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Varicose veins in the pelvis during pregnancy

25 Jul 18

How to recognize the presence of pelvic varicose veins in pregnant women and whether to sound the alarm if the diagnosis is confirmed

Varicose veins of the pelvis during pregnancy are a serious problem for the expectant mother’s body, since the symptoms of such a disease are not always obvious. And if varicose veins on the legs spoil the aesthetic appearance of the limbs and are felt immediately, then in the pelvic cavity the pathological process proceeds unnoticed, posing a threat of rupture of the veins and the occurrence of complications during the period of bearing the baby. In addition, with pelvic varicose veins after pregnancy, that is, in the postpartum period, difficulties may arise during bowel movements, represented by ruptured veins, bleeding and anemia - their consequences.

Since the symptoms of congestion in the pelvic cavity with varicose veins in pregnant women are quite scarce, for accuracy in making a diagnosis, the patient is offered a vaginal ultrasound. During its implementation, the specialist gets the opportunity to detect dilated veins and nodes accumulated in the internal organs of a woman related to her genital area. The expectant mother herself cannot know for sure whether her veins are affected by the disease or not, because the only alarming symptom of pelvic varicose veins for her is the pain that occurs in the lower abdomen.

But if varicose veins affect a pregnant woman’s labia, then she may also notice signs of the disease such as:

  • causeless mood swings;
  • distortion of the shape of the labia due to the appearance of spider veins and nodes on them;
  • unbearable itching;
  • dry skin and the appearance of pigment spots in the affected areas.
  • How great is the danger of varicose veins of the small pelvis during pregnancy?

    Varicose veins during pregnancy can develop anywhere - both in the pelvis and on the lower extremities. However, in most cases, the disease begins with damage to the veins of the legs, and then the pelvic cavity is also involved in the pathological process, because the venous vessels are interconnected.

    If, against the background of dilated veins in the legs, symptoms of vaginal varicose veins appear, then such a clinical picture clearly indicates the presence of congestion in the pelvic area, as well as the involvement of all “female” organs, including the uterus, in the process of damage to the venous system. And the affected uterine vessels themselves pose a threat both to the normal course of pregnancy and to the development of the fetus.

    Stop fooling yourself

    Before reading further, I will ask you one question. Are you still looking for a varicose vein treatment that will help you?

    I hasten to disappoint you , there is NOT A SINGLE CREAM that will help get rid of varicose veins.

    And all the “drugs” that are sold in pharmacies and advertised on the Internet are a complete scam. Marketers are simply making huge money off your naivety.

    The only drug that can somehow help you is Venorem . This drug is not sold in pharmacies and is practically not advertised on the Internet, and it costs only 1 ruble as a promotion .

    So that you don’t think that they are selling you another “cream for varicose veins,” I will not describe what an effective drug it is. If interested, read all the information about Venorem yourself. Here is a link to the official Venorem website .

    Why does the expectant mother’s body react this way to its new state?

    This “behavior” of the body is determined, first of all, by hormonal changes, because now only favorable conditions for the development of the baby should be created in it. Due to these changes, the uterus relaxes and its tone decreases, and its vascular walls become weaker.

    Another explanation for the mechanism of development of varicose veins of the pelvic organs during pregnancy is the increased work of the venous system, since now it has to work for two.

    Creating adequate conditions for the nutrition of the fetus is an important and difficult task, since an increase in the amount of circulating blood negatively affects the activity of the fragile female body.

    But the most important factor provoking varicose veins in the pelvic organs in pregnant women is the pressure of the rapidly growing uterus on the vena cava located underneath it. Doctors call this factor mechanical. Normally, the inferior vena cava carries blood from the lower torso to the heart. But if the outflow is hampered, then the consequence of this disorder is venous stagnation, which serves as one of the links in the mechanism for triggering varicose veins of the small pelvis during pregnancy.

    What to do for pregnant women who have developed varicose veins of the pelvic organs?

    Varicose veins of the vulva (labia) are not always associated with pregnancy. But it brings a lot of discomfort.

    If, during a pelvic ultrasound , the expectant mother is diagnosed with venous congestion, she will be prescribed only gentle treatment for varicose veins of the small pelvis, that is, recommendations are given for wearing special stockings, elastic bandages or performing therapeutic exercises. Minimally invasive treatment methods to eliminate congestion are not prescribed to pregnant women.

    But if a woman is diagnosed with vulvar varicose veins , then the doctor must take urgent measures. The rush to treat vulvar varicose veins during pregnancy has such an important justification as the possible onset of extensive hemorrhage, which is a consequence of rupture of the venous vessels.

    Therefore, a woman is prescribed medicinal venotonic drugs that do not have dangerous side effects for her, and is recommended to wear compression hosiery - items of clothing in the form of tights and stockings. They should be put on in the morning, while in bed, when your legs are still lying down and have not been lowered down. Remove medical underwear before going to bed at night. If necessary, the doctor can also issue a referral for exercise therapy procedures.

    If vulvar varicose veins are identified before pregnancy, the woman is offered methods such as radical phlebectomy and laser or radiofrequency coagulation to treat it.

    Prevention of varicose veins passing through the pelvic cavity during pregnancy

    In order to prevent the progression of the disease and its consequences, which are undesirable for the body of the pregnant woman and the fetus she is carrying, as soon as the first alarming signs appear, you should seek advice from a specialist in vascular surgery, and then follow all these recommendations. And you shouldn’t self-medicate at all.

    But in order to prevent varicose veins on the eve of childbirth, a woman can perform a number of useful activities:

  • lead a healthy lifestyle;
  • avoid lifting heavy objects;
  • wear only loose clothing and comfortable shoes;
  • sleep with your legs elevated, placing a small pillow under them or making a small cushion from a blanket or towel;
  • from the 30th week of pregnancy, try to rest on your side;
  • improve your diet by enriching it with foods that will affect timely bowel movements.
  • Already during the process of childbirth and after it for some time, a former pregnant woman suffering from varicose veins in the pelvic area should wear hospital stockings to prevent complications. Doctors try not to resort to prescribing drug treatment even after childbirth, since the effectiveness and feasibility of their use in this group of patients has not been fully studied.

    In view of all of the above, young women who are about to bear a pregnancy in the future, with a hereditary predisposition to varicose veins, should take care of their health in advance. Simple activities such as gymnastics, swimming, walking and a rational, balanced diet will help prevent the development of pathology. Remember that your health is in your hands!

    We conducted an investigation, studied a bunch of materials and, most importantly, tested most of the creams and medications for varicose veins. The verdict is:

    All the remedies, if any, gave only temporary results.

    In addition, advertised creams are addictive, and if you stop using one or another drug, the disease will sharply worsen.

    Remember! There is NOT ONE CREAM that will help you quickly get rid of varicose veins.

    The newfangled means that the entire Internet is replete with also did not produce results. As it turned out, all this is a deception of marketers who earn huge money from the fact that you fall for their advertising.

    The only drug that has given significant results is Venorem .

    You may ask, why doesn’t everyone use this “magic” remedy? The answer is simple, Venorem is not sold in pharmacies, it is not advertised on TV or on the Internet. And if they advertise, then it’s a FAKE.

    There is good news, we have contacted the manufacturers and will share with you a link to the official Venorem website.

    By the way, manufacturers are not trying to profit from people suffering from varicose veins; the promotional price of Venorem is only 1 ruble .

    Symptoms and treatment of varicose veins of the pelvic organs during pregnancy

    Varicose veins of the pelvis during pregnancy can appear for various reasons. Vein enlargement can occur in any area where increased stress occurs. In some cases, this disease can cause infertility. If the process of varicose veins occurs before conception or during pregnancy, there is a risk of normal implantation of the embryo or improper formation of the placenta.

    Causes of the disease

    There are several factors that can cause pelvic varicose veins. For example, the presence of the following reasons:

    1. Bad heredity. If her mother suffered from varicose veins in the small pelvis (PVVV) during pregnancy, then there is a high probability that her daughter may also develop this disease.
    2. Hormonal status, which constantly changes throughout the menstrual cycles. This is especially pronounced during pregnancy during the period of complete restructuring of the woman’s body.
    3. The increase in the activity of the hormone progesterone, which occurs during pregnancy, poses an additional danger leading to the development of the disease. This hormone retains and accumulates fluid in tissue structures, and also increases the volume of circulating blood. This creates additional stress on the blood vessels of a pregnant woman.
    4. An increase in the volume of the uterus, which blocks the normal flow of venous blood through large vessels. Therefore, there is a redistribution of blood plasma to other, smaller vessels that may not withstand the increased load. For many women, after childbirth, this situation changes for the better, which eliminates the symptoms of the disease.
    5. Artificial termination of pregnancy, history of childbirth, miscarriages.
    6. The above reasons are considered the main ones, but there are other, less significant factors that, gradually accumulating, can cause varicose veins:

    7. stagnation of blood in the blood vessels of the ovaries;
    8. rapid weight gain or obesity;
    9. strong physical activity;
    10. smoking and alcoholism.
    11. All these phenomena lead to disruption of the uteroplacental blood flow, which leads to a lack of oxygen in the fetus or causes premature birth.

      Symptoms of pelvic varicose veins may not appear or may be disguised as some other disease with similar symptoms. This causes certain difficulties in diagnosis. The disease can periodically remind itself of itself with a variety of symptoms.

      In such cases, pregnant women often complain of a nagging pain in the lower abdomen. The patient may constantly have a feeling of heaviness in the perineum. If damage to the venous vessels occurs in the bladder area, the patient will have problems with urination.

      When the veins on the labia are damaged, this leads to the appearance of symptoms visible to the eye. In this case, so-called spider veins often appear.

      Dryness of the skin on the labia and the appearance of pigment spots are possible. Some women experience severe itching and development of soreness in this organ. Many patients experience a sharp decrease in mood or performance.

      If varicose veins of the small pelvis during pregnancy are expressed in the form of damage to the veins in the vagina, then the development of this process can lead to rupture of the venous vessels when the patient strains, for example, during bowel movements. This leads to severe bleeding with subsequent development of anemia.

      If symptoms of the disease appear, you should not self-medicate, as this can lead to disruption of blood flow in the uterus and placenta, which will negatively affect the condition of the fetus. Therefore, you must immediately go to the clinic, conduct an examination, and then begin treating the disease under the supervision of a doctor.

      Diagnosis and treatment

      Varicose veins of the pelvic organs are established by ultrasound examination of patients. These methods (ultrasound) have virtually no effect on the development of the fetus in the womb. To detect the exact location of the damaged vein, a technique such as Doppler ultrasound (USD) can be used. With this diagnostic method, in addition to identifying varicose veins, it is possible to determine the presence of problems in the uteroplacental circulation.

      Treatment of lesions of the veins in the pelvis in a pregnant woman can only be carried out using conservative methods. The most suitable option is for the patient to stay in a hospital, where the entire course of therapy takes place under the full supervision of doctors.

      To eliminate the symptoms of the disease, various medications are used that cannot affect the fetus. Most often, doctors prescribe drugs such as Detralex, Venoruton or Ginkor-fort to pregnant women. But these drugs can only be given to a woman in the 3rd trimester of pregnancy.

      If the patient has severe pain, then various anti-inflammatory non-steroidal drugs are most often used to eliminate the pain. They should be given to patients with great caution only as prescribed by a doctor.

      During the period of treatment procedures and throughout pregnancy, any physical activity should be completely excluded.

      To reduce the symptoms of the disease, sick women are advised to keep their lower limbs elevated, for example, placing them on a chair or stool. To alleviate the condition, it is recommended to wrap the patient’s legs with an elastic bandage. You can also wear special stockings, tights or other compression stockings. A method such as therapeutic exercises is often used.

      Varicose veins of the pelvis: symptoms, features and hidden threats

      Varicose veins of the pelvis are an extremely unpleasant disease, like varicose veins of the labia, and also very dangerous, especially for pregnant women. We will talk about how to treat and diagnose the disease, as well as forecasts for the future in this article.

      Varicose veins of the pelvic vessels are enlargement of the ovaries and uterus as a result of pathologies, heredity and other reasons. All women of childbearing age are susceptible to the disease, especially pregnant women and those whose work involves difficult physical conditions.

      Why is varicose veins of the internal organs of the small pelvis dangerous during pregnancy? In this situation, the disease must certainly be treated by a doctor, since it is dangerous for the life of the patient and the fetus due to possible inflammation. The disease is also an indication for a cesarean section.

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

      Causes

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

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

    12. passive lifestyle;
    13. work involving long periods of standing/sitting;
    14. frequent lifting of weights;
    15. PPA;
    16. lack of orgasm;
    17. frequent pregnancies and childbirths;
    18. increased estrogen levels;
    19. inflammatory diseases of a gynecological nature;
    20. ovarian tumor;
    21. Recent studies of the disease prove its connection with the use of hormonal contraceptives. You will learn further about the symptoms of varicose veins of the pelvic organs that require treatment.

      Symptoms of varicose veins of the pelvis

      The fundamental symptoms of varicose veins of the pelvic organs are pain in the lower abdomen and increased groundless discharge from the genitals. Most often, the pain is aching and pulling, radiating to the groin and lower back. In approximately half of the patients, the pain syndrome intensifies before menstruation, along with this, varicose veins of the perineum, buttocks and outer surface of the thighs are detected.

      Possible symptoms are:

    22. presence of premenstrual syndrome;
    23. menstrual disorders;
    24. increased sensitivity in the perineum;

    Sometimes varicose veins are accompanied by increased urination.

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

    For this reason, it is necessary to carry out differential diagnosis with diseases of the pelvic organs, for example, cystitis, endometriosis, Crohn's disease and others. The diagnosis can be definitively confirmed using hardware tests:

  • Ultrasound of the venous system. The study allows you to see the expansion of the veins and their tortuosity.
  • Dopplerography. Detects a decrease in systolic velocity in the veins of the uterus and ovaries.
  • Laparoscopy. Varicose veins are detected in the ovarian area.
  • Selective ovariography. The most accurate research. It is performed by introducing contrast through the femoral and subclavian veins.
  • CT. Allows you to exclude pathologies, identify varicose veins in the uterus and ovaries, and show their tortuosity and dilation on the screen.
  • Additional tests are also ordered to evaluate the patient's condition, such as blood tests and x-rays. We will talk further about how to treat pelvic varicose veins.

    The main treatment consists of following the therapeutic measures prescribed by the doctor. Usually, taking medications and doing exercises is enough to normalize the patient’s condition.

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

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

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

    Surgical treatment is prescribed if there is no response to conservative treatment, as well as for medical reasons. The following operations are distinguished:

  • Ligation of the ovarian vein.
  • Ligation of the pudendal vein. Sometimes combined with miniphlebectomy.
  • Troyanov-Trendelenburg operation if the veins of the lower extremities are also affected.
  • Embolization of the ovarian veins has proven to work well, as it is less traumatic and has an easy recovery period.

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

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

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

    Traditional healers also recommend hirudotherapy with the application of leeches to the sacrum and coccyx.

    Exercises for varicose veins of the small pelvis

    Physical therapy for pelvic varicose veins consists of the following exercises:

  • From a standing position, with your feet parallel, rise onto your toes and lower yourself. Repeat up to 30 times.
  • From a standing position, heels together, toes apart. Rise on your toes and lower yourself up to 30 times.
  • Stand straight, spread your heels apart, pointing your toes together. Rise on your toes up to 30 times.
  • Make a “bicycle” and a “birch tree”, making sure that your legs are fully straightened.
  • The exercises can be done anywhere. If you wish, you can replace, add or remove any exercises, the main thing is to make sure that the body does not overexert itself. Therapeutic exercise must be combined with wearing compression stockings.

    Disease prevention

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

    limit physical activity and do not lift heavy objects;

  • regularly engage in light physical exercise and physical therapy;
  • visit a massage therapist or do a massage at home;
  • regulate nutrition, limit consumption of carcinogens and animal fats;
  • monitor the regularity of bowel movements and consume foods that promote normal bowel movements, for example, vegetable fiber or chicory;
  • take venotonic drugs according to the course prescribed by your doctor;
  • Varicose veins, especially in the later stages, are often complicated by dysfunctional uterine bleeding and inflammation of the pelvic organs. This is due to impaired blood flow and the thinness of the vein walls.

    Against the background of bleeding, thrombosis and inflammation may develop, so if you notice the first symptoms, you should consult a doctor. Thromboembolism is often attributed to complications, however, this condition has other causes.

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

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

    The best exercises for varicose veins in the pelvis

    Pelvic varicose veins (hereinafter referred to as PVVT) is one of the most common problems among women of reproductive age. In most cases, this pathology develops against the background of hormonal imbalance or pregnancy, during which circulatory processes are disrupted. This disease usually manifests itself through nagging pain in the lower abdomen of varying intensity. The main danger of varicose veins of the small pelvis is that as the disease develops, the functioning of the genital organs is disrupted, and this in turn can lead to the impossibility of giving birth to a child naturally. In addition, ARVMT also manifests itself through various disruptions in the nervous system, which can be expressed through a constant feeling of anxiety, irritability and lack of desire for sexual activity (a kind of phobia develops). However, if the disease is detected at the first or second stage, its progression can be successfully stopped using exercises for pelvic varicose veins, compression garments and venotonic drugs.

    Yoga for varicose veins of the pelvis

    Yoga helps not only with external problems, but also with internal ones. Most experts recommend yoga as a prevention for all types of varicose veins:

  • Sit comfortably on your back, on a soft mat or mat. From this position, lift one leg up (it should form a ninety-degree angle with the floor) while inhaling and, bending it at the knee, press it to your chest as you exhale. After this, return the leg to the starting position and perform the exercise on the opposite leg. Repeat seventeen to nineteen times for each leg;
  • While in the same position, you need to raise your legs ninety degrees above the floor (vertically up) and make rotational movements with your feet in one direction and the other. The duration of the exercise is one minute;
  • Immediately after the previous exercise, you need to perform leg curls (that is, the legs remain in an upright position). To do this, bend your left leg at the knee and bring it to your chest, then straighten your leg and return to the starting position;
  • To perform the following exercise, lie on your back and bend your knees so that your feet rest on the floor. Hands must be placed along the body. While in this position, lift your pelvis off the ground, resting on your elbows and feet, and then return to the starting position. Repeat fifteen times;
  • After completing the above complex, it is recommended to take a contrast shower, directing a stream of water to the pelvic area.

    Gymnastics for varicose veins of the pelvis

    Gymnastics is considered one of the most effective means of treating and preventing pelvic varicose veins. Daily exercise will help improve blood circulation, achieve flexibility and plasticity. Since ARVMT most often occurs in women after pregnancy, moderate physical activity aimed at the pelvis and lower extremities will only be beneficial. We bring to your attention a number of gymnastic exercises that are suitable for both men and women:

  • Boat. The exercise is simple, but at the same time extremely effective, as it involves several groups of muscles in the abdominal cavity and pelvis (contracting muscles help the veins push blood). To perform the exercise, you need to lie on the floor with your arms near your body. As you inhale, you need to raise your straight legs fifteen to thirty degrees above the ground and at the same time extend your arms forward so that your palms touch your knee joints. The socks must be stretched so that the muscles work. The exercise must be repeated five times;
  • Bike. This is a fairly well-known and common exercise; to perform it you will need a soft mat or karimat. All you need to do is lie on the floor (on your back) and raise your legs ninety degrees above the floor and bend them at the knees. While in this position, you need to make circular movements with your feet, reminiscent of pedaling a bicycle. The duration of this exercise is one minute;
  • Rider. To perform this exercise, you need to stand up straight, spread your legs shoulder-width apart and place your hands in front of you, one on top of the other, directly in front of your chest. While in this position, you need to perform a half squat (thighs parallel to the floor) and hold in this position for about thirty seconds. After a minute of rest, the exercise can be repeated one or two more times. It is very important to keep your arms in isometric tension during the exercise (your arms do not move, but the muscles experience tension).
  • These exercises for varicose veins of the small pelvis must be performed daily, only in this case can you count on some result. It is best to train on a karimat or a soft mat, so to perform the first two exercises you need to take a lying position.

    Three simple exercises for pelvic varicose veins

    If you believe the expert opinions of the world's leading specialists, problems with the veins in the pelvis are much less common in people who regularly engage in physical exercise. They are also perfect for prevention and just daily maintenance of the body in good shape. These activities do not require much time or special effort and are great for all ages and all genders. You can even do it with the whole family - for children as a preventive measure, for a man as a warm-up before a working day, and for a woman as a warning against possible problems with the small pelvis. The only condition is regularity, on which the effectiveness of the result will greatly depend:

    OUR READERS RECOMMEND!

  • To perform the exercise, spread your legs shoulder-width apart and place your feet so that they are parallel to each other. From this position, rise onto your toes and return to the starting position with a slight sharpness. The number of repetitions varies from twenty to thirty times;
  • A similar exercise, the only difference from the previous one is that the socks should be apart, and not parallel to each other. You also need to perform from twenty to thirty repetitions;
  • The third exercise is similar to the second, only now you need to spread your heels apart. The number of repetitions is the same.
  • You need to do the exercises regularly several times a day. The whole complex takes no more than five to seven minutes, so you can train even at work.

    Easy exercises for varicose veins of the pelvis to work

    For those who have a busy schedule and time is scheduled minute by minute, we offer effective exercises that can be performed even at work:

  • While in a standing position, you need to move your pelvis first to one side and then to the other. The same exercise is performed forward and backward. There should be approximately five to seven bends on each side;
  • Now you need to do the same thing, but on slightly bent legs, thanks to this the range of movement will increase and more muscles will be used;
  • From the starting standing position, you need to perform a circular rotation with your pelvis, drawing a circle in the air. This exercise is performed both clockwise and counterclockwise. Fifteen times in one direction and the same in the other;
  • Finally, repeat the previous rotations with the pelvis, but with your legs slightly bent.
  • This set of exercises takes no more than five minutes and can be performed in a cramped office environment. In one eight-hour working day, it can be repeated three to five times.

    Description of pelvic varicose veins during pregnancy

    During the period of bearing a baby, the female body undergoes a serious “strength test”. All sorts of complications are common, one of the most common being varicose veins of the small pelvis during pregnancy.

    The insidiousness of the disease is that there are no external manifestations, unlike varicose veins of the lower extremities. The only symptom may be prolonged pain in the lower abdomen.

    The inconspicuous occurrence of the pathological process during pregnancy threatens rupture of the pelvic veins, bleeding and postpartum complications - anemia, painful bowel movements.

    • All information on the site is for informational purposes only and is NOT a guide to action!
    • can give you an ACCURATE DIAGNOSIS !
    • We kindly ask you NOT to self-medicate, but to make an appointment with a specialist !
    • Health to you and your loved ones!
    • Knowledge of the signs and causes of its occurrence, implementation of preventive measures, timely diagnosis and treatment will help to avoid the development and consequences of the disease.

      The exact causes of the disease have not yet been clarified. However, it has been established that the following factors undoubtedly influence the appearance of varicose veins in the pelvis:

    • hereditary tendency (weak vascular walls);
    • venous insufficiency;
    • relaxation of venous walls during hormonal changes in pregnant women;
    • a significant increase in blood volume during pregnancy, its strong pressure on the vessels, with the inability of the valve apparatus to cope with this volume - stagnation and reverse reflux of venous blood;
    • growth of the uterus during pregnancy and compression of other pelvic organs with impaired blood circulation in them;
    • features of intimate life, in particular contraception through coitus interruptus;
    • previous abortions, miscarriages and childbirth;
    • chronic inflammation in the genital area;
    • rapid increase in body weight, obesity;
    • lifting and carrying heavy objects, excessive physical activity;
    • long standing or sitting in a forced position, sedentary lifestyle;
    • smoking.
    • Pregnancy often reveals and aggravates previously hidden pathologies, including pelvic varicose veins. After childbirth, the body recovers, and varicose veins also recede.

      Symptoms of pelvic varicose veins during pregnancy

      There is no clear clinical picture of the disease. The main signs of the presence of varicose veins in the pelvis include:

    • causeless nagging pain in the lower abdomen, aggravated by exercise, often radiating to the perineum or lower back;
    • pain crises due to stress, overwork or hypothermia;
    • feeling of heaviness in the perineum and vulva;
    • discomfort and pain in the vulva and vagina during and after sexual intercourse;
    • protruding vein nodules in the buttocks, perineum and back of the thigh;
    • pain when urinating if the disease has spread to the bladder.
    • The appearance of such symptoms at any stage of pregnancy is a signal for consultation with a specialist.

      Until recently, pelvic varicose veins were often misdiagnosed and incorrect treatment was prescribed, including removal of the uterus with loss of the ability to reproduce.

      Now diagnostics have improved. If the patient complains of vague nagging pain, the gynecologist examines the pregnant woman’s legs to check for signs of varicose veins and, if necessary, refers her to a phlebologist for consultation.

      An accurate diagnosis is made based on the results of a comprehensive examination using instrumental methods:

      We talked about the most effective gels and ointments for varicose veins here.

      Varicose veins of the pelvis during pregnancy are divided into 3 stages according to the severity of the pathology during its development:

      The stage of the disease dictates the method of treatment: for primary and secondary varicose veins, drug therapy and therapeutic exercises are used, the third stage of varicose veins requires surgical intervention.

      Popular Misconceptions

      Varicose veins, like all common diseases, are surrounded by legends that are passed on from mouth to mouth among patients. These myths are far from safe, especially if patients try to arbitrarily adjust the treatment prescribed by the doctor or believe that after surgery, varicose veins are defeated forever and there is no need to worry about relapses of the disease.

      Only the legs suffer

      The belief that only vessels passing below the heart are susceptible to varicose veins is erroneous. All veins can dilate, but in high-lying vessels, pathology actually occurs less frequently.

      Constant movements of the arms also prevent varicose veins in the shoulder girdle, so here it appears last, after “capturing” the veins of the legs and pelvis.

      There are methods that cure the disease in one moment

      The assertion about the possibility of quick and absolute healing from the disease with the help of drugs, surgery or folk remedies is also unfounded.

      It is impossible to get rid of varicose veins forever; once they appear, the fight against relapses will be constant.

      After the disease stops, it can return again and recedes for a long period only if the necessary preventive measures are taken.

      The therapy is carried out by a gynecologist

      It is also not true that a gynecologist deals with the treatment of female varicose veins in the small pelvis.

      He can indeed be the first to diagnose varicose veins during a pelvic ultrasound, but then he will refer the patient for consultation and treatment to a phlebologist - a vascular surgeon.

      If the patient is pregnant, both specialists will observe her.

      How dangerous is the development of pathology?

      If signs of pelvic varicose veins appear in pregnant women, you should immediately consult a doctor. The development of the disease threatens with many unpleasant consequences:

      • dilation of the uterine veins prevents implantation of the embryo and normal formation of the placenta, posing a threat to pregnancy;
      • uteroplacental blood flow is disrupted, the baby does not receive the required amount of oxygen - this leads to chronic hypoxia of the developing fetus and even premature birth;
      • irritability and anxiety appear;
      • there is a fear of intimacy;
      • pathology may become a contraindication to natural delivery;
      • rupture of veins during defecation or labor, the occurrence of bleeding and anemia with vaginal varicose veins;
      • There may be obstacles to the next pregnancy and secondary infertility.
      • Varicose veins of the pelvis in pregnant women can only be treated conservatively; surgical intervention is unacceptable. Therapy promotes:

      • normalization of vein tone;
      • stimulation of trophic processes in tissues;
      • preventing stagnation in blood vessels, improving venous circulation, outflow of blood and lymph.
      • The treatment complex includes the use of compression products (elastic bandages, stockings), which are put on in the morning while still in bed, worn all day and removed only before bed, as well as physical therapy.

        Drug treatment is used only during exacerbations and includes the prescription of individually selected ointments, venotonics and other drugs to improve blood condition with minimal side effects.

        The effectiveness and need for drug therapy for pelvic varicose veins during pregnancy and after childbirth have not been fully studied. Doctors try to avoid prescribing pharmaceutical drugs to such patients.

        The following will help prevent the occurrence and complications of the disease:

      • refusal of self-medication and immediate contact with a phlebologist at the first signs of illness;
      • wearing compression stockings or tights;
      • contrast shower for the perineum - daily;
      • preventive measures before childbirth - healthy lifestyle; inclusion in the diet of products that promote quick and easy cleansing of the intestines - beets, prunes, fermented milk products, bran bread, as well as animal proteins to restore the walls of the veins; avoiding heavy lifting; sleep with your legs elevated on a pillow or bolster, after 30 weeks of pregnancy - rest on your side;
      • wearing compression stockings after childbirth for varicose veins during pregnancy.
      • Treatment for varicose veins of the small pelvis should be as gentle as possible and at the same time effective.

        Surgical intervention is impossible, and the use of medications during pregnancy is extremely undesirable.

        The best way to combat the disease is special gymnastics.

        It is performed in this order:

      • walking at a moderate pace - 1 minute;
      • walking with a high hip lift – 1 minute;
      • squats - feet together, arms forward;
      • bends forward - legs apart, arms apart;
      • diaphragmatic breathing in a supine position, hands on the stomach – 1 minute;
      • in the same position – bend your legs at the knees, spread and bring them together 5 times, then slowly raise your pelvis;
      • “walking” in a supine position – 1 minute, then 2 minutes – “bicycle”;
      • without getting up, simultaneous lifting of straight legs;
      • in the position on the stomach - spreading the legs to the sides;
      • arching the back up and down with support on the elbows and knees;
      • leisurely walking – 1 minute.
      • Therapeutic exercises will improve blood circulation and prevent the appearance and recurrence of varicose veins. Each of them needs to be done 5 times.

        The gymnastics complex is designed to optimally use the back, abdominal, pelvic and thigh muscles. Its systematic implementation prolongs remission and slows the progression of the disease, improves well-being and improves the quality of life.

        Pregnant women and women planning the birth of a baby need to know the characteristics of pelvic varicose veins. This information is especially relevant in case of hereditary predisposition to pathology.

        Read more about laser treatment for varicose veins here.

        Symptoms of esophageal varices in women are listed below.

        Caring for the condition of your body, preventive measures - gymnastics, swimming, long walks, proper nutrition - will help avoid the development of the disease and give birth to a healthy child.

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