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Varicose veins of the genital organs during pregnancy

06 May 18

Details about the causes, symptoms and treatment of varicose veins of the labia

Most people understand varicose veins as damage to the vessels of the lower extremities, but varicose veins also affect veins in other locations. For example, many women experience varicose veins of the genital organs, and in particular varicose veins of the labia. The article will tell you what causes lead to vascular damage in the intimate area, the symptoms of varicose veins of the external female genitalia and perineum, as well as the treatment of the pathology.

What causes illness

The most common and significant causes of the development of varicose veins of the labia, as well as the perineum, are pregnancy and the process that invariably follows it - natural childbirth. It is after them, and sometimes even in the last stages of pregnancy, that doctors, when visiting women, note varicose veins of the female external genitalia.

There are many reasons leading to the development of varicose veins in intimate areas after and during pregnancy and childbirth. The most significant are considered to be a violation of the blood supply to the pelvic organs and external genitalia, including the labia, as well as sharp fluctuations in hormonal levels. Blood supply during the period of future motherhood undergoes significant changes: the constantly growing uterus puts pressure on the lower and surrounding pelvic veins, as a result of which normal blood flow is disrupted. Blood stagnation occurs, pressure in the venous bed increases, which leads to the formation of varicose veins.

Photo of the venous vessels of the pelvis.

Schematic photo of varicose veins of the labia.

The immediate cause of varicose veins of the labia, perineum, etc., will be a changed hormonal background affecting the blood vessels. In some pregnant women, the density of the venous vascular wall may already be reduced (more often this is a genetic feature). It is this category of expectant mothers who, during pregnancy, as well as after it and childbirth, are at risk for developing varicose veins.

However, not only during the period of future motherhood, during childbirth, as well as after it, varicose veins can develop. The disease occurs not only in those women who have given birth, but also in those who have not experienced these conditions. The causes of varicose veins in an intimate place in those who have not given birth can be:

  • Long-term sedentary work and a sedentary lifestyle.
  • Excess body weight.
  • Constant physical overload (this also includes work with heavy lifting).
  • Chronic inflammatory processes of the female genital organs.
  • Hormone therapy.
  • Long-term digestive problems (chronic constipation).
  • Abuse of baths or saunas.
  • An important reason for the development of varicose veins of the labia and perineum in women who have not gone through childbirth is heredity. It is the genetically predisposed weakness of the venous wall and the structural features of the valvular apparatus of the veins that lead to the occurrence of the disease in women who are under the influence of other causes that cause varicose veins.

    Symptoms of varicose veins of the labia make it easy to diagnose the disease. Enlarged veins of the genitals and perineum can be easily seen by any doctor during an examination. The vessels are noticeable in the form of enlarged, convoluted, subcutaneous formations of a bluish color, sometimes forming entire vascular clusters or a node protruding under the surface of the skin. Changes can also be detected in the mucous membrane covering the labia. Upon examination, spider veins, cyanotic flowers and twisted cords are visible on it.

    Photo of the result of computed tomography of varicose veins of the labia.

    In addition to the visual defect, women may experience the following symptoms:

  • Itching, burning or painful sensations in the projection of altered blood vessels.
  • Feeling of fullness.
  • Unpleasant sensations, even severe pain, during sexual intercourse, physical activity, or visiting the toilet.
  • The pain can radiate to the perineum and sacrum. Constant pain that interferes with a woman’s normal life affects her psychological status. Women's mood decreases, depression, neurosis, increased irritability, and poor sleep may occur.

    Severe varicose veins of the labia do not form immediately. First, a small nodule appears on the surface of the labia. The woman is not bothered by any unpleasant symptoms at this time, so, naturally, there is no treatment for the disease. With further exposure to unfavorable factors that cause varicose veins, the number of nodules increases and they merge with each other. The size of the veins expands, they become tortuous and protrude strongly above the skin. If left untreated, the number of nodules, lumps and cords becomes so large that they prevent a woman from sitting, moving normally, and having sex.

    Photo of pronounced varicose veins in the groin and thigh.

    In addition to unpleasant symptoms, the disease can lead to complications: varicothrombophlebitis, thrombosis of pelvic vessels, bleeding or rupture of the tissue of the perineum and labia in women during childbirth.

    Conservative therapy

    Varicose veins of the labia are treated mainly conservatively. Treatment primarily involves eliminating the causes of the disease. Women are recommended to eat properly, correct their body weight, and change their physical activity: gymnastics, yoga, and swimming. All treatment is aimed at normalizing blood circulation in the pelvic vessels. It should be noted that the treatment does not impose any restrictions on sexual activity. If sex does not cause discomfort, then there are no contraindications to the activity.

    If varicose veins in the groin or labia occurred during pregnancy, the pathology may go away on its own after childbirth. Intensive drug treatment should not be prescribed immediately. It is necessary to treat varicose veins with drugs if all other methods have been ineffective or in a situation where the process has gone far and the symptoms of the disease bring severe suffering to the woman.

    Treatment involves the prescription of drugs that have a positive effect on the vascular wall. Varicose veins in the groin can be treated using local remedies and systemic drugs. The drugs belong to different groups and have different profiles of drug effects.

    To improve the tone of the veins, venotonics are prescribed, for example Troxerutin (capsules or gel) or Detralex. The active ingredients of the drugs are bioflavonoids, which help reduce the permeability of the vascular wall and capillary fragility. The drugs improve microcirculation and reduce tissue swelling caused by venous insufficiency.

    In case of an advanced process, in order to prevent the formation of blood clots, antiplatelet agents and other drugs that prevent thrombus formation, for example Trental, Curantil, are prescribed. Improves microcirculation and vitamin C, so multivitamin preparations are added to the treatment of women or appropriate diet adjustments are made.

    In order to reduce the severity of symptoms in non-pregnant women, non-steroidal anti-inflammatory drugs can be prescribed. Medicines will relieve pain and inflammation of the tissues surrounding inguinal varicose veins. Non-steroidal anti-inflammatory drugs are recommended in the form of suppositories, ointments or gels for topical use on the skin, tablets (Diclofenac, Meloxicam).

    Varicose veins of the vulva can be treated with sclerotherapy. The procedure is carried out by a vascular surgeon and involves the introduction of a special substance - sclerosant - into the lumen of enlarged veins. The drug pushes blood out of the vein and causes it to “collapse.” The affected area stops functioning, and blood flows into unchanged veins. However, it should be remembered that varicose veins of the vulva can recur, so treatment must also include eliminating the causes of the disease.

    Photo of a laser coagulation device.

    If conservative therapy is ineffective, a woman suffering from varicose veins undergoes surgical correction. Possible methods of surgical treatment are:

  • phlebectomy;
  • laser coagulation;
  • radiofrequency coagulation.
  • Naturally, varicose veins of the vulva or varicose veins of the labia that occur during pregnancy cannot be treated surgically. Doctors wait for the woman’s natural resolution of the pregnancy, and then look at the severity of the symptoms of the disease. If the clinical picture of varicose veins persists in the absence of reasons contributing to the progression of the disease, or conservative therapy is ineffective, surgery is performed.

    However, even after surgical treatment, no specialist can guarantee that the disease will not recur if the woman’s body is still affected by the adverse factors that cause varicose veins. Only stabilization of body weight, proper nutrition and lifestyle will be the key to the success of both conservative and surgical treatment.

    Varicose veins of the labia during pregnancy: what to do and how to treat?

    Varicose veins of the genital organs are an unpleasant disease of the pelvic veins, a frequent companion of women during pregnancy, as well as varicose veins of the lower extremities. And today we will talk about the dangers, what to do and how to treat vaginal varicose veins during pregnancy.

    Varicose veins of the genital organs (including during pregnancy) can form due to congenital or acquired weakness of the vascular walls and valve insufficiency. Factors that greatly increase the risk of varicose veins include:

    long-term static stress, for example, due to work;

  • hard physical labor;
  • obesity;
  • inflammatory diseases of the pelvic organs;
  • PPA;
  • use of hormonal contraception;
  • a large number of pregnancies and births;
  • There is a connection between varicose veins in the groin and hormonal changes during pregnancy in a woman’s body, for example, with an increase in estrogen or progesterone. Read on to learn more about the symptoms of perineal varicose veins during pregnancy.

    The following video will tell you about the dangers that various types of varicose veins pose during pregnancy:

    Symptoms of varicose veins on the labia during pregnancy

    Varicose veins of the labia are well recognized even when examined by the woman herself, since its main symptoms are an increased size of the labia and a noticeable dilatation of the veins. In this case, the veins can form a whole conglomerate of nodes, accompanied by the appearance of ties and spider veins.

    Also with varicose veins it is noted:

  • itching and dryness of the skin in the affected areas;
  • aching pain radiating to the sacrum and perineum;
  • swelling;
  • urinary disorders;
  • feeling of heaviness and fullness;
  • The last two symptoms often disappear towards the end of pregnancy or after childbirth.

    CT photo of varicose veins of the labia during pregnancy

    Varicose veins in an intimate place, on the labia during pregnancy can be diagnosed directly at an appointment with a phlebologist. The doctor examines the veins, checks the condition of the labia and collects anamnesis. To confirm the analysis, patients are prescribed an ultrasound, which allows one to visualize the state of the patient’s venous system.

    To detect pathologies and concomitant diseases, the patient will be prescribed other tests: blood tests, Doppler sonography, and others. Read on to find out what to do if you have varicose veins in the groin during pregnancy.

    Inguinal varicose veins of the labia must be treated urgently, since it threatens negative consequences for the mother. First, patients are prescribed therapeutic treatment. If it does not help and the disease progresses, the patient undergoes surgery to restore the normal state of the venous system.

    Experts will talk about treatment methods for varicose veins of the labia in the following video:

    In a therapeutic way

    The therapeutic method of treatment is aimed at stopping the reverse flow of blood and relieving pain symptoms. For this purpose, venotonic drugs and angioplatelet agents are prescribed, which prevent thrombus formation.

    Surgical intervention for varicose veins of the labia is based on phlebosclerosing techniques. Microthermocoagulation is widely used.

    However, foam sclerotherapy remains the more common method. During the procedure, a sclerosant is injected into the vein, causing it to stop functioning and blood to flow through healthy veins.

    Disease prevention

    Measures to prevent varicose veins during pregnancy are focused on strict adherence to the doctor’s instructions, as well as the need to:

  • take a shower daily;
  • wear comfortable underwear;
  • take venotonic drugs as prescribed by the doctor;
  • wear compression stockings;
  • limit physical activity, while performing simple exercises to keep fit;
  • monitor your diet by adding more fiber to your diet;
  • You should also consult your doctor about the possibility of having sex, especially in late pregnancy.

    Varicose veins are often accompanied by perineal rupture and bleeding during labor. Bleeding can be either small or heavy, threatening the health of the child and mother.

    For this reason, women in labor often undergo a caesarean section. Indications for surgery depend on the degree of the disease and the patient’s well-being.

    Despite the fact that dilated veins remain, vaginal varicose veins during pregnancy respond well to treatment. The patient’s life can only be threatened by complications of varicose veins, and then only due to illiterate or untimely treatment.

    The doctor will tell you whether and how to give birth with vaginal varicose veins in the following video:

    Varicose veins on the labia during pregnancy: causes and treatment

    Carrying a baby is often accompanied by certain difficulties, in particular, varicose veins of the labia develop during pregnancy. The disease occurs quite often in expectant mothers and is directly related to changes occurring in the body. Sometimes the problem goes away on its own after the baby is born. But basically, a woman has to fight the pathology with the help of medications prescribed by a doctor. An advanced disease can cause severe blood loss during childbirth.

    General characteristics of the disease

    Varicose veins of the genital organs during pregnancy are a problem that causes the expectant mother to experience unpleasant discomfort. In most cases, those who have lower extremities affected by the disease are well aware of venous expansion. But since veins are also present in the organs of the reproductive system, varicose veins also occur there, for example, on the labia of pregnant women.

    According to statistics, over 20% of pregnant women experience this disease. Pregnancy is a period when extra pounds appear and the volume of circulating blood increases. Vessels lose elasticity. They have to withstand extreme stress.

    The disease manifests itself differently in each woman:

  • Some people find themselves with rather unattractive-looking nodes.
  • Others develop spider veins and bluish-colored bumps.
  • But at the same time, all patients deal with many negative consequences of varicose veins in the form of excruciating pain and psychological stress.

    Enlarged veins in the genitals can be fatal. This is possible in advanced forms of pathology, when severe blood loss occurs during labor due to rupture of the walls of blood vessels.

    Why does the disease appear?

    After conception has occurred, the body begins to rebuild. The workload increases significantly, which can provoke an increase in existing chronic diseases. Moreover, with the onset of pregnancy, new ailments often appear.

    Due to discomfort in the genital area, the expectant mother may seek help and, as a result of an examination, she may be diagnosed with varicose veins of the labia during pregnancy.

    There are several provoking factors of pathology:

  • As the size of the uterus changes, pressure on the veins located in the pelvic area increases. The result is a delay in blood flow.
  • The vessels have to withstand a gradually increasing load due to the increase in the volume of blood that circulates. And it is the veins that take the blow first, because their density and elasticity are not as great as those of the arteries.
  • Due to the increase in weight of a pregnant woman, the vessels that are located in the lower extremities also have a hard time. The saphenous veins, which are not surrounded by muscles, are especially affected.
  • In the first trimester, progesterone levels increase. Its excessive accumulation negatively affects the tone of the venous walls, so varicose veins are almost inevitable.
  • Problems with veins are possible in the presence of various hormonal disorders, as well as as a result of the use of hormonal drugs.
  • Problems with the outflow of venous blood are also caused by:

  • genetic predisposition;
  • working features;
  • wrong lifestyle;
  • staying in a standing or sitting position for a long time;
  • overweight;
  • repeated pregnancy and childbirth.
  • In terms of external signs, varicose veins of the labia are similar to varicose veins, which occur on the lower extremities.

    The disease can be recognized by the following symptoms:

  • deformation and enlargement of veins and labia;
  • dry skin and pigmentation in the affected area;
  • formation of spider veins and nodules;
  • sensation of pain, discomfort and itching;
  • skin irritation;
  • swelling of the saphenous vein;
  • painful urination;
  • heaviness, distension;
  • discomfort during sexual intercourse.
  • If a pregnant woman observes any of the signs listed above, it means that she urgently needs to begin treating the disease.

    As for possible complications, it is necessary to mention the frequent occurrence of perineal rupture and blood loss during childbirth. As a rule, bleeding is not dangerous. But when they are abundant, there is a huge risk to the life of mother and baby.

    Because there is a real threat, doctors may recommend a caesarean section. However, everything will depend on how well the patient feels and at what stage the disease is.

    To definitively confirm the diagnosis, the patient must undergo additional examination.

    Diagnosis of the pathology is carried out by a phlebologist, who must examine the condition of the veins and intimate organs, as well as collect an anamnesis. In addition, an ultrasound will be prescribed to visualize the condition of the venous vessels, a blood test, Doppler ultrasound and other research methods that are needed.

    Treatment of the disease involves two approaches:

    If the initial stage is present, then the first manifestations should be dealt with using conservative methods. Thanks to them, it will be possible to reduce the blood supply to the organs located in the pelvis and legs.

    To help get rid of varicose veins:

  • Purchasing special compression garments without tight parts or elastic bands, which may cause difficulties with blood flow.
  • Performing therapeutic exercises prescribed by a specialist on an individual basis.
  • Refusal of shoes with heels.
  • Avoiding strenuous exercise and heavy lifting.
  • Bathing in a warm shower. Hot baths are contraindicated.
  • Long exercises in the fresh air.
  • Use tonic creams recommended by your doctor.
  • Thanks to such simple changes, the course of the disease can be slowed down. Only after the birth of the baby will you be able to fully recover. In the meantime, while the woman is pregnant, doctors can prescribe treatment that will ease the symptoms.

    If the doctor deems it necessary, the microfoam sclerotherapy method will be used to eliminate the disorder. Its essence is to inject a solution through a tube into the affected areas. The foam solution ends up in the place where blood clots form, and, narrowing the vessel, begins to move blood through healthy veins. After this, the affected area is compressed for several minutes.

    It happens that the disease does not disappear during the postpartum period, but, on the contrary, continues to develop further. In this case, the patient is sent for surgery.

    Elimination of the violation is carried out using:

  • phlebectomy. This type of surgery is classic. During its implementation, the existing nodes are removed with a special hook-shaped probe;
  • radiofrequency coagulation. The method is modern and involves exposure of deformed veins to radiofrequency radiation;
  • laser coagulation. The procedure is minimally invasive. In the affected areas, punctures are made for further introduction of laser light guides. Due to the impact of the laser pulse, the venous walls are burned. But soon these areas will heal.
  • Many women with vulvar varicose veins are afraid to give birth naturally. But if the doctor turns out to be a true professional, the risk of complications will be reduced to a minimum. Moreover, at the early stage of the disease there are no contraindications to independent childbirth. The main thing is that treatment is prescribed in a timely manner.

    Caesarean section is appropriate when the case is very serious. To avoid dangerous consequences, sometimes the expectant mother is hospitalized in advance. Using simple procedures, doctors will try to alleviate and improve the patient’s condition. If the procedures turn out to be effective, then there is no need to be afraid of natural childbirth.

    Compliance with prevention

    The appearance of the disease can seriously complicate the course of pregnancy, so preventive measures cannot be avoided.

    At the onset of the disease, you must do the following:

  • Use compression types of underwear, as well as clothes that are intended to be worn at home.
  • Constantly control your weight. A diet will help with this. But this does not mean that you need to limit yourself in food. It’s just important to avoid foods that cause extra pounds, and also stop eating too much.
  • Wear shoes with comfortable soles. There should be no high heels. Such shoes disrupt blood flow and negatively affect the musculoskeletal system. If a pregnant woman is very tired, ailments cannot be ruled out, including varicose veins.
  • It is important to avoid strenuous physical activity.
  • In the evenings, you should take a horizontal position, while slightly raising the pelvic area.
  • It would be appropriate to use special tonic ointments.
  • If the expectant mother is interested in childbirth without complications in the presence of genital varicose veins, she simply must monitor her own well-being and regularly come for examination. Deterioration of the condition can be avoided. In most cases, it is possible to prevent extensive blood loss. The main thing is to notice unfavorable changes in time and seek treatment. And then neither the mother nor her baby will be in danger.

    Start treating varicose veins of the labia during pregnancy now! Don't expect complications

    Varicose veins of the labia develop during pregnancy and are diagnosed in 30% of pregnant women. Typically, the pathology resolves itself after childbirth and persists in no more than 10% of cases.

    Symptoms of varicose veins of the labia are progressive in nature, increasing as the duration of pregnancy increases. In the early stages of gestation, the disease does not manifest itself in any way.

    • pain in the perineum, intensifying during movement;
    • itching in the genital area;
    • feeling of heaviness and fullness in the perineum;
    • an increase in the size of the vulva, the appearance of compacted nodules on the labia.
    • Reasons for the development of varicose veins during pregnancy

      The main reason for the occurrence of vaginal varicose veins during pregnancy is directly related to pregnancy itself, namely changes in hormonal levels. From the moment of conception, the hormone progesterone begins to increase at a rapid pace, large concentrations of which have a relaxing effect on the veins, as a result of which the tone of the vascular wall decreases.

      Varicose veins during pregnancy in the groin can also be provoked by placenta previa or its low location, as well as other gynecological pathologies that impede blood flow:

      • abnormal position of the uterus, bending of the cervix;
      • malignant neoplasms of the uterus and ovaries;
      • endometriosis.
      • Important factors contributing to the occurrence of varicose veins are increased pressure in the veins and an increase in the volume of circulating blood. A decrease in the tone of the venous wall, caused by hormonal imbalance, along with slow blood flow, leads to valvular insufficiency of the deep veins with the development of replacement vessels (collaterals) in the genital area.

        Varicose veins during pregnancy occur in two forms - complicated and uncomplicated, and the likelihood of complications increases with increasing pregnancy as the uterus grows, which creates compression of the veins and interferes with normal blood flow.

        It is not so much varicose veins itself that is dangerous for pregnant women, but its complications:

      • The development of acute thrombophlebitis of the perineal veins, which is accompanied by severe pain, increased body temperature, and swelling.
      • Massive bleeding from the affected veins, which, due to high pressure and a thinned vascular wall, is quite difficult to stop. Bleeding can be triggered by sexual intercourse and childbirth.
      • Childbirth in women with varicose veins is often complicated by placental abruption, rupture of amniotic fluid, and weakness of pushing. The choice of delivery method depends on the woman’s condition and the stage of the disease. Preference is given to natural delivery, since during a cesarean section there is a high probability of massive bleeding.

        Before giving birth, a pregnant woman must undergo a blood test to diagnose the state of the hemostatic system, based on the results of which the woman can be prescribed antiplatelet therapy. If varicose veins of the perineum rupture during childbirth and bleeding begins, it is stopped by surgical suturing of the vessels and scleroobliteration.

        The task of a diagnostic study is to determine the pathological source that provokes varicose veins of the vulva.

        For this purpose, the following methods are used:

      • Ultrasound angioscanning. The venous valves of the deep femoral and great saphenous vein are examined using an ultrasound probe through the groin area. During the study, it is also advisable to evaluate the condition of the entire system of the inferior vena cava, since varicose veins of the labia are often combined with varicose veins of the legs.
      • Varicography. Used in cases where the cause of venous discharge cannot be identified through angioscanning. This method involves the injection of a contrast agent into the varicose veins, the distribution of which is monitored by an electron-optical converter.
      • CT scan. Allows you to identify varicose veins in the ovaries and around the uterus. The procedure during pregnancy is performed in rare cases when the pathology cannot be determined by other diagnostic methods.
      • Based on the results of the study, the issue of treatment tactics for varicose veins in a pregnant woman is resolved. If the connection between varicose veins of the labia and pathological blood flow through the saphenofemoral anastomosis (the place where the great saphenous vein flows into the deep femoral vein) is confirmed, and this condition carries a high probability of complications, then surgery is performed.

        If the pathology is associated with the ovarian veins, then the operation is performed six months after birth.

        Treatment of varicose veins of the labia

        Treatment of varicose veins in intimate areas is primarily aimed at eliminating pain and preventing complications. What to do with such an unpleasant disease? Starting from the second trimester of pregnancy, drugs are prescribed orally - phleboprotectors containing flavonoids: diosmin and troxerutin:

        The listed drugs normalize capillary permeability, eliminating edema, increase the density of vascular tissues, increase the tone of the venous wall, and prevent the development of inflammation.

        In the absence of a clinical effect of drug therapy, the attending physician may decide to carry out phlebosclerosing treatment from the second trimester of pregnancy, the essence of which is the intravenous administration of sclerosing drugs into the dilated veins of the vulva and perineum.

        This procedure is contraindicated during pregnancy, however, in some cases, with the progression of varicose veins and the ineffectiveness of conservative therapy, according to strict medical indications, this method can be used in pregnant women.

        Surgical operations

        The question of surgical treatment is raised when there is severe dilation of the veins, accompanied by insufficiency of the valves of the saphenofemoral anastomosis. The operation is performed on pregnant women in cases where the likelihood of complications is very high.

        Under local anesthesia, through an incision in the groin area, ligation of the veins and tributaries of the great saphenous vein in the saphenofemoral anastomosis is carried out. Other surgical interventions are performed on patients only after delivery.

        Some herbal teas help improve blood circulation in the pelvis and also have an anti-inflammatory effect.

      • Grind yarrow flowers, plantain leaves, flowers and fruits of horse chestnuts, marshmallow root, chamomile flowers, rue, mix everything. 2 tbsp. Pour 3 cups of boiling water over spoons of the mixture, bring to a boil, immediately remove and leave for 12 hours. Drink according to? glasses before bed.
      • Licorice and Manchurian aralia roots, horsetail leaves, strings, rose hips, immortelle, elecampane root, alder fruit - mix 1 tablespoon each. 2 tbsp. spoons, brew half a liter of boiling water and leave for 12 hours. Drink 4 tbsp. spoons 3 times a day after meals.
      • Mix 10 g of chamomile, sage leaves, 50 g of horse chestnut fruit and 5 g of potato starch. Pour a glass of melted chicken fat and simmer in a water bath. Lubricate the resulting ointment in the groin area.
      • Gymnastic exercises

        Physical exercises must be performed in the morning and evening in a lying position for 15 minutes, spending 3 minutes on each exercise, and 2 minutes of rest between them. Perform gymnastics after breathing exercises - take a slow, deep breath and exhale completely.

        1. "Birch". Lying on your back, resting on the floor with the palms of your hands extended along the body, you need to raise your legs and throw them behind your head. Stand in this position, maintaining even breathing for 3 minutes. Attention: it is not recommended to perform “birch” from the third trimester of pregnancy.
        2. "Bike". Lying down, raising your legs from the floor, resting your palms on the floor, you should bend and straighten your knees, imitating riding a bicycle. Important: keep your breathing even and rhythmic, do not strain your abs.
        3. "Scissors". Leaning on the floor with the palms of your hands, you should raise your straight legs at an angle of 45° and make cross swings with them, crossing them with each other and spreading them apart. Important: if your abs are very tense, you can reduce the load by raising your legs a little higher.
        4. Along with exercises, it is recommended to apply a contrast shower to the perineal area every day. You can find out more about gymnastic exercises here.

          Compression underwear

          From the first trimester of pregnancy, all women are advised to wear special medical compression tights for pregnant women with an insert for the abdomen of compression class 2. To enhance the therapeutic effect, special latex pads can be applied to the groin areas. Medical tights improve blood flow from the veins of the legs, venous plexuses of the buttocks and perineum.

          Everyday underwear should be made of natural cotton, be loose, and not compress the pelvic and groin areas. more about the choice and principle of compression garments here.

          Since varicose veins of the labia often occur during pregnancy in women with varicose veins of the legs and pelvic organs in the pre-pregnancy state, it is important to undergo a course of therapeutic treatment at the planning stage. Women with hormonal imbalances are also at increased risk.

          During pregnancy, it is important to avoid active physical activity and prolonged standing or sitting. It is necessary to take vitamins B3 (nicotinic acid), C and calcium supplements. The diet should mainly consist of products of plant origin - fresh fruits, vegetables, vegetable oil. more about the diet for varicose veins here.

          Underwear should be loose. It is recommended to use a contrast shower every day, directing the stream at the perineal area; hot baths, saunas and steam baths should be avoided.

          Does the disease go away after pregnancy?

          After childbirth, varicose veins of the labia and perineum return to normal on their own, usually within the first 2 months. Residual manifestations of the disease in the form of swollen veins on the labia persist in no more than 10% of cases, and are most often associated with insufficiency of the valves of the saphenofemoral anastomosis.

          Preserved varicose veins of the vulva after childbirth may also indicate pelvic venous congestion syndrome. Using diagnostic methods, the cause of the disease is determined and further treatment tactics are determined.

          Varicose veins of the genital organs during pregnancy

          Varicose veins, contrary to popular belief, can occur not only on the legs; this disease can also affect other parts of the body, including the groin area. Varicose veins of the labia during pregnancy are not uncommon; every fifth woman carrying a child is susceptible to it, and without treatment, the disease progresses even after childbirth. It is important for the patient to monitor her health and general condition of the body in order to recognize disturbing symptoms in time and consult a doctor about them to prescribe competent treatment.

          Features of the disease

          The body's natural resistance to diseases in pregnant women is much worse than in others. It is for this reason that one can trace a tendency towards exacerbation of chronic pathologies and the emergence of new ones during the period of bearing a child. Varicose veins of the external labia most often occur in the third trimester, when the baby puts the greatest pressure on the mother's body, but the disease can appear earlier.

          Varicose veins are a pathology in which the veins become weakened, lose their elasticity, and begin to expand and twist. In advanced cases, thrombophlebitis may occur against this background - inflammation of the vascular wall with subsequent formation of a blood clot. The disease not only affects the patient’s appearance, it can threaten her health and the proper development of the child.

          Often, varicose veins on the labia develop against the background of a similar pathology of the legs, so the occurrence of the disease can be predicted in advance. This is especially important in cases where the disease develops asymptomatically. Often, with maintenance therapy, it goes away soon after birth, but in some cases it can develop further, especially if the treatment is chosen incorrectly or is completely absent.

          Causes

          Varicose veins occur quite often during pregnancy, but this does not happen in every case. Even if the patient is initially predisposed to vascular diseases, predisposing factors play a major role. Possible causes of varicose veins of the labia include:

        5. Hormonal changes. During pregnancy, a woman's body undergoes significant hormonal changes, as a result of which the veins can become weak and vulnerable. This is largely influenced by changes in the levels of progesterone and estrogen.
        6. Fetal growth. Due to the intrauterine growth of the child, the uterus also increases in size and gradually puts more and more pressure on the bloodstream in the pelvic organs. As a result, blood circulation slows down, which leads to the formation of stagnation, expanding the lumen of blood vessels.
        7. Increased circulating blood volume. A pregnant woman’s body has to supply nutrients and oxygen not only to its own tissues, but also to the baby’s cells. For this reason, the amount of blood circulating in the network increases, which expands the weakened veins.
        8. Chronic diseases of the genital organs. Exacerbation of existing pathologies of the genitourinary system negatively affects blood circulation in this area.
        9. Static lifestyle. Pregnant women need to move as much as possible; regular walking is required, and other types of physical activity should be discussed with a doctor. Low physical activity during pregnancy contributes to multiple health problems.
        10. Irrational loads. Excessive loads, as well as insufficient ones, are harmful. In addition, prolonged standing or sitting at work increases the risk of developing varicose veins in the groin area.
        11. Increase in body weight. During pregnancy, a woman can rapidly gain weight, and this, in turn, increases the load on the body, in particular, the blood vessels of the lower extremities. Varicose veins of the legs gradually lead to damage to the labia.
        12. Congenital pathologies. If a patient has genetic abnormalities in the structure of the circulatory system or specifically venous valves, during pregnancy the risk of developing diseases on this basis increases.
        13. Constipation. Abnormal bowel movements often occur during pregnancy; this provokes an increase in pressure in the blood vessels of the pelvic organs.
        14. Thus, many pregnant women are at risk. Bad habits can also influence the development of the disease, especially if they were not given up during pregnancy.

          Poor environment and an unhealthy lifestyle in general can also play a role. The most predisposed to varicose veins of the labia are women experiencing difficult childbirth, as well as those who have already given birth with complications.

          As a rule, the patient notices the symptoms of the disease on her own, since they manifest themselves both in sensations and in visible changes. In some cases, the pathology occurs without obvious signs and can only be recognized during a preventive examination.

          Varicose veins of the labia during pregnancy manifest themselves as follows:

        15. swelling of superficial veins;
        16. an increase in the size of the labia themselves;
        17. in the affected area, the skin becomes dry and changes color;
        18. itching and burning appears;
        19. a vascular pattern appears in the form of stars or a mesh;
        20. there is pain that intensifies during sexual intercourse;
        21. there is a feeling of fullness and heaviness;
        22. The usual process of urination may be disrupted.
        23. The patient may also feel changes when palpating the affected area. However, despite the simplicity of self-diagnosis, it is necessary to consult a gynecologist immediately after the appearance of one or more symptoms. He does not treat veins, but can conduct an initial examination to determine whether the problem is related to varicose veins. In this case, he gives a referral to a consultation with a phlebologist.

          To clarify the diagnosis, both laboratory blood tests and instrumental diagnostic methods are used.

          The most informative is duplex scanning, that is, ultrasound using a Doppler sensor. Additionally, other non-invasive procedures in the field of phlebology may be prescribed.

          In most cases, varicose veins of the labia are diagnosed in the early stages of development, so the disease can be managed with conservative methods. Operations are prescribed only in the most extreme cases, when the disease develops rapidly and there is a danger to the life of the patient or child.

          As medications, the doctor may prescribe delicate medications that can be used by pregnant women. Such drugs include phlebotonics, which improve the tone of the veins, angioprotectors, which strengthen and protect blood vessels, as well as various symptomatic medications and vitamin-mineral complexes.

          Among the medications for varicose veins often prescribed to women during pregnancy are:

        24. Troxerutin (tablets, capsules and gel). The product cannot be used only in the early stages of pregnancy, but in the second and third trimester, as well as during lactation, use is permissible. Contraindications include individual intolerance to the components of the drug, ulcers and chronic gastritis.
        25. Diosmin (tablets). The drug can be used at any stage of pregnancy, but during lactation it is better to avoid using it. Contraindications include allergy to the drug and age less than 18 years.
        26. Detralex (tablets). Can be used in any trimester of pregnancy, but is not recommended for use during breastfeeding. The only contraindication is an allergy to the product.
        27. Phlebodia (tablets). Prescribed for the treatment of varicose veins in the second and third trimester of pregnancy; in the early stages and during lactation, use is contraindicated. Also limited are allergies and age under 18 years.
        28. Lyoton (gel). Can be used at any stage of pregnancy, as well as during breastfeeding, but only under medical supervision. Contraindications include allergies, open wounds and ulcers on the skin, decreased blood clotting, and thrombocytopenia.
        29. In addition, you can use products for external use (ointments, gels, creams), which contain horse chestnut or ginkgo biloba extract, unless pregnancy is contraindicated.

          Taking any drug should be discussed with your doctor to eliminate the risk of complications for yourself and your child.

          The operations used are not traditional open surgical interventions, but minimally invasive modern procedures. Most often, sclerotherapy is used, during which a special substance (sclerosant) is injected into the vein affected by varicose veins, gluing it together and preventing further development of the disease.

          In consultation with your doctor, you can do gymnastics for pregnant women.

          How to give birth with varicose veins of the labia

          Childbirth with varicose veins of the labia occurs naturally, since the disease is not a contraindication to this. Only in some cases, with the rapid development of the disease and the threat of serious complications, can the attending physician prescribe a cesarean section.

          In any case, closer to the preliminary date of birth, the patient is scheduled for an examination, during which the possibility of a natural process is determined. If the disease was diagnosed in the early stages of development, it can often be cured in advance, and childbirth is not complicated by additional procedures.

          A pregnant woman is exposed to many dangers from diseases, so it is recommended to take care of her condition and the health of her child in advance. To prevent varicose veins in the groin area, you do not need to perform complex actions; you just need to slightly adjust your lifestyle.

          First of all, you should avoid wearing tight synthetic clothing and high-heeled shoes. You should also give preference to active recreation, preferably in the fresh air. If the job involves heavy physical activity, it is recommended to take maternity leave earlier. In addition, you need to adjust your diet by giving up fatty fried foods, smoked foods, marinades, spicy and salty foods. Taking a contrast shower every day would be a good idea.

          Separately, it should be said about wearing compression garments. Those women who are prone to vascular disease are recommended to wear prophylactic knitwear throughout pregnancy. These can be either compression tights or specialized bandages for pregnant women. Your doctor will help you decide on the size and specific model of underwear.

          When and why varicose veins of the labia occur - how to avoid swelling of the veins during pregnancy

          Varicose veins are a disease that can appear not only on the lower extremities, but also on the buttocks, labia or perineum.

          Such a defect affects the consistency and quality of intimate life, bringing additional unpleasant symptoms.

          Causes of the disease

          Varicose veins of the labia develop, as a rule, during pregnancy , when the body experiences serious stress.

          At this time, not only does weight gain occur, in some cases very significant, but in parallel with this, hormonal changes occur in the body.

          Additionally, the rate of occurrence of varicose veins of the labia can be influenced by factors that create favorable conditions for its development:

        30. long work in a standing position;
        31. sudden severe physical activity;
        32. insufficiency of venous valves, congenital or acquired;
        33. weakness of the venous walls;
        34. decreased venous tone.

      Hereditary factors can also predispose to the appearance.

      Symptoms of the disease

      There is a list of symptoms that are felt when varicose veins of the labia appear. Typically this includes signs such as:

    • increase in the volume of the labia;
    • swelling of the vein, which is easily palpable;
    • skin irritation;
    • itching and feeling of fullness in the perineum;
    • discomfort and pain, which intensifies during sexual intercourse;
    • the feeling of fullness and swelling can disappear after the first week of labor.
    • Additional diagnostic measures

      By carefully palpating the labia yourself, you can diagnose varicose veins, but for clarification it is still better to consult a doctor.

      So, in the initial stages, it is better to immediately contact a phlebologist, who will monitor the patient’s condition, giving appropriate recommendations and preventing the possible appearance of varicose veins.

      Ultrasound or duplex scanning may be used to make an accurate diagnosis . Treatment methods are prescribed only after these procedures.

      As a rule, when varicose veins of the labia are detected during pregnancy, the doctor will reassure the expectant mother by telling her that the inflammation will go away over time.

      This is indeed true, however, it is possible to influence the rate of eradication of the disease through various measures.

      Medicinal methods of getting rid of varicose veins in the groin include sclerotherapy .

      Are you interested in sports but have swollen veins? Research the compatibility of varicose veins and sports before returning to the gym.

      In this case, a special drug is injected into the affected vein, which allows it to disappear completely. Injections are carried out on an outpatient basis, and their number will depend on the extent of the lesion.

      Drugs that have a broad venotonic effect are prescribed. These include :

      Compression garments are one of the commonly used methods that help quickly bring a swollen vein back to normal. Usually special compression stockings are used.

      By compressing the limbs, the tissue thus forces the muscles to compress the veins, which allows them to be maintained in constant tone.

      Additionally, you can perform a simple set of gymnastic exercises .

      So, they consist of alternately bending the legs at the knee from a lying position, walking in place, and lifting on the toes.

      You should make some adjustments to your own life, following certain rules:

    • refusal of high heels;
    • visit the pool or just walk, that is, provide adequate and useful physical activity;
    • body weight control;
    • cold and hot shower;
    • avoid constipation and foods that can cause it;
    • do not lift heavy objects.
    • In addition to this, you need to carefully monitor intimate hygiene , do not use soap for washing, but replace them with special gels. It is also important to carry out hygiene procedures in the morning and evening, change underwear daily and replace models with compression elastic bands, if any.

      You should also review your diet and avoid eating overly spicy and salty foods.

      It is better to avoid products containing large amounts of vitamin C for a while, since it can reduce vascular permeability and create swelling. In this case, the risk of blood clots is very high.

      With varicose veins of the labia during pregnancy, the risk of bleeding and rupture in this place during childbirth significantly increases, since the pressure in the walls of the vessels rises by an order of magnitude.

      Therefore, childbirth with varicose veins of the labia is often carried out by cesarean section in order to avoid serious consequences.

      Preventive measures

      It is possible to prevent the development of varicose veins of the labia.

      To do this, from the beginning of pregnancy, they use the method of bandaging the limb from bottom to thigh, or wear compression stockings.

      In such a case, childbirth will also be carried out in hospital stockings, which have the first compression class. In addition to this, you need to carefully monitor the implementation of certain rules, such as avoiding heels and contrast showers.

      Observation by a doctor during pregnancy will also help to control the situation and take appropriate measures in time to prevent varicose veins of the labia.

      Video: About diseases of the female genital organs

      Doctor of Medical Sciences, gynecologist explains why it is dangerous to delay the treatment of diseases of the genital organs. About the dangers of self-medication and possible consequences.

      Categories : Prevention

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