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Varicose veins of the pelvis pain

13 Aug 18

Treat varicose veins of the small pelvis in time - to live a full life

Varicose veins of the small pelvis are a common pathological condition, which is characterized by prolonged and debilitating pain in the lower abdomen. More often, this type of varicose veins appears in women aged 25 - 45 years.

If the correct diagnosis is not made, patients take various medications for years, are treated for inflammatory diseases, but the pain does not go away. More often they occur at the end of the menstrual cycle or after prolonged heavy physical activity.

This disease may appear due to the following factors:

  • circulatory disorders during pregnancy in the pelvic organs;
  • constant carrying of weight and forced prolonged standing or sitting;
  • some features of sexual life and improper contraception (for example, interrupted sexual intercourse;
  • hereditary predisposition (weak vascular walls);
  • changes in the shape of the uterus;
  • The trigger for the development of this disease is often pregnancy.
  • Patients complain of persistent, exhausting pain in the lower abdomen.

    Symptoms and degree of danger

    A number of signs may indicate the presence of pelvic varicose veins. The main ones are causeless pain in the lower abdomen, pelvic area, often radiating to the lumbar region or perineum.

    The most common symptoms of dilated pelvic veins include:

  • Constant pain in the lower abdomen due to prolonged static and dynamic loads.
  • At the end of the menstrual cycle, increasing pain.
  • Due to psycho-emotional stress, physical fatigue and cooling, pain crises often occur.
  • During the entire sexual intercourse, discomfort and severe pain are felt in the vagina and vulva, sometimes the pain remains after it.
  • Venous nodules appear on the back thigh, buttocks and in the perineal area.
  • If you encounter these symptoms, you should immediately consult a specialist. Since this disease can have many unpleasant consequences:

  • the activity of the organs of the reproductive system is disrupted;
  • varicose veins may be a contraindication to natural childbirth;
  • there is a feeling of anxiety and irritability;
  • fear of sexual relations appears.
  • Diagnosing pelvic varicose veins is not easy. Previously, this disease was misdiagnosed, and therefore incorrect treatment was prescribed, leading to complications. Some doctors performed unnecessary surgery to remove the uterus, which entailed the loss of reproductive and menstrual function.

    Nowadays, diagnostics have become more advanced. To identify the disease, a comprehensive comprehensive examination of the woman is carried out. The doctor, having met with a patient complaining of pain of unknown origin, finds out the factors provoking the occurrence of the pain syndrome, examines the patient’s legs to find out whether there are manifestations of varicose veins on the lower extremities. If the need arises, the patient is sent to a vascular surgeon for consultation.

  • Ultrasound examination of the pelvic organs and lower extremities, which allows you to examine the uterus, ovaries and bladder and see if there are varicose veins of the pelvic organs.
  • Doppler examination to identify the characteristics of blood circulation in vascular formations that were localized in this area
  • transuterine venography, which allows you to see the site of blood clot formation.
  • diagnostic loparoscopy (performed in controversial cases to exclude the presence of related diseases and make an accurate diagnosis).
  • Thanks to these methods, the symptoms of the disease are detected with great accuracy.

    Varicose veins of the pelvis are divided into three stages:

  • The first stage is characterized by veins that have increased in diameter to 5 mm; at the upper edge of the left ovary, the veins expand. Primary varicose veins in the pelvis are usually associated with acquired or congenital valvular insufficiency of the ovarian veins.
  • The second stage is characterized by veins that have increased in diameter to 10 mm. They cover the left ovary. In this case, there is varicose veins of the uterine veins and the right ovary.
  • The third stage is characterized by veins that have increased in diameter by more than 10 mm. At this stage, varicose veins occur in the right ovary, which approaches the diameter of the left one. The cause of tertiary varicose veins is gynecological pathologies in the form of various tumors.
  • Treatment is prescribed depending on the stage of the disease.

    When diagnosing the first or second stage, drug therapy and therapeutic exercises are usually used. For varicose veins of the third stage, surgical intervention is resorted to.

    How is pelvic varicose veins treated?

    This disease is diagnosed and treated by a vascular surgeon or phlebologist.

    With conservative treatment, varicose veins of the small pelvis are treated individually, depending on the stage of the disease.

    At the first stage, only conservative technologies are used: compression products, venotonics, physical therapy, which help:

  • normalize venous tone;
  • prevent congestion in the pelvic vessels;
  • improve tissue trophism.
  • When carrying out drug therapy, the doctor prescribes ointments, venotonics and other drugs that help improve the condition of the blood.

    Drug therapy is used only during periods of exacerbation.

    Conservative treatment should include:

  • Bringing working and rest conditions back to normal, which excludes physical activity and the patient’s prolonged stay in an upright position.
  • Correction of diet. With this disease, a diet is very useful - in the form of a healthy diet with a sufficient amount of plant fiber necessary to prevent constipation. You also cannot do without animal protein, which helps restore venous walls.
  • Complete abstinence from alcohol and nicotine.
  • Mandatory wearing of therapeutic tights. They help improve blood flow from the venous plexuses of the perineum and buttocks, as well as from the veins of the lower extremities.
  • Daily contrast shower in the perineal area.
  • Physical unloading exercises, mainly performed while lying down.
  • Breathing exercises.
  • Drug therapy is used only during periods of exacerbation. Usually the doctor prescribes venoactive drugs. They help reduce the intensity of pain and get rid of other symptoms of the disease.

    Thanks to conservative treatment, long-term remission of the disease is achieved, while the quality of life of patients improves.

    If there is no effect from conservative therapy, surgical treatment is used. As you know, surgical methods are always associated with risk, so timely consultation with a doctor will avoid surgical intervention.

    Watch the video in which doctor Tatyana Baranova talks about varicose veins in popular language and gives a number of useful recommendations.

    Are you experiencing pain in your lower abdomen? Possibly varicose veins of the small pelvis

    A decrease in the elasticity of the vein walls leads to the development of varicose veins. Mostly women suffer from this problem. The disease appears due to obstruction or blockage of the venous bed in the area of ​​the pelvic organs. In this case, new pathways of venous outflow arise.

    Due to poor vascular permeability, blood flows back through the ovarian vein. This is an unpleasant disease that you need to be able to recognize, so we will also look at the symptoms of varicose veins of the small pelvis.

    Varicose veins of the pelvis: causes

    The development of varicose veins in the pelvic venous system occurs against the background of connective tissue dysplasia.

    The suspected causes of pelvic varicose veins in women and men include:

  • pregnancy and associated disorders of blood outflow due to compression of the vascular bed by the growing uterus, hormonal changes;
  • hereditary predisposition associated with weakness of the venous walls;
  • excessive production of female sex hormones;
  • sedentary, sedentary lifestyle;
  • use of interrupted coitus as the main method of contraception;
  • taking hormonal pills; difficult childbirth;
  • excessive physical activity;
  • lack of orgasm;
  • inflammatory diseases of the female reproductive system.
  • Varicose veins of the pelvis are symptoms in women (as well as men). You should consider visiting a doctor and getting examined if you have severe and prolonged pain in the lower abdomen that spreads to the lumbar region and perineum.

  • when staying in a static position for a long time (sitting, standing);
  • against the background of stress, overwork;
  • during menstruation;
  • before and after sexual intercourse.
  • Symptoms of pelvic varicose veins also include:

  • dysmenorrhea;
  • the presence of copious vaginal discharge;
  • urination disorders; pain (sensitivity) of the vagina and perineum;
  • pronounced PMS;
  • the appearance of venous nodes in the perineum, on the buttocks, and thighs.
  • You can suspect the development of the disease even if 1 symptom appears.

    Symptoms of this problem in men include :

  • dilation of veins on the penis;
  • change in the shape of the scrotum, its size;
  • pain in the lower abdomen.
  • If you notice one or more symptoms, you should consult a phlebologist. After all, the disease in its advanced form can lead to thrombosis and the appearance of inflammatory processes. The following methods are used for diagnosis:

  • Ultrasound Dopplerography. The method allows you to visualize the bloodstream, see enlarged areas in the ovarian area, and notice disturbances in the functioning of the valves. At the same time, the doctor looks at the blood flow in the vascular system.
  • Excessive phlebography. For the procedure, the veins are filled with a contrast iodine-containing mixture and an X-ray examination is performed. Do not do this during pregnancy.
  • Laparoscopic diagnosis. The method allows you to examine the abdominal cavity from the inside and see the expanded vascular walls.
  • Selective ovariography. Selective contrast is applied through the subclavian and femoral veins.
  • CT scan. It is carried out to exclude other pelvic pathologies.
  • Treatment tactics for pelvic varicose veins

    Timely prescribed therapy can improve the quality of life of patients and eliminate the clinical manifestations of the disease. Although it is impossible to completely get rid of the disease.

    Treatment is aimed at:

  • elimination of reflux (backflow of blood);
  • restoration of dilated vascular tone;
  • improvement of hemodynamic parameters and trophic processes in the pelvic organs;
  • minimizing clinical manifestations.
  • Drug therapy

    Drug therapy is prescribed during periods of exacerbation of pain. It consists of taking venotropic agents and antiplatelet agents. Venotropic drugs change the tone of the vascular walls.

    Antiplatelet agents are intended to prevent the formation of blood clots and changes in blood properties.

    For the treatment of varicose veins of the pelvic vessels, the following are prescribed:

    All venotonics are able to increase venous tone, prevent possible damage, reduce the permeability of vessel walls and prevent disturbances in blood microcirculation leading to tissue damage.

    Some phlebologists prescribe the angioprotector Phlebodia 600. It helps reduce the distensibility of veins and increase tone, stimulates lymphatic drainage and reduces venous congestion. At the same time, when taken, blood microcirculation improves and pain decreases. The product is also anti-inflammatory. It is prescribed even during pregnancy (from the 2nd trimester).

    Treatment with folk remedies

    How to treat? Fans of alternative medicine know special methods for treating varicose veins. They recommend taking medications that increase the tone of the walls and reduce pain.

    These include infusions made:

  • on dandelion rhizomes;
  • from kombucha, known as chaga;
  • from horse chestnut fruit.
  • Treatment with leeches is popular. They are placed on the pelvic area: coccyx and sacrum.

    To prevent relapses and alleviate the condition, it is recommended to do certain exercises. In case of illness, gymnastics and all types of physical activity that involve the hips and gluteal muscles are useful.

    You should also follow the recommendations given by doctors. It is useful to take regular breaks during sedentary work. At least once every 1-2 hours you should get up and walk for 5-10 minutes, stimulating blood flow.

    Morning exercises will help prevent disorders even with a genetic predisposition to varicose veins. It is necessary to do the following exercises: squats, “bicycle”, “birch tree”. Such gymnastics stimulates blood flow and eliminates congestion in blood vessels.

    Doctors distinguish 3 stages of varicose veins:

  • At the first stage, the diameter of the vessels increases to 5 mm, they are expanded in the area of ​​​​the upper edge of the left ovary. The development of stage 1 is determined mainly by genetic predisposition and insufficiency of the valves of the venous bed, decreased tone.
  • The second stage is characterized by an increase in diameter to 10 mm. A network of dilated veins envelops the left ovary, problems are also visible near the right ovary.
  • At the third stage, vascular dilations become even more obvious, varicose veins are observed in the area of ​​the right ovary. Often this stage is accompanied by dysfunctional bleeding and inflammatory processes in the pelvic organs.
  • The prognosis for the development of the disease depends on the stage of varicose veins. If the disease is identified before the onset of bleeding, then conservative treatment methods will be sufficient to maintain the normal condition of the walls of the vascular bed.

    Having identified varicose veins, doctors not only prescribe special medications, but also recommend following a certain diet.

    The diet is aimed at normalizing digestion. After all, poor nutrition causes constipation.

    And this negatively affects the intestinal vascular system and stimulates the development of varicose veins.

    The menu is designed in such a way that the maximum amount of plant fiber is included in the diet. The amount of animal fats should be minimized. They can be replaced with vegetable oils.

    When advising a diet, phlebologists advise focusing on:

    If conservative methods in combination with therapeutic exercises and diet do not help get rid of the symptoms of varicose veins, then the doctor may advise you to think about surgical therapy.

    The need for surgical intervention is discussed if the disease has progressed to an advanced form.

    Methods of surgical therapy include:

  • embolization of varicose veins of the ovaries;
  • phlebectomy of the perineum;
  • resection of gonadal veins.
  • The surgeon will choose the method based on the patient’s condition.

    Which doctor should I contact?

    Many people have a question: what kind of doctor treats these diseases? With pain in the pelvic organs, women go to the gynecologist.

    Considering that the symptoms of this pathological condition are similar to the course of inflammatory processes, the doctor may prescribe anti-inflammatory therapy.

    If it is possible to diagnose that the venous vessels in the pelvic organs are dilated, the patient is referred to a phlebologist. This specialist deals with the treatment of vascular pathologies that are varicose.

    In cases where there is a need for surgery, a vascular surgeon will be required.

    Features of the disease in men and women

    Most often, the disease affects women. They are diagnosed with dilation of the vascular walls in the ovarian area. If there are problems with the spermatic cord in men, they are diagnosed with varicocele. The valves are not functioning properly.

    The pathology develops against the background of inguinal hernias, problems with connective tissue, and the occurrence of neoplasms. But intense physical activity, lack of sleep, and lack of sex life can lead to its appearance.

    Treatment tactics are similar for men and women. You should take venotropic drugs, increase physical activity, do gymnastics, and get proper rest. Phlebologists prescribe not only medications for men. Both diet and avoidance of alcohol are important.

    Possible complications

    If you notice symptoms of varicose veins at any stage, you should consult a phlebologist. What are the dangers of varicose veins of the small pelvis?

    Pathology provokes the following problems:

  • disruptions in the functioning of the uterus;
  • development of concomitant pathologies (dilation of blood vessels in the legs, hemorrhoids);
  • the appearance of mental disorders;
  • infertility (in women and men);
  • miscarriage.
  • Natural childbirth is not recommended for this pathology.

    Varicose veins of the pelvis, ovulation and pain. Due to the expansion of the bloodstream of the ovaries, the nutrition of the female reproductive organs deteriorates. But the effect of varicose veins on the ovulation process has not been studied. The pain is not associated with disturbances in the functioning of the ovaries, but with increased blood flow through the dilated bloodstream, a change in the shape of the walls of the passing veins.

    In men, varicocele leads to decreased fertility.

    Pregnancy with the appearance of pathology

    Varicose veins of the pelvis in women. This problem is often encountered during pregnancy. The growing uterus puts pressure on all organs, and blood flow worsens. Other blood outflow pathways begin to form with the participation of the gonadal bloodstream. At the same time, the hormonal background changes, the concentration of female sex hormones increases.

    The phlebologist together with the gynecologist recommend drugs that:

  • normalize smooth muscle tone;
  • stimulate tissue trophism;
  • prevent stagnation, stimulate improved blood circulation and lymph outflow.
  • The drugs are prescribed during exacerbations of the disease.

    When faced with pelvic varicose veins of any stage, you should consult a phlebologist and gynecologist (for women). When diagnosing such problems, constant monitoring is necessary. Medicines are prescribed when exacerbations or pain occur. During periods of calm, it is recommended to use compression garments and focus on exercise and diet.

    Varicose veins of the pelvis

    Pelvic varicose veins occur as a result of impaired blood flow, the causes of which can be different. This disease of the veins and blood vessels is characterized by a change in their shape and a decrease in elasticity. The danger comes from the slowing of blood circulation that accompanies the pathology, as well as the formation of blood clots and trophic ulcers in the affected veins. Even intensive treatment of the disease does not completely get rid of it.

    Varicose veins of the pelvic veins are usually observed in women of reproductive age. The reasons for it lie in the reverse flow of blood through the ovarian vein due to compression of the pelvic vessels, changes in the hormonal levels of a woman during pregnancy, or an enlarged uterus for the same reason. This indicates that pregnancy provokes this disease.

    However, varicose veins and blood vessels can develop in adolescence. In this case, it is often asymptomatic; the only sign of the disease at its initial stage is copious discharge from the genital tract.

    The development of varicose veins is facilitated by a number of congenital pathologies of connective tissue, which cause a decrease in the level of collagen contained in the walls of blood vessels. This leads to weakening of the walls of the veins; they quickly become deformed and stretched, and the venous valves become underdeveloped and unable to perform their functions fully.

    The main causes of the pathology:

  • difficult or multiple births,
  • sedentary or sedentary work
  • excessive physical activity (irrational sports or heavy physical labor for a long time),
  • sexual dysfunctions, such as lack of orgasms and the psychological disease dyspaurenia, which causes discomfort and pain in the genital area during, before and after sex).
  • Reasons may include:

  • inflammatory gynecological diseases,
  • frequent interruption of sexual intercourse for contraception purposes
  • an increased amount of estrogen produced by a woman’s body.
  • Doctors often mistake varicose veins of the small pelvis for similar pathologies (varicose veins of the uterus or ovary). In fact, they are different and have clinical symptoms and the reasons that caused them inherent in each individual type.

    Various symptoms indicate this disease. This may be pain in the lower abdomen, of varying intensity, which can radiate to the groin or lumbosacral region (they intensify after standing for a long time, during sexual intercourse, as well as before and after it, as well as in the first days menstruation). Symptoms accompanying varicose veins and blood vessels can be expressed in particularly intense premenstrual syndrome, increased sensitivity of the perineum and vagina and painful sensations in them. Other symptoms: heavy discharge from the reproductive tract, menstrual irregularities, urinary dysfunction, etc.

    Manifestations vary, and in some patients they are more intense and in others they are less intense. Some people experience all of the above symptoms of the disease, while others have only some of them.

    Modern medicine specialists distinguish two types of disease: varicose veins of the perineum and venous congestion of the small pelvis. In both cases, the disease was caused by the same reasons and their symptoms are almost identical.

    Varicose veins are fraught with a variety of harmful consequences. There is a direct connection between stagnation of blood in the veins and gynecological pathologies leading to infertility, miscarriages and forced termination of pregnancy. Impaired blood circulation in the pelvis can worsen the functioning of the uterus. Often, patients diagnosed with varicose veins also have other concomitant diseases, such as hemorrhoids and varicose veins of the legs. As the disease progresses, many women experience various kinds of mental disorders (they become irritable, they are relentlessly haunted by a feeling of anxiety, sleep disturbance occurs, attention becomes distracted, painful spasms occur during intimacy with a man, making sexual intercourse impossible, sexual relations cause fear) .

    Diagnosis of varicose veins in the pelvis

  • prolapse or fibroids (benign tumor) of the uterus,
  • endometriosis (when the cells of the inner layer of the walls of the uterus grow outside its boundaries, etc.
  • The doctor’s task is to conduct a differential diagnosis to exclude another pelvic disease and confirm that the patient actually has varicose veins. He must then locate the reflux (backflow of blood into the veins of the perineum).

    Diagnosis of this pelvic disease consists of a number of techniques, such as:

  • vaginal examination,
  • vascular Dopplerography (ultrasound examination based on the Doppler effect),
  • laparoscopy,
  • Ultrasound (ultrasound examination),
  • radiography in the form of transuterine venography,
  • computed tomography (if the diagnosis is not definitively confirmed).
  • By carrying out all these measures, erroneous treatment will be eliminated. Indeed, due to a superficial diagnosis, diseases in adolescents are usually mistaken for colpitis (inflammation of the vaginal mucosa) and they begin to treat it accordingly, while the true cause only aggravates the patient’s condition.

    Treatment of varicose veins of the small pelvis

    Since varicose veins are a complex chronic disease that significantly worsens the patient’s quality of life, its treatment will require a lot of time and effort. But its insidiousness is that even in this case, unfortunately, complete healing does not occur.

    In case of damage to the superficial veins of the legs, specialists in the field of vascular surgery widely use surgical treatment - removal of veins affected by varicose veins that cannot be restored and pose a danger to the entire body. In gynecological practice, surgical intervention is justified exclusively for dilated ovarian veins due to varicose veins. In addition, surgical treatment is always a risk (including postoperative complications) and it does not always bring the desired effect.

    There is an alternative - conservative treatment . His tasks:

  • normalization of venous tone,
  • improvement of blood and lymph flow in the pelvis,
  • improvement of trophic processes in affected tissues.
  • To achieve these goals, complex treatment should combine drug therapy and exercise therapy (physical therapy). Exercise therapy classes are carried out for the purpose of prevention and to avoid relapses, while drug treatment should be carried out only during the period of exacerbation of the disease.

    Drug therapy includes ointments, modern venotonic drugs and means to improve blood condition. A special diet for varicose veins will also be useful, which consists of a healthy diet, consumption of large amounts of plant fiber to avoid constipation, and animal protein to restore venous walls.

    Varicose veins of the pelvis: treatment

    This disease is poorly understood, although several thousand observations with diagnosis and subsequent treatment have been described. The great variety and nonspecificity of the clinical picture of pelvic varicose veins lead to gross errors in diagnosis, which affects the consequences in the future.

    Characteristics of varicose veins of the pelvis

    The veins of the pelvis are several times longer than the arteries, which determines their large capacity. This is due to the phylogeny of the vascular system of the pelvic region. The veins of the pelvis are highly adaptable and potentially prone to remodeling, which contributes to the formation of a densely intertwined network.

    The speed and direction of blood flow is regulated by valves, which are controlled by complex humoral mechanisms. The valves balance the pressure in different parts of the venous network.

    When the valves cease to perform their functions, blood stagnation develops, which leads to vascular pathology and the formation of varicose veins. The uniqueness of the pelvic veins lies in the fact that the broad ligaments of the uterus, which keep the lumen of the vessel wide, can also narrow it, causing pathology.

    Causes

    Pathological dilatation of the pelvic veins may be due to the following reasons:

  • Disruption of blood outflow pathways
  • Obliteration of the venous trunk.
  • Compression of collateral trunks by altered position of the uterus, for example, in retroflexion
  • Valvular insufficiency of the ovarian vein (congenital or acquired)
  • Obstructive postphlebitic syndrome
  • Connective tissue pathology
  • Arteriovenous angiodysplasia
  • Prolonged sitting, heavy physical labor
  • Varicose veins of the lower extremities
  • Pregnancies (3 or more) and childbirth (2 or more)
  • Diseases of the female genital area (chronic salpingoophoritis, ovarian tumors, uterine fibroids and genital endometriosis)
  • Adhesive process of the pelvic organs
  • Obesity
  • Classification by degree of disease

    Based on the size of the dilated vein, the following degrees are distinguished:

    Variants of the course of the disease

  • varicose veins of the perineum and vaginal vestibule;
  • pelvic venous congestion syndrome;
  • The most common is frequent pain in the lower abdomen and perineum after long static and dynamic overexertion. The pain intensifies in the second phase of the cycle, after hypothermia, fatigue, stress, and exacerbations of various diseases.
  • Feeling “out of place”, pain during and after sex.
  • Dysmenorrhea? menstruation disorders, including pain.
  • Secretion, more than normal, from the glands of the genital tract.
  • Stagnation of blood leads to infertility, miscarriage, and termination of pregnancy.
  • Difficulty urinating due to dilation of the bladder veins.
  • Palpation of the inner walls of the pelvis makes it possible to feel oblong seals and vein nodes. When examined in the speculum, cyanosis of the vaginal mucous membranes is visible.

    The procedure of choice is ultrasound with color Doppler mapping , which allows us to identify not only varicose veins, but also venous thrombosis and postthrombophlebitic occlusions. Ultrasound reveals tortuosity, “worm-like” structures without signal reflection, localized along the lateral surface of the uterus.

    The Doppler effect is based on the “tinting” blue and red colors of the venous and arterial blood flow, respectively.

    An ultrasound machine, using a special program, recognizes the movement of blood from the sensor and in the other direction, calculates the speed of blood flow and the type of vessel.

    But the exact determination of whether it is a vein or an artery remains up to the doctor. The Doppler method works in almost all cases; exceptions to the rules are dictated by our body, since the blood that flows from the heart is not always arterial and vice versa.

    Thus, the ultrasound diagnostic doctor sees whether the vessel is arterial or venous, its size, the speed of blood flow in it and many indicators that are not needed by an ordinary person, but play an important role in making a diagnosis. For this, transabdominal and transvaginal sensors are used.

    In 5.7% of cases, the disease is detected by chance during screening. The normal diameter of the vena ovarica is 0.4 cm.

    CT and MRI are highly accurate . Using these methods, it is possible to detect clusters of varicose veins in the ligaments of the uterus, ovaries and around these organs. They make it possible to determine concomitant pathology.

    A very reliable method is phlebographic examination.

    Contrast is carried out at the height of the Valsalva maneuver , against the blood flow. This allows you to see exactly the valve insufficiency.

    Also used are retngenorenoscopy on the left, renal venography, superselective phlebo-oophoroscopy and phlebo-ovarioography on both sides. These methods make it possible to determine hemodynamic and anatomical changes in the renal veins and the places where the gonadal veins flow into them.

    Superselective phlebo-oophoroscopy is performed by catheterization of the gonadal veins through the contralateral femoral or subclavian vein, followed by the administration of contrast.

    Most of the blood from the varicose pampiniform plexus is drained through the ovarian vein. But in conditions of hypertension it occurs through extraorgan uterine veins into the internal iliac vein. The plexuses of veins through which outflow can occur include the sacral and bladder plexuses.

    In left-sided phlebo-ovarianography, 3 stages of venous congestion in the pampiniform plexus of the left ovary are distinguished:

  • There is no outflow from the plexus of the left ovary or it occurs along an additional short path.
  • There is an additional long path.
  • Two additional outflow pathways or one additional and auxiliary pathway are visible.
  • At stages 2 and 3, varicose veins of the pampiniform plexus of the right ovary are formed.

    Laparoscopy is used for differential diagnosis. Pathologically tortuous veins are located in the ovarian region, in the direction of the round and broad ligaments. They look like large bluish conglomerates with a thin and tense wall.

    The main goal of treatment? remove reflux in the veins. In the initial stages of the disease, conservative treatment is used. In advanced stages of the disease, surgery is the treatment of choice.

    Conservative treatment

    It consists of normalizing the tone of the veins, improving hemodynamics and trophic processes.

    Symptomatic treatment to eliminate individual symptoms. Non-steroidal anti-inflammatory drugs for pain and bleeding - hemostatic therapy.

    The main drugs in conservative treatment are venotonic drugs and antiplatelet agents.

    Phlebotonics - improve the tone of the vascular wall and increase blood flow. For this disease, it is better to consult a gynecologist about certain medications. Choose from the following drugs: Detralex, Troxevasin, Escusan, Venoruton, Diosven, Endothelon, Phlebodia 600.

    Drugs that improve blood rheology: trental, aspirin, indomethacin, pentoxifylline.

    Surgery

    1. Resection of varicose veins.
    2. Gonado-caval shunt.
    3. Sclerosis during laparoscopy.
    4. Occlusion of the ovarian veins using x-ray endovascular methods.
    5. Since the main factor in the occurrence of the disease is the weakness of the valve apparatus, all folk remedies that are used for varicose veins of the lower extremities are also used for this pathology.

      The most commonly used are: common hazel, hops, nettle, horse chestnut, dandelion root, kombucha, willow, oak, St. John's wort, string, pollen and many more plants.

      Effective is : treatment with baths with oak, chestnut, willow, chamomile, chamomile, dried herbs, St. John's wort, string.

    6. The first thing to do if you have any complaints, predictors or diseases listed above is to contact a gynecologist.
    7. It is necessary to normalize the working regime and rest , try not to stay in an upright position for a long time, physical overexertion.
    8. Perform exercises for the prevention of “pedaling”, “birch stand”, “scissor legs”
    9. Stick to a diet : eat foods high in vitamins E, P, C, try to eat only white meat, less fatty meat, replace it with fruits, vegetables, and grains.
    10. Drink enough liquid , but not less than 1.5 liters per day.
    11. Get rid of excess weight and bad habits.
    12. Consult with your doctor about wearing compression garments; it will improve blood flow from the lower extremities, thereby reducing congestion in the pelvis.
    13. Avoid baths, saunas, steam rooms, and hot baths.
    14. In order not to suffer from such a difficult-to-diagnose disease, you need to follow the preventive recommendations listed above. Treat your health as the most valuable thing in life.

      If you have the slightest suspicious symptoms that you cannot get rid of within a few days, you should consult a doctor. He should provide you with highly qualified assistance and save you from suffering.

      Symptoms of varicose veins of the pelvis

      Pelvic varicose veins are a disease that often appears during pregnancy.

      There are two types of disease:

      1. Primary (congenital or acquired insufficiency of veins in the ovaries)
      2. Secondary (occurs with gynecological diseases)
      3. The main symptom of this disease is pain that appears for unknown reasons in the lower abdomen. The pain appears periodically and can sometimes intensify.

        This happens due to heavy physical exertion, fatigue, or before the start of the next menstrual cycle. The menstrual cycle will not be disrupted and will not change. The pain can be described as pulling, aching, shooting.

        Sometimes varicose veins in the pelvic area can cause pain during sexual intercourse.

        Consequences of the disease

        There are many consequences of this disease. There is a direct relationship between blood stagnation, which is caused by pelvic varicose veins, and various gynecological pathologies.

        This pathology can cause infertility, miscarriage or inversion of the fetus during pregnancy. Problems with blood circulation can also cause poor functioning of the uterine functions.

        Many patients who suffer from pelvic varicose veins also suffer from hemorrhoids and varicose veins in other parts of the body (in particular the legs).

        With this disease, many people experience anxiety, poor sleep, lack of attention, and fear of sexual relations.

        Treatment methods, possible complications

        Among the most advanced complications of this type of varicose veins are infertility, miscarriage and human depression. Pelvic varicose veins should be detected as early as possible and treated as quickly as possible.

        Delaying the treatment of such diseases can lead to the appearance of blood clots and diseases that occur with increased human blood clotting.

        If this form of the disease is detected in the early stages, conservative treatment methods can be used. Therapy involves drugs that inflame the blood and make the walls of blood vessels stronger. Unfortunately, medications alone will not help return the veins to their previous state; they simply slow down the development of the disease.

        In addition to this, every medicine has a side effect. Hormonal drugs have an adverse effect on blood clotting, and there is a possibility of getting blood clots.

        Modern medicine offers mini surgery as the most effective way to eliminate pelvic disease. It will help cure the disease and make it possible to give birth naturally.

        Methods for recognizing and treating varicose veins of the small pelvis

        An increase in the lumen in the blood vessels, the formation of clots is called varicose veins. When the perineal, vulvar veins of the small pelvis expand, blood circulation between the external and internal reproductive organs is disrupted. The pathology is accompanied by chronic, bursting pain and dysuric disorders.

        Varicose veins of the pelvis in women can develop at different ages, but the pathology in most cases occurs during the reproductive period, during pregnancy. There is a disturbance in the outflow of blood from the vessels of the MT (plethora syndrome), the lumen of the veins of the perineum and vulva expands, and reverse flow through the ovarian vein (reflux) is observed.

        Why do varicose veins of the pelvis develop in women?

      4. congenital weakness of connective tissues – vascular dysplasia;
      5. heavy physical activity;
      6. pregnancy;
      7. sedentary work;
      8. pelvic area injuries;
      9. chronic gynecological diseases;
      10. treatment with hormonal drugs, oral contraceptives.
      11. Internal varicose veins develop with valvular insufficiency of the ovarian veins, which leads to an increase in vascular pressure in the choroid plexus of the pelvis. A provoking factor may be a deviation or enlargement of the uterus, which is accompanied by bending of the broad ligament and impaired blood flow, the formation of stagnant processes.

        The sex hormone progesterone gradually reduces vascular tone, the level of which increases while taking contraceptives, after hormone replacement therapy.

        Varicose veins of the pelvis cause a feeling of fullness and aching pain in the abdomen, lower back, perineum and genitals. Sexual contact causes pain and bleeding that is difficult to stop.

        With venous congestion syndrome, symptoms appear that are similar to inflammatory diseases of the genitourinary system, colitis, and radiculitis. Women are bothered by nagging pain in the lower abdomen, radiating to the rectum, lower back or perineum. The pain syndrome has varying intensity and intensifies in the second phase of the menstrual cycle.

        An attack can be triggered by prolonged hypothermia, physical activity, or standing. Girls suffer from premenstrual syndrome, their periods are painful, it is difficult to restrain the urge to urinate, and the bladder does not completely empty. There is a fear of sexual intercourse due to the pain that accompanies intimacy.

        There are 3 degrees of ARVMT depending on the degree of ectasia and the localization of the pathological process:

      12. 1st degree - the vessels are tortuous, corkscrew-shaped, have a diameter of no more than 5 mm, any veins of the small pelvis can be affected.
      13. 2nd degree - the venous lumen expands to 1 cm, the ovarian, parametrial, and arcuate plexuses are affected.
      14. Grade 3 - the diameter of the lumen of the vessels exceeds 1 cm, the pathology affects the uterine plexus.
      15. Varicose veins of the pelvic organs in women can occur in several forms: venous congestion syndrome and isolated varicose veins of the vulva and perineum. Usually both types of disease are diagnosed at the same time. Isolated varicose veins of the vulva are observed in women during pregnancy; in some cases, the pathology persists after childbirth.

        If the disease is complicated by thrombosis, the following symptoms appear:

      16. swelling of the lower extremities;
      17. sharp pain in the lower abdomen, rectum, lumbar region, lower, left limb;
      18. increased body temperature;
      19. false urge to defecate;
      20. dysuric disorders;
      21. the skin becomes bluish, tense, and hot to the touch;
      22. a pattern of saphenous veins appears in the abdominal area.
      23. Acute thrombosis most often affects the left vena cava or ovarian vein. As the disease progresses, swelling of the lower extremities increases, the calf muscles, thighs, buttocks, groin are involved in the pathological process, the saphenous veins are filled with blood and are clearly visible. A feeling of fullness appears in the legs, and when you try to bend the limb, a characteristic crunch and pain occurs.

        Diagnosis of varicose veins of the pelvis

        During a gynecological examination, an enlargement of the veins in the perineum and vulva is detected, the mucous membranes of the vagina are swollen and have a bluish tint. Painful sensations occur during bimanual examination.

        The diagnosis is established on the basis of pronounced symptoms of pelvic varicose veins, according to the results of ultrasound examination using duplex scanning through the abdominal wall and transvaginally.

        Laparoscopy may be required. This diagnostic method allows you to assess the condition of blood vessels by introducing a laparoscope into the pelvic cavity. If necessary, treatment is immediately performed and the ovarian veins are ligated.

        To study the condition of the pelvic veins, angioscanning of the vessels of the lower extremities is required. Transuterine venography is necessary to clarify the localization and extent of the pathological process. In case of venous congestion syndrome, ovariography is performed with the introduction of a contrast agent into the ovarian veins.

        Conservative methods of therapy

        Drug treatment of varicose veins of the small pelvis is carried out only in the initial stages. Women are prescribed venotonic drugs that increase vascular tone, normalize blood circulation and lymph outflow. This group includes:

        The medicine not only has a positive effect on the condition of the veins, but also has an anti-inflammatory effect.

        To prevent the formation of blood clots, Pentoxifylline is indicated. It is an angioprotector that reduces blood viscosity and improves its rheological properties. The drug eliminates night cramps and relieves chronic pain syndrome.

        Normalization of working conditions, wearing a bandage, and physical therapy exercises help slow the progression of ARVMT. Nonsteroidal anti-inflammatory drugs help get rid of aching pain:

        If varicose veins of the pelvic vessels are complicated by dysfunctional uterine bleeding, homeostatic therapy is performed.

        Surgical treatment

        Symptoms of varicose veins of the small pelvis of the third stage, intractable pain syndrome, progressive thrombosis are treated surgically. Embolization of the ovarian veins is performed under hagiographic control. Sclerosing agents are injected into the vessels, causing the lumen to close. Another method of surgical treatment is laparoscopy. The surgeon performs resection or clipping of the ovarian veins. If necessary, plastic surgery of the broad uterine ligament is performed.

        How to treat pelvic varicose veins in vulvar and perineal localization if drug therapy is ineffective? Miniphlebectomy is indicated - removal of affected areas of shallow veins through small punctures of the skin. The operation is aimed at restoring blood circulation in the deep vessels of the small pelvis.

        The microfoam sclerotherapy method has been successfully used. Fine foam is injected into the affected vessel, which pushes out stagnant blood and narrows the lumen of the vessel, preventing the formation of a blood clot. For thrombophlebitis of the veins of the MT and upper thigh, a crossectomy is performed - ligation of the inguinal veins, washing out the blood clot.

        After surgery, women are prescribed anti-inflammatory and phlebotropic drugs. It is recommended to constantly wear compression underwear and increase physical activity.

        ART during pregnancy

        Varicose veins are diagnosed in 30% of women carrying their first child and in 50% of repeat pregnancies. URVMT develops due to an increase in the volume of the uterus and compression of blood vessels. Against the background of stagnant processes, the walls of blood vessels lose their elasticity and stretch. The cause of the disease may be:

      24. changes in hormonal levels;
      25. rapid weight gain;
      26. increase in circulating blood volume.
      27. Detection of the disease is difficult, since the symptoms are nonspecific. To diagnose deep varicose veins of the small pelvis during pregnancy, ultrasound and Doppler sonography are performed.

        Women are bothered by aching pain in the abdomen, frequent urges, and difficulty urinating. With varicose veins of the vulvar and perineal veins, the tortuous veins bulge, vascular networks and nodules form, they are easy to notice during an external examination of the genitals. Thrombophlebitis is accompanied by an increase in body temperature, mucous discharge from the vagina, deterioration of health, and there is a risk of miscarriage.

        The development of pelvic varicose veins during pregnancy can lead to placental insufficiency, fetal hypoxia, and premature birth. ART is an indication for cesarean section, as there is a high risk of bleeding during childbirth.

        Varicose veins in pregnant women are treated with venostatic medication, starting from the 2nd and 3rd trimester. Women need to wear a compression bandage and move more. For superficial varicose veins, Troxevasin and Venoruton ointments are used to treat the skin. If there is a threat of fetal hypoxia, treatment is carried out in a hospital setting. Most often, varicose veins go away after the birth of a child, but in 10% they persist for life and get worse with repeated pregnancies.

        Find out all about varicose veins: symptoms of superficial and deep veins. In men and women

        This disease is manifested by dilated veins. They acquire a bluish tint and swell noticeably. Venous nodes appear, and the valve system fails. The blood flow in the vessels is disrupted and they experience increased pressure. This disease, associated with impaired blood flow and failure of venous valves, is very common.

        The main reasons are:

        • heredity;
        • obesity;
        • heavy work while standing;
        • pregnancy.
        • It is a mistake to consider this disease only a cosmetic problem. Lack of treatment leads to serious consequences.

          The circulatory network is a complex system of vessels. Thanks to it, nutrients and oxygen, as well as waste products, are transported.

          The heart supplies blood to the arteries and all organs of the body, and the vessels deliver blood back to the heart. This is ensured by the operation of a system of valves inside the veins. But if its work is disrupted, the pressure increases, the veins stretch and varicose veins develop.

          Varicose veins: symptoms of the lower extremities

          Varicose veins on the legs symptoms. A visible sign will be swollen blood vessels protruding above the surface of the skin .

          In the early stages, symptoms are few and nonspecific. They can be called “heavy leg syndrome.”

          But over time, obvious symptoms of varicose veins of the lower extremities appear, which are difficult to confuse with other diseases:

        • swelling of the ankles;
        • shins swell;
        • frequent seizures;
        • formation of a blue subcutaneous mesh;
        • the skin is transformed and ulcers appear;
        • development of eczema;
        • itching in the legs.
        • Photo of varicose veins of the lower extremities

          Superficial vein diseases

          This is a very serious disease of the circulatory system. Superficial varicose veins can be not only an independent disease, but also a complication of another disease.

          They have been trying to uncover the reasons for its occurrence for many decades, but there are only a number of assumptions. Here are some signs of varicose veins:

        • neuroendocrine problems;
        • blood flow is disrupted by mechanical obstacles;
        • allergy;
        • immune system failure;
        • poor valve performance;
        • hormonal imbalances;
        • When treating this type of disease, radical measures are not provided in the first stage. Treatment will focus on improving circulation.

          But if the disease is advanced, surgical intervention is necessary to remove the damaged areas.

          Problems with deep veins

          Internal varicose veins. If the superficial veins are out of order or removed, this is compensated by the deep veins. They use their capabilities to transport an increased volume of blood.

          But if the disease appears in the deep veins, then this threatens a serious problem in the form of venous insufficiency.

          Deep veins are located in the muscles and constantly pump blood. It is in these veins that thrombophlebitis forms, which is a complication of varicose veins. Blood clots appear in advanced stages of varicose veins.

          Diseases of the veins of the uterus

          Until recently, this disease was considered a typical gynecological disease. But it turns out that it is connected to a large extent with the vessels of the small pelvis, and not with the genitals.

          The risk group includes women of childbearing age.

          There are no specific symptoms of varicose veins of the uterus, since they are inherent in many female diseases. But you can note aching pain in the lower abdomen. The pain may intensify after sexual intercourse and during menstruation.

          Varicose veins of the pelvis: symptoms

          It occurs due to a decrease in the elasticity of the venous walls of the pelvic organs. The cause is the reverse outflow of blood from the vessels due to compression by the enlarged uterus.

          Varicose veins of the pelvis are symptoms; the following factors can lead to this disease:

        • taking hormonal drugs;
        • interrupted sexual intercourse;
        • anorgasmia;
        • numerous births;
        • congenital diseases.
        • Dilatation of the veins of the labia

          Vaginal varicose veins appear in women in the final stage of pregnancy, and the harbinger is varicose veins of the extremities. The cause of this pathology is strong pressure on the uterus. The veins of the genital organs change greatly and become swollen.

          This organ has many vessels and veins. Their normal permeability ensures uninterrupted operation of the entire system.

          By processing and filtering a huge amount of food, this organ can malfunction, which will be noticeable.

          Many unpleasant sensations can be attributed to intestinal varicose veins, symptoms:

        • antispasmodic pain in the abdominal area;
        • problems with bowel movements;
        • itching in the anal area;
        • lifting weights causes abdominal pain;
        • bleeding from the anus.
        • It is difficult to detect dilated intestinal veins and will require the use of endoscopic devices.

          Flabby walls of the rectal veins lead to hemorrhoids, which will add to the hassle.

          Varicose veins of the testicles in men

          Dilation of the veins of the testes can cause a lot of complications. The consequences are difficult to predict.

        • weak functioning of venous valves or their absence;
        • the pampiniform plexus has weak walls;
        • improper blood flow;
        • stenosis due to scarring;
        • abnormal embryonic development;
        • congestion in the pelvic area;
        • tumors in the abdominal cavity.
        • Varicose veins on the testicles are not life-threatening. A big problem is complications that can cause infertility.

          Vein disease in the arms

          These veins are subject to less pressure than those in the legs, but they also suffer from overload due to excessive activity. Treatment for varicose veins on the hands differs from treatment for other diseases.

          Varicose veins on the hands, symptoms:

          • venous nodes are formed;
          • the appearance of the vessels changes;
          • intense pain;
          • blood stasis;
          • numbness of hands.
          • Swollen veins in the arms are a harbinger of atherosclerosis. In this regard, a trip to a phlebologist is simply necessary.

            The first signs of varicose veins on the legs. The following first symptoms should make you wary:

          • leg pain;
          • convulsions;
          • increased fatigue;
          • bluish color of the skin;
          • heaviness and stiffness of the legs.
          • And the most obvious symptoms of varicose veins are a pronounced pattern of veins on the skin.

            When to ask for help

            You need to urgently visit a doctor if:

          • touching a visible blood clot causes pain;
          • if a red nodule (thrombus) is noticed in the vein;
          • if a varicose vein has ruptured on the ankle. This leads to large blood loss.
          • But consultations with a phlebologist should be the norm if venous disease is present. At the first manifestation of varicose veins, you should undergo an examination to stop the development of the disease.

            Is any pain in the legs a sign?

            Leg pain, symptoms. Not always associated with venous diseases.

            This pain can come from other reasons:

          • previous injuries;
          • osteochondrosis or neuritis;
          • inflammatory processes;
          • flat feet or arthritis;
          • water-salt metabolism is disrupted.

          Doctors need to be able to distinguish such diseases from varicose veins.

          Differences in symptoms of varicose veins in men and women

          Signs of varicose veins in women. Varicose veins are considered a disease of women, but they are also common in men. The development and nature of the disease in women and men differ, which is due to differences in organisms.

          In men, the consequences are more severe, since the deep veins usually fail.

          It should be noted that in women, when hormonal levels are restored, improvement and even complete recovery occurs. This effect is not observed in men.

          Visually familiarize yourself with the symptoms of varicose veins:

          Now medicine has the latest and most effective methods of combating varicose veins. If treatment is started in a timely manner, it is completely cured. The main thing is not to let the disease progress, but to consult a phlebologist. You should not waste precious time on questionable self-medication and dangerous experiments with traditional medicine recipes.

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