins of the pelvic organs can cause serious complications in the female body, especially in the advanced stages of the disease. Sometimes the inflammation spreads to nearby organs, bleeding from the uterus looks more frightening.

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

Forecast

Varicose veins of the small pelvis in women can contribute to the development of serious consequences, but most often it occurs in the later stages, due to delayed detection of the disease. Therefore, you should pay attention to pain with varicose veins of the small pelvis, because they are the most obvious symptom, signaling the need to go to the doctor.