Zabava-24.ru

Health of your feet

    • (Русский)
    • Home
    • Lower extremity pain
    • Varicose veins of the pelvis symptoms

Varicose veins of the pelvis symptoms

29 Sep 18

A Complete Review of Pelvic Varicose Veins

From this article you will learn: why varicose veins of the small pelvis are considered a separate disease, and not a type of varicose veins of the legs; who may get this disease and why. Manifestations and diagnosis of this pathology, how to treat it correctly, chances of recovery.

Varicose veins of the pelvis are weakening of the walls of the internal or external venous vessels of the pelvic region, leading to excessive expansion of their diameter (ectasia). Varicose veins are not able to ensure the outflow of blood from the pelvic organs, which leads to its stagnation and complete destruction of the vascular wall. The result is a disruption of the structure and functions of the female reproductive system.

The initial stages of the disease cause only minor discomfort in the external genitalia and lower abdomen. Women with advanced forms of pelvic varicose veins suffer from constant severe pain, various gynecological diseases, are infertile, and have a cosmetic defect in the form of convoluted dilated venous nodes on the perineum, labia or at the entrance to the vagina.

The disease can be completely cured, but lifelong prevention is necessary to prevent relapse. This problem is dealt with jointly by vascular surgeons or phlebologists and obstetrician-gynecologists.

Varicose veins of the small pelvis in men do not occur in the same form as in women. But a similar disease exists - varicocele. The mechanisms of occurrence and manifestations are similar to those of pelvic varicose veins. Vein dilatation occurs in the left testicle and along the spermatic cord due to the fact that blood stagnates in the left testicular vein. It is thrown back from the left renal vein, into which the testicular vein flows.

The essence of the pathology, how serious it is

The external and internal female genitalia are well supplied with blood. In order to ensure sufficient outflow of incoming blood, a powerful network of venous vessels is needed. Therefore, the venous system of the pelvis in women is well developed. Each vein has strong walls, is equipped with valves, and is connected to nearby veins. All this forms a smoothly functioning venous network of the pelvic region, which collects blood from the perineum, external reproductive organs (vulva, vagina), intrapelvic structures (ovaries, uterus), and transports it to the inferior vena cava.

Click on photo to enlarge

Varicose veins of the pelvis differ from healthy ones in that they:

  • Expanded in diameter;
  • Overflowing with blood;
  • Excessively crimped;
  • They have bag-like protrusions in the form of nodes;
  • Flabby and weak.
  • Pelvic veins affected by varicose veins can collect blood from the external genital and intrapelvic organs, but are not able to transport it normally to larger vessels (vena cava). This leads to the fact that the blood stagnates in the pelvis, and penetrating through the venous wall, it affects the tissues from which it should flow. They become swollen, congested, inflamed and lose their functions.

    But most of all, varicose veins of the small pelvis are dangerous:

  • Dishormonal disorders of the ovaries;
  • Uterine bleeding and menstrual disorders;
  • Infertility, threat of miscarriage and impossibility of natural childbirth;
  • The formation of blood clots in the lumen of varicose veins, which threatens their separation from the site of formation and migration to the heart and blood vessels of the lungs. This is the most dangerous life-threatening complication - pulmonary embolism (PE).
  • Pulmonary embolism

    Mostly, varicose veins of the pelvis occur in mature women:

    Mechanisms of varicose degeneration of the pelvic venous system:

  • (in 80%). They are the largest main veins that collect blood from the uterus and ovaries and carry it directly to the vena cava (right) or renal (left) vein. If a breakdown occurs in them, it completely blocks the venous outflow.
  • Uniform weakening or destruction of the venous wall of all pelvic veins - they all simultaneously expand and are unable to contract to move blood to the overlying sections.
  • The reverse flow of blood from the deep vein of the thigh into the superficial genital vein, which collects blood from the perineum and external genitalia, prevents outflow. As a result, the pressure in it increases, and its trunk and all tributaries expand.
  • The immediate reasons for the launch of these mechanisms may be:

  • Congenital weakness or dysplasia (underdevelopment) of the venous wall and valves.
  • Hormonal changes in the female body (puberty, pregnancy, menopause, dyshormonal ovarian diseases).
  • Frequent inflammatory processes, endometriosis, operations, adhesions in the pelvis.
  • Previous thrombosis and thrombophlebitis of the pelvic veins.
  • Hard physical labor.
  • Prolonged stay in a lying or sitting position.
  • Overweight.
  • Pregnancy and childbirth.
  • Regular interruption of sexual intercourse for many years, especially in the absence of orgasm.
  • Bends of the uterus posteriorly or anteriorly.
  • Pelvic tumors.
  • Prolapse of the uterus.
  • Causes of varicose veins of the pelvis in women

    Degrees of varicose veins - classification

    Based on anatomical characteristics (prevalence), varicose veins of the small pelvis are divided into three types:

  • Intrapelvic venous congestion;
  • Vulvar and perineal varicose veins;
  • Combined forms.
  • To reflect the nature of pathological changes, the disease is divided into three degrees:

  • The first is that the dilated vessels of any of the organ plexuses of the pelvis do not exceed 0.5 cm in diameter and are excessively tortuous.
  • The second is that the diameter of the veins increases to 1 cm, the process extends not only to the organ plexuses (uterine, ovarian), but also around them (periuterine tissue).
  • The third is expansion (ectasia) of more than 1 cm, affecting all vessels - intraorgan, periorgan, and main (trunk of the ovarian vein).
  • The higher the degree of the disease, the worse the dilated veins and the more severe the stagnation of blood in the pelvis.

    Characteristic symptoms

    Women with pelvic varicose veins note:

  • Constant or periodic pain in the lower abdomen, intensifying in the evening or after exercise, mainly in the second half of the cycle (closer to menstruation). At grade 3, the pain can be very severe.
  • Itching, burning, swelling and cyanosis of the genitals.
  • Painful periods and sexual intercourse.
  • Heavy menstruation and uterine bleeding, irregular cycle.
  • Inability to get pregnant.
  • Thickened, tortuous veins in the perineum and labia.
  • Frequent painful urination.
  • Pronounced manifestations of premenstrual syndrome.
  • Symptoms of varicose veins of the pelvis in women

    To confirm the diagnosis:

  • Ultrasound through the abdomen and through the vagina (transvaginally) using special sensors - Dopplerography and duplex angioscanning of the pelvic veins. The simplest and most informative method.
  • Endovascular phlebography is the introduction of X-ray contrast agents into the ovarian vein. Phlebography of the left testicular vein with filling of varicose veins with contrast agent
  • Computed tomography with contrast.
  • Diagnostic laparoscopy.
  • Varicose veins of the pelvis are jointly treated by vascular surgeons or phlebologists with obstetricians and gynecologists. According to modern ideas, treatment consists of the following areas:

  • Normalization of lifestyle;
  • Conservative drug treatment;
  • Compression and sclerosing therapy;
  • Surgery.
  • It is possible to cure varicose veins of the pelvis. To do this, specialists draw up an individual treatment plan, and sick women must adhere to treatment and preventive recommendations for life.

    1. Normalization of lifestyle

    Since an incorrect lifestyle is a prerequisite and direct cause of pelvic varicose veins, its normalization will help to cure:

  • Avoid prolonged standing or sitting (more than 2-3 hours without a break).
  • Avoid heavy lifting and strenuous physical work.
  • During the day, perform unloading exercises for the pelvis (exercises “birch tree”, “bicycle?”) or simply lie down for 10–15 minutes with the pelvis elevated above body level.
  • Reduce weight (if obese).
  • Do not take a hot bath, replace it with a contrast shower.
  • Stop drinking alcohol and smoking.
  • 2. Drug therapy

    Treatment of pelvic varicose veins of any degree is not possible without drug support. In the first degree, it is the main treatment measure; in the second and third, it complements complex treatment.

    The following drugs are used:

  • Phlebotonics - strengthen venous vessels (Detralex, Phlebodia, Venodiol, Normoven, Troxevasin).
  • Anticoagulants - thin the blood, facilitating its movement through the vessels (Cardiomagnyl, Clopidogrel, Trombonet, Warfarin).
  • Drugs that improve microcirculation (Trental, Pentoxifyline, Vazonit).
  • Additional groups of drugs are prescribed taking into account existing abnormalities in the body:

  • Preparations of female sex hormones (for dyshormonal disorders).
  • Painkillers and anti-inflammatory drugs (Ketoprofen, Ketonal, Diclofenac, Ibuprofen).
  • Hemostatics are hemostatic drugs for the treatment of uterine bleeding (Dicynon, Etamzilat, Sanghera, Tranexamic acid).
  • 3. Compression and sclerosing therapy

    One of the effective means in the treatment of varicose veins in the area of ​​the external genitalia and perineum is compression. The principle of this method is similar to the use of elastic bandages for varicose veins of the legs. External pressure (compression) of the superficial veins facilitates their emptying of blood. Special tights or shorts made of compression medical knitwear can create this effect. You can purchase them in specialized pharmacies, stores, and medical device stores, individually selecting the desired size and compression strength.

    Sclerotherapy is a puncture of a varicose vein with the introduction of special drugs into the lumen (Sclerovein, Fibrovein, Aethoxysklerol), which cause it to stick together. This treatment is carried out for external (subcutaneous) pelvic varicose veins without hospitalization. Internal veins can also be sclerosed, but this procedure is technically more complex and takes place in an operating room.

    4. Surgical treatment

    Varicose veins of the pelvis are best treated surgically when:

  • 2–3 degrees of ectasia;
  • Rapid progression of the disease;
  • Planning pregnancy;
  • Severe pain syndrome;
  • Constant uterine bleeding and other gynecological disorders.
  • The main types of operations for pelvic varicose veins:

    1. Laparoscopic – intra-abdominal surgery through abdominal punctures. The ovarian vein is ligated, divided, or removed. This prevents the backflow of blood through it.
    2. Endovascular - intravascular intervention performed through a puncture of the femoral vein. Using a special catheter under X-ray control, the ovarian vein is found and embolized - the lumen is blocked. Endovascular intervention
    3. Removal of varicose veins - altered saphenous veins are removed through small punctures or incisions in the skin, and the external genital vein is ligated at the point where it enters the femoral vessels.
    4. Gynecological interventions – removal of tumors, elimination of uterine flexures.
    5. If pelvic varicose veins are not treated at all, over time they expand even more (95%), which can lead to dangerous complications. In the remaining 5% - women with subcutaneous varicose veins of the perineum of 1-2 degrees, in whom it arose after childbirth, the pathology does not worsen, but will never go away on its own.

      If you treat the disease, you can achieve complete recovery (10–50% depending on the degree) or significant improvement (45–50%), especially if surgical methods are combined with conservative ones. But in any case, after complex treatment, lifelong prevention should be carried out, consisting of following lifestyle recommendations, periodic medication or compression support for weakened veins.

      How to choose a treatment method for varicose veins that is right for you? Read the article by a practicing phlebologist or request a free consultation by phone: +7 (499) 394-34-74.

      Ghost disease or pelvic varicose veins: symptoms and prevention

      Pelvic varicose veins (PVV) or chronic pelvic pain syndrome is still an exotic disease with unclear diagnostic boundaries for many doctors.

      This explains the fact that some doctors “do not notice” this disease in their patients for a long time, while others make this diagnosis for almost every second person suffering from constant unexplained pain in the lower abdomen.

      Meanwhile, the quality of the patient’s future life, his ability to enjoy the intimate side of relationships with a loved one and the opportunity to continue his family largely depend on the timely detection of pelvic vein varicose veins.

      Description of the disease, its prevalence, statistical data

      The phenomenon of chronic pelvic pain has been known to doctors for a long time. But only relatively recently has its most probable cause become known - varicose veins of the small pelvis. This disease was first described in 1975 and is still not well understood.

      It is most likely that this pathology develops according to the following algorithm:

    6. The venous plexus in the pelvis is a complex formation that includes both large vascular trunks and smaller veins extending from them. At the same time, the venous system of the pelvis in men and women differs in its structure, which determines the gender specification of the disease - ARVMT is much more common in the fairer sex .
    7. Due to compression of blood vessels, complete or partial blockage of the venous bed, changes in the tone of the vascular walls, the outflow of blood from the deep pelvic veins is disrupted.
    8. As a result, the veins cease to perform their functions in full: the insufficiency of the venous valves progresses and the normal outflow of blood is disrupted.
    9. In the pelvic veins, stagnation begins, associated with the reverse flow of blood through the vessels - this provokes dilation of the veins and the development of varicose veins.
    10. The leading symptom is pain, which is recorded in more than 90% of patients . But the prevalence of this disease among the population has not yet been clarified: according to various studies, it ranges from 6 to 80%. Such a large discrepancy in “indications” is explained only by the insufficient qualifications of diagnosticians when making a diagnosis.

      Causes and risk factors

      The causes of pelvic varicose veins are any changes in the body that can trigger the launch of the pathological mechanism of this disease:

      • inguinal hernia
      • tumor in the pelvis
      • increased abdominal pressure due to constipation
      • pregnancy and childbirth
      • gynecological diseases (flexed uterus, ovarian cysts)
      • connective tissue diseases, in particular dysplasia
      • congestion in the pelvic vessels associated with inadequate sexual life
      • hereditary predisposition and congenital weakness of the venous walls
      • long-term use of oral contraceptives
      • tendency to form blood clots
      • Increased risk factors for ARVMT are:

      • strenuous physical work;
      • insufficiently regular or unsatisfactory sex life;
      • abuse of interrupted sexual intercourse in intimate life;
      • a large number of pregnancies and births;
      • frequent gynecological diseases;
      • contraception using hormonal drugs;
      • hormonal imbalances in the body;
      • physical inactivity.
      • Classification and stages of varicose veins

        In the medical community, a conditional division of ARVMT according to the nature of the course is accepted into varicose veins of the perineum and external genitalia (for example, labia) and pelvic venous congestion syndrome. This classification does not have much practical significance, since in most cases both of these forms occur simultaneously in patients, as they provoke the appearance of each other.

        You can also find a classification of the disease according to the root cause of its occurrence. In this regard, HRVMT is divided into:

      • primary – caused by poor functioning of the venous valves;
      • secondary – develops as a complication of existing inflammatory, gynecological or oncological diseases of internal organs.
      • There is also an attempt to classify this disease based on the severity of the pathology. In this regard, there are 3 stages of pelvic varicose veins:

        What is the danger and what are the consequences?

        This type of vascular pathology cannot be called a deadly disease . If detected in time, it lends itself well to medical correction. But the problem is that it is not so easy to detect. Insufficient knowledge of the disease and low awareness of most diagnosticians play a role in this.

        So it turns out that patients suffer from this disease for years without even knowing it. Meanwhile, a number of irreversible changes occur in their body:

      • Varicose veins progress, adjacent areas are included in the pathological process - dilation of the veins of the reproductive organs (for example, varicose veins of the penis), perineum and lower extremities appears.
      • Persistent dysfunction of the internal genital organs appears, which can lead to infertility or the inability to carry a pregnancy to term in women.
      • Against the background of pain, various psycho-emotional disorders such as neurasthenia develop.
      • Due to chronic pain that worsens during intimacy, a person may refuse sex altogether.
      • The rarest and at the same time the most severe complications of pelvic varicose veins are vein thrombosis and pulmonary embolism. They occur in approximately 5% of cases, but are always deadly .
      • Typical symptoms of varicose veins and pelvic vessels that require visiting a doctor for treatment include:

      • Chronic pain . Pain sensations are most often localized in the lower abdomen, sometimes “radiating” to the groin and lower back. They intensify in the second half of the menstrual cycle in women, after sexual intercourse or prolonged standing.
      • Discharge from the genital tract . This is a typically “female” symptom. In this case, the discharge is normal in appearance and has no foreign odor. The patient is only alarmed by their unusually large number.
      • External signs of the disease - spider veins or increased venous pattern on the thighs, in the perineum - occur in approximately half of the patients. Men may experience slight dilation of the veins on the penis.
      • Menstrual irregularities in women and urinary disorders in patients of both sexes are rare and indicate an advanced form of the disease.
      • When to see a doctor and which one?

        Any of the above symptoms may be a reason to consult a doctor. You can’t hesitate in doing this , since it will take a lot of time to find out the true causes of discomfort and prescribe effective treatment.

        According to American researchers, in the early 2000s, only 2% of patients with ARVMT were initially given the correct diagnosis. Sometimes the consequence of a diagnostic error was the removal of the reproductive organs in women, although this could have been avoided if the most accurate methods for diagnosing pelvic varicose veins :

      • Ultrasound and Doppler examination of veins - makes it possible to suspect varicose veins;
      • Phlebography is an invasive study that allows you to accurately determine the presence and extent of the disease;
      • Laparoscopy is indispensable in the differential diagnosis of URVMT from gynecological diseases with similar symptoms (endometriosis, fibroids, colpitis).
      • Selective ovariography - studying the condition of the veins using the injection of a contrast agent, is considered the most objective diagnostic method.
      • Computer or magnetic resonance imaging makes it possible to clarify the details of the course of the disease and differentiate it from other non-gynecological pathologies with similar symptoms (articular diseases, Crohn's disease, etc.).
      • When treating ARVMT, the following tasks are set:

      • normalize vascular tone;
      • improve tissue nutrition;
      • prevent stagnation and possible complications.
      • Treatment of varicose veins of the pelvic vessels can simultaneously proceed in several directions, while surgical intervention is necessary only at stage 3 of the disease .

        What are the consequences of varicose veins of the pelvic organs: treatment, symptoms and photos of pathology

        Varicose veins of the small pelvis are a disease of today.

        Previously, when people led a more active lifestyle, such diseases were rare. Physical inactivity, working in an office at a computer, moving through transport - all this has led humanity to the need to solve new health problems.

        Varicose veins of the pelvis are a disease associated with decreased elasticity of the venous wall. There are different names for this disease: varicocele (occurs in both men and women), varicose veins of the small pelvis, chronic pelvic algia syndrome.

        The cause of this disease is often the backflow of blood into the pelvic vessels caused by compression by the enlarged uterus. This phenomenon often occurs during hormonal changes and during pregnancy.

        Sometimes this type of varicose veins can begin during puberty, because then hormonal changes in the body also occur, but, unlike the course of the disease in adulthood, it occurs in the absence of symptoms, the only one of which may be an increased amount of discharge from the genitals.

        Often with this disease, pain occurs in the lower abdomen when standing in an upright position; discomfort also occurs during physical activity and sexual intercourse. It is not uncommon for varicose veins of the pelvis to also cover the perineal area, vulva and gluteal region .

        Causes of the disease and risk groups

        Among the causes of pelvic varicose veins, the most common are changes in the ratio of hormones in the body and pregnancy. Today, this disease can lead to:

      • treatment with hormonal drugs;
      • use of hormonal contraceptives;
      • too frequent interruption of sexual intercourse as a method of contraception;
      • sexual dysfunctions – anorgasmia (lack of orgasm) and dyspaurenia (pain).
      • difficult, multiple births;
      • sedentary, sedentary work (or vice versa – excessive physical activity);
      • congenital pathologies of connective tissue (weakness of the walls of blood vessels and venous valves).
      • The issue of pelvic varicose veins during pregnancy should be discussed in more detail.

        The percentage of its manifestation during this period is far from low - varicose veins of the small pelvis occur in 30 percent of expectant mothers. Often pregnancy is a triggering event for pathology, and there are two reasons for this.

        If you suspect varicose veins, treatment with folk remedies will be the best solution in the initial stages of the disease. Read more in our article.

        What you need to know so that non-surgical treatment of varicose veins has the desired effect and does not lead to complications, read here.

        The first is a sharp increase in the level of female hormones. The second reason is compression of the venous walls by the uterus, which rapidly increases during pregnancy, which in turn leads to the formation of collateral blood outflow pathways with the participation of the gonadal vein system in this process.

        After childbirth, the pelvic veins go through a process of reverse involution, and the venous walls need to be restored.

        Symptoms of the disease

        Varicose veins of the pelvic organs have pronounced symptoms, the main ones are:

      • pain in the lower abdomen, radiating to the lumbosacral region (aching, can be of varying degrees of intensity depending on the state of the body);
      • clearly defined, acutely experienced premenstrual syndrome;
      • increased sensitivity of the perineum and vagina;
      • copious discharge from the genital tract;
      • menstrual irregularities;
      • in some cases there is a problem with urination;
      • a feeling of heaviness in the pelvis when staying in a static position for a long time.
      • In different cases, all symptoms or some of them may be observed, and they can also be expressed to varying degrees.

        Classification by degree of disease

        Degrees of varicose veins of the pelvis.

        There are three degrees of this disease, the measure of which is the width of the damaged veins in diameter and the location of the main disorders, venous ectasia:

      • 1st degree – the diameter of the vein is about 5 mm, which refers to any venous plexus of the pelvis, the course of the vessel resembles a corkscrew;
      • 2nd degree – veins reach from 6 to 10 mm in diameter with the total type of VR, scattered ectasia of the ovarian plexus;
      • 3rd degree – the vein diameter is more than 10 mm with the total type of VR, or the main type of parametric localization.
      • The above classification was proposed by A. Volkov. Depending on the degree of development of the pathological process, certain treatment methods are selected - from lifestyle changes to surgical intervention.

        In the first and second degrees, complete recovery is possible only with the help of so-called conservative treatment (use of venotonics, dietary changes, therapeutic exercises, use of anti-inflammatory drugs).

        In the third degree, it is often impossible to do without surgical treatment methods, such as ligation and embolization of large veins, venectomy.

        Methods for diagnosing the disease

        It is difficult to determine BP of the pelvic veins solely by analyzing patient complaints, because the symptoms are similar to many gynecological diseases. Thus, the following methods to more accurately diagnose this disease (carried out comprehensively):

      • examination of the pelvic organs;
      • Dopplerography of blood vessels to identify damage;
      • laparoscopy (it is possible to proceed to the next procedure – ligation of the ovarian veins);
      • ultrasound examination (using both transabdominal scanning through the abdominal wall and transvaginal scanning from the vaginal side);
      • X-ray examination - phlebography;
      • computed tomography (in cases where additional clarification is needed);
      • transuterine phlebography (penetrating diagnostic method).
      • The photo shows how pelvic varicose veins look during diagnostic examinations

        Such methods are used to definitely exclude the presence of other diseases, and an accurately established diagnosis prevents the danger of incorrect treatment based on an inaccurate diagnosis.

        When taking measures aimed at combating this disease, it should be remembered that the presence of varicose veins of the pelvic organs may be a signal of a predisposition to varicose processes, and accordingly adjust your lifestyle and lifestyle.

        Main objectives and general picture of treatment

        Taking into account the characteristics of this disease, the objectives of all treatment methods for pelvic varicose veins are as follows :

      • bring the tone of the venous walls back to normal;
      • prevent congestion in the pelvic vessels, prevent relapses;
      • if possible, improve the condition (trophism) of tissues.
      • In accordance with these objectives, a number of actions have been developed aimed at treating this disease: special diets, therapeutic exercises, special medications, wearing compression underwear (stockings and tights of a specific design). In general, drug treatment combines the use of ointments for VR veins and venotonic drugs.

        Other treatment methods are described in more detail below.

        Conservative treatment

        Conservative treatment for varicose veins of the small pelvis involves the gradual elimination of the symptoms of the disease by making adjustments to everyday life - establishing a balance between activity and rest, taking into account biorhythms, proper nutrition, the use of special types of physical activity and monitoring the time that the patient spends in an upright position.

        Additionally, treatment with phleboprotectors (Detralex, Venoruton) and gestagen-containing substances is recommended. Recently, treatment with leeches ( hirudotherapy ), which are placed in the coccyx area, has been very popular.

        Changing your diet involves eliminating foods high in saturated fats and alcoholic beverages. The preponderance in the diet should be in favor of foods high in fiber (vegetables, fruits, cereals), healthy fats (vegetable oils).

        The diet for varicose veins completely excludes the consumption of spicy and very salty foods. Quitting nicotine use is also highly desirable.

        Gymnastics, recommended exercises

        The most recommended gymnastic exercise is a complex performed while lying down.

        It includes such well-known exercises as “birch”, “bicycle” and “scissors”, in which the legs are actively developed, but the lumbar region is not overloaded.

        Such exercises provide a rush of blood, which leads to the elimination of stagnant processes.

        Surgical intervention

        Surgical intervention is a last resort measure, which is used in cases where the disease is very advanced and there is a predisposition to varicose veins. Surgical intervention is selected depending on the location of the main disorders, and involves the following procedures:

      • ligation of the ovarian vein;
      • Troyanov-Trendelenburg operation (crossectomy) - in case of damage to the veins of the lower extremities.
      • If there is a need for surgical intervention, the selection of appropriate actions is very individual, since everything depends on the location of the lesion.

        Relapse Prevention

        The best preventive measures for pelvic RV may be:

      • healthy eating after recovery;
      • reasonable distribution of workloads, normalization of working conditions;
      • a measured daily routine, minimizing stress (an important factor affecting hormone levels);
      • moderate sexual activity (gentle methods of contraception);
      • prophylactic administration of venotonics in a course every 2-4 months.
      • Criteria for the effectiveness of treatment of ARVMT

        Criteria for the effectiveness of treatment of this disease include:

      • elimination of symptoms of VR of the pelvic veins;
      • according to research data - indicators indicating an improvement in venous drainage;
      • prolonged remission of the disease;
      • improvement of lifestyle as a result of conservative treatment methods;
      • improving the appearance of the skin over the damaged areas;
      • normalization of hormonal processes.
      • Effective treatment of pelvic varicose veins has a positive effect on both the physiological and psycho-emotional state of the patient.

        Among the complications of varicose veins of the small pelvis, the following may occur:

      • dysfunctional uterine bleeding;
      • infectious diseases of the uterus and its appendages;
      • inflammatory processes of varying severity;
      • bladder diseases;
      • thrombosis of the pelvic veins (severe, rare complication - observed in 2-3 percent of all cases of the disease);
      • gynecological diseases as a result of the inflammatory process;
      • pain experienced during sexual intercourse in the presence of this disease can lead to vaginismus and subsequent aversion to intimate life.
      • women aged 25 to 45 turn to a specialist with similar symptoms and manifestations. During menopause, varicose veins of the pelvic veins are more complicated, and the likelihood of complications is higher.

        Thus, the disease, being a consequence of the wrong lifestyle of a modern person, significantly affects its quality. Timely and adequate treatment can slow down the development or cure the disease completely.

        That is why it is important to pay attention to the symptoms of this disease in time and consult a doctor.

        Varicose veins of the pelvis - symptoms and treatment in women

        Varicose veins of the pelvis in women are provoked by a phenomenon such as the reverse flow of blood through the ovarian vein, which occurs against the background of compression of blood vessels.

        The trigger mechanism for the development of the disease is considered to be pregnancy, namely the hormonal changes observed during this period and the growing pressure of the uterus on the pelvic vessels.

        This type of varicose veins is manifested by prolonged and intense pain in the lower abdomen, usually appearing after constant heavy physical exertion or before menstruation.

        Why do varicose veins of the small pelvis occur, and what is it? In most cases, this disease is diagnosed in women, and most often this disease is found in patients aged 25 to 45 years.

        Quite often, such patients first try to cure varicose veins on their own - folk remedies that are used without prescription and consultation with a specialist can lead to unwanted side effects, so you still have to contact a phlebologist.

        Factors that provoke the development of this disease include:

      • Sedentary lifestyle.
      • Unbearable physical activity.
      • Hormonal problems.
      • Inflammatory diseases of the pelvic organs.
      • Congenital pathologies of vascular walls - underdevelopment, aplasticity, weakness.
      • Problems of a sexual nature - anorgasmia, pain and discomfort during sexual intercourse, having a psychological origin, often practiced interrupted sexual intercourse.
      • Varicose veins in the pelvis are very similar to varicose veins in the legs. In both cases, the valves in the veins that help blood flow to the heart are affected. The function of the valves to prevent backflow of blood is impaired. When the valves collapse, blood stagnates in the veins. Veins that become engorged with blood stretch and further increase congestion. Pelvic venous congestion syndrome develops mainly near the uterus, fallopian tubes, vulva and even vagina.

        Symptoms of varicose veins of the pelvis

        A number of symptoms may indicate the presence of pelvic varicose veins in women. The most important of them are causeless pain in the lower abdomen, pelvic area, often radiating to the lumbar region or perineum. Also, a woman may be bothered by copious mucous discharge from the genitals, especially in the second half of the menstrual cycle.

        In addition to the main ones, there are also other, no less important symptoms of varicose veins of the pelvic organs in women:

      • Dysmenorrhea. The appearance of pain during menstruation.
      • In some cases, the function of childbirth is impaired.
      • Pain irradiation to the sacrum and lower back, as well as to the groin area.
      • A noticeable occurrence of so-called premenstrual syndromes.
      • The appearance of a pain crisis (as a consequence of psycho-emotional stress, physical fatigue, hypothermia of the body).
      • The phenomenon of dyspareunia (the appearance of an uncomfortable feeling in the vulva or vagina, both during intimacy and after it).
      • The occurrence of pain in the abdominal area after prolonged exercise (both static and dynamic).
      • If you encounter these symptoms, you should immediately consult a specialist. Since this disease can have many unpleasant consequences:

      • the activity of the organs of the reproductive system is disrupted;
      • varicose veins may be a contraindication to natural childbirth;
      • there is a feeling of anxiety and irritability;
      • fear of sexual relations appears.
      • It is also worth noting that the above symptoms can be expressed in different ways (weaker or stronger); some women have all the signs of the disease, while others have 1-2 of them.

        To make a correct diagnosis, a woman undergoes a full comprehensive examination.

        When a patient complains of pain arising for an unknown reason, the doctor first determines all the factors that caused the pain syndrome. The patient's legs are carefully examined. This way you can detect the appearance of varicose veins. In special cases, a consultation with a vascular doctor is carried out.

      • Laparoscopy. Varicose veins are detected in the ovarian area.
      • 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.
      • Selective ovariography. The most accurate research. It is performed by introducing contrast through the femoral and subclavian veins.
      • CT scan . Allows you to exclude pathologies, identify varicose veins in the uterus and ovaries, and show their tortuosity and dilation on the screen.
      • The use of such methods makes it possible to more accurately determine the symptoms of the disease.

        To standardize diagnosis and attempt a differential approach to treatment, A.E. Volkov classified pelvic varicose veins depending on the diameter of the dilated vessels and the localization of venous ectasia.

        There are 3 degrees of this disease:

      • 1st degree - vein diameter up to 5 mm (any venous plexus of the small pelvis), “corkscrew-shaped” course of the vessel;
      • 2nd degree - vein diameter 6-10 mm with total type of varicose veins, loose ectasia of the ovarian plexus (pl.pampiniformis ovarii), VR of the parametric veins (pl.uterovaginalis), VR of the veins of the arcuate plexus of the uterus;
      • Grade 3 - vein diameter >10 mm with total type of VR or main type of parametric localization.
      • Depending on the severity of the pathological process in the pelvis, it is possible to use conservative treatment methods and surgical interventions.

        Treatment of varicose veins of the small pelvis

        If a woman has been diagnosed with pelvic varicose veins, treatment is aimed at achieving the following goals:

        1. Stopping reverse blood flow through the veins of the ovaries.
        2. Normalization of vein tone, improvement of blood supply to tissues.
        3. Relieving symptoms: pain, bleeding, and so on.
        4. ARVMT therapy includes two main components:

        5. A course of medications for exacerbations.
        6. Constant use of physical therapy to prevent relapses.
        7. For varicose veins of the pelvic veins of 1st or 2nd degree, as a rule, conservative treatment methods are used (venotonics, nonspecific anti-inflammatory drugs, physical therapy). Conservative treatment for pelvic venous congestion syndrome is symptomatic, including normalization of working and rest conditions with the exception of significant physical activity and prolonged stay in an upright position.

          It is worth understanding that even the highest quality treatment does not make it possible to completely cure varicose veins of the small pelvis. But, nevertheless, adequate therapy allows you to get rid of most of the clinical manifestations and significantly improve the patient’s condition.

          Conservative treatment

          Due to the internal location of the veins affected by the disease, medications are prescribed orally; it is not possible to use venous gels and ointments. The following means are used:

        8. Diosmin (detralex, phlebodia) - to eliminate increased elasticity of blood vessels, reduce their permeability, and prevent fragility;
        9. Horse chestnut extract (escusan) – to relieve swelling and inflammation;
        10. Troxerutin (troxevasin) – to improve the outflow of blood from damaged vessels, increase the tone of the veins, reduce swelling and inflammation;
        11. Vitamin C (ascorutin) – to strengthen the walls of blood vessels.
        12. Experts recommend combining drug therapy with physical therapy and wearing special compression garments. There is a special need for compression garments during pregnancy.

          Surgical intervention

          Surgery is a last resort measure, which is used in cases where the disease is very advanced and there is a predisposition to varicose veins. Surgical intervention is selected depending on the location of the main disorders, and involves the following procedures:

        13. ligation of the pudendal vein (often in combination with perineal miniphlebectomy);
        14. If there is a need for surgical intervention, the selection of appropriate actions is very individual, since everything depends on the location of the varicose veins.

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

        15. From a standing position, with your feet parallel, rise onto your toes and lower yourself. Repeat up to 30 times.
        16. From a standing position, heels together, toes apart. Rise on your toes and lower yourself up to 30 times.
        17. Stand straight, spread your heels apart, pointing your toes together. Rise on your toes up to 30 times.
        18. 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.

        The most popular and famous folk remedies:

      • Kombucha (chaga) infusion.
      • Tincture of horse chestnut fruits for oral administration.
      • Treatment with leeches, which are placed on the area of ​​the sacrum and coccyx.
      • An infusion of dandelion root or an herbal mixture based on dandelion root. It has a venotonic effect.
      • Diet also plays a significant role in the treatment of varicose veins - nutrition should be balanced and contain a sufficient amount of animal proteins and plant fiber.

        Also follow a few simple recommendations that will not only serve as a preventive measure for ARVMT, but will also improve the general condition of the body:

      • Wear special therapeutic tights.
      • Do breathing exercises daily.
      • Take a contrast shower, paying special attention to the hips, perineum, and lower abdomen.
      • During sedentary or standing work, take breaks, walk for 5-10 minutes every 1-2 hours.
      • Add more vegetables containing plant fiber and vegetable oil to your diet. Avoid spicy, salty, and foods that can cause constipation.
      • The most common complications of this disease are:

      • diseases of the uterus and appendages of an inflammatory nature;
      • bladder diseases;
      • uterine bleeding.
      • In conditions of impaired venous outflow, there is a risk of developing pelvic vein thrombosis. But the frequency of this type of complications does not exceed 3-5%.

        Treatment and symptoms of varicose veins of the pelvis

        Pelvic varicose veins (PVVV) is a fairly common disease, especially in women. But due to the ignorance of many doctors about the features of this disease, the diagnosis is rarely made, and the diagnosis of the disease is considered almost “clinically exotic.” Due to the variety of symptoms and the dominance of pain syndrome, ARVMT is often disguised as gynecological inflammatory and hormonal diseases, pathology of the urinary system (cystitis), surgical diseases (colitis and Crohn's disease), lumbar radiculitis and even diseases of the hip joint.

        The frequency of ARVMT is 5.4 – 80%; such a wide range is due to the ambiguity of diagnosis and treatment principles. The incidence of this pathology increases with age; in teenage girls (under 17) the percentage of the disease reaches 19.4, while in perimenopause the prevalence of ARTVMT increases to 80%. Most often, URVMT is diagnosed in women of childbearing age.

        It should be noted that this pathology often occurs during pregnancy; in approximately 30% of expectant mothers, the disease is diagnosed after the 8th week of gestation.

        Let's define the terms

        Most women know about the existence of such a disease as varicose veins of the lower extremities. Unlike ARVMT, varicose veins of the legs can be seen, since dilated veins, as a rule, are located under the skin (there is also an expansion of deep veins) and are clearly visible.

        Varicose veins of the small pelvis are the pathology of veins located deep in the pelvis; accordingly, they are not visible to the eye, and it is difficult to suspect the disease. With ARVMT, the architectonics (structure of the venous wall) of the veins is disrupted, their elasticity decreases, as a result of which venous blood stagnates in the pelvis. In other words, the pelvic veins become clogged, swollen, and the outflow of venous blood is disrupted, which leads to venous congestion.

        VRVT is also called pelvic venous congestion syndrome. In some sources you can find the term “varicocele in women,” which is not entirely correct. With varicocele, the process involves the veins of the spermatic cord and testicle, which are present only in men, but according to the mechanism of development and symptoms, the disease is similar to VRVT.

        Also, a number of authors call ARVMT a syndrome of chronic pelvic pain, which is also incorrect. This syndrome can be caused by many reasons (gynecological, urological diseases), including varicose veins of the pelvic veins.

        Causes and mechanism of development

        To date, it has been proven that URVMT is caused by the expansion of the ovarian plexus of veins and veins of the broad uterine ligament. And the mechanism for the development of the pathology lies in the insufficiency of the valves of the ovarian veins, which leads to the return of blood (reflux) and provokes an increase in venous pressure and the development of venous stagnation in the plexuses of the pelvic veins. Against the background of impaired venous blood flow, collateral (additional) blood circulation pathways develop in the main veins.

        Also, the level of hormones, in particular the level of progesterone, plays an important role in the development of the disease. Progesterone, a pregnancy hormone, reduces the tone of the smooth muscles of not only the uterus (preventing miscarriage), but also the vascular wall, which causes their dilatation (expansion) and venous stagnation. In addition, as pregnancy progresses, the growing uterus begins to compress large vessels of the retroperitoneal space (inferior vena cava and iliac vein), which stimulates the formation of collaterals. Therefore, IDU is much more common in expectant mothers than in all other women.

        The hormonal theory of pathology development is confirmed by the detection of ARVMT in girls of puberty, when hormonal surges associated with puberty are noted. Of all the signs of pelvic varicose veins in girls, only one is noted - an increase in vaginal leucorrhoea.

        Another trigger for the development of pathology is connective tissue dysplasia, which occurs in approximately 35% of people. Against the background of dysplasia, a lack of collagen is found in the vascular wall, which ensures the elasticity and strength of blood vessels. In extreme cases, there may be no collagen at all. Systemic damage to connective tissue explains the frequent combination of pelvic varicose veins with varicose veins of the legs and hemorrhoids.

        Provoking factors

        The following factors predispose to the development of ARVMT:

        Increased blood volume in the vessels, increased progesterone content, and a growing uterus - all this leads to dilatation of the pelvic veins and compression of the great vessels.

      • Congenital connective tissue dysplasia
      • Reduced vascular tone and underdevelopment of venous valves lead to increased tortuosity and fragility of the veins.

        Increases the load on the female body, including the blood vessels, several times.

      • Multiple births and complicated births
      • Prolonged labor or childbirth with a large fetus, anomalies of labor forces, as well as a large number of births contribute to disruption of blood flow in the pelvic veins, in the veins of the lower extremities and hemorrhoidal plexuses.

        Both “sedentary” and “standing” work, due to constantly occurring physical inactivity, cause venous stagnation.

      • Strenuous exercise and heavy lifting
      • Gynecological pathology
      • This group includes inflammatory diseases of the uterus/appendages, tumors (fibroids, cysts and ovarian neoplasms) and endometriosis.

        The posterior bending of the uterus causes a bend in the broad uterine ligament, which disrupts the venous blood flow in it, and then in the veins of the pelvis.

      • Hormone treatment and hormonal contraception
      • The effect of hormone replacement therapy and COCs is confirmed by the following fact: in postmenopause, the severity of the manifestations of ARVMT decreases.

        With anorgasmia (lack of sexual satisfaction), blood stagnation occurs in the pelvis, which over time transforms from sexual frustration into varicose veins of the pelvic veins. Venous congestion also provokes dyspareunia (pain during and after sexual intercourse). Interrupted sexual intercourse also has an adverse effect on the venous blood flow of the pelvis. Women whose partners adhere to this method of contraception are more likely to experience ARVMT (due to the same anorgasmia).

        Depending on the clinical manifestation, there are 2 forms of pelvic vein varicose veins:

      • dilation of the vulvar veins (in severe cases, extends to the inner thighs and perineum);
      • venous congestion syndrome.
      • Both forms exist simultaneously, only the symptoms of one of them are more pronounced. A vicious circle is formed - dilated vulvar veins lead to disruption of venous outflow in the pelvis, and dilatation of the pelvic venous plexuses causes dilation of the vulvar veins.

        Expectant mothers more often experience dilation of the veins of the vulva; the pathology may disappear on its own after delivery, but persists in 2–10% of cases.

        Classification by A. Volkov (according to the degree of venous expansion):

      • 1st degree – veins in diameter do not exceed 5 mm, the course of the vessels is tortuous (corkscrew-shaped);
      • 2nd degree - the diameter of the vessel is 6 - 10 mm, varicose veins can be observed completely, or observed only in the ovarian plexuses, veins of the parametrium or myometrium;
      • Grade 3 – exceeds 10 mm in diameter.
      • Symptoms of varicose veins of the small pelvis in women are very diverse and are often disguised as diseases of adjacent systems and organs. As already indicated, the disease can occur with a predominance of manifestations of one or another clinical form.

        Symptoms of vulvar varicose veins

        The main sign of this form is a clear expansion of the veins in the area of ​​the vulva and/or perineum, which the woman herself sees. A woman complains of itching and discomfort of the vulva, a feeling of heaviness or bursting pain in this area. A gynecological examination reveals swelling and swelling of the labia, enlarged and dilated veins on their surface, in the perineum and buttocks, and in most cases hemorrhoids.

        There is a high probability of either spontaneous or post-traumatic bleeding (after coitus or childbirth). Since the venous wall is significantly thinned, it is quite difficult to perform hemostasis (stopping bleeding) even using surgical methods (ligation of damaged veins or clamping them).

        A complication of this form is acute thrombophlebitis of the perineal veins. In this case, very severe pain appears, the skin of the perineum turns red and swells. The veins at the site of thrombosis thicken and become painful. Venous thrombosis is accompanied by inflammation (phlebitis), which is accompanied by an increase in temperature (up to 38 degrees) and intoxication syndrome (weakness, loss of appetite).

        Symptoms of venous congestion syndrome

        Pain syndrome comes first in this form. What pain occurs with varicose veins of the small pelvis? The nature of the pain is constant, it is localized in the lower abdomen and has varying intensity and character (pulling, aching, dull, bursting, moderately or significantly pronounced).

        The pain can radiate to the lumbar and sacral area, to the perineum or to the groin. A characteristic feature of pain in pelvic venous congestion is that it intensifies after prolonged exposure to a stationary position (sitting or standing), as well as after performing physical work and lifting heavy objects.

        Pain during and after sexual intercourse

        The disease is also characterized by dyspareunia, and pain can appear both during and after sexual intercourse. Dyspareunia provokes the development of vaginismus and fear of coitus. There is increased sensitivity (hyperesthesia) of the skin of the perineum and vaginal mucosa.

        Premenstrual syndrome

        Another sign of this form is premenstrual syndrome, the manifestations of which are pronounced, and increased pain occurs in the second phase of the cycle (starting from day 14).

        Painful menstruation and cycle disorders (dysmenorrhea), and an increase in the volume of vaginal discharge also occur.

        Urinary disorders

        In some cases, there are urinary disorders (painful and frequent), which is associated with venous congestion of the bladder.

        Violation of the usual way of life, sexual dissatisfaction, and constant family conflicts worsen the psycho-emotional state of a woman and lead to the development of neuroses and depression.

        Diagnosis of pelvic varicose veins is very complex and should be carried out with the participation of a gynecologist and phlebologist. All diagnostic measures are divided into Non-invasive and invasive.

        Gynecological examination

        It is carried out without fail, but only allows one to suspect varicose veins of the small pelvis. An external examination reveals thickened and dilated veins on the labia, perineum and inner thighs. Examination in a gynecological speculum allows one to see cyanosis (blueness) of the vaginal walls, and palpation reveals pastiness (smoothness) and pain in the vaginal vaults. Pain also occurs when palpating the appendages, uterine ligaments, and when displaced behind the cervix.

        It is preferable to perform a combined ultrasound simultaneously with transabdominal (through the abdominal wall) and transvaginal (through the vagina) sensors using Doppler ultrasound. This study allows us to identify not only the organic pathology of the uterus and appendages, but also to “see” conglomerates of varicose veins, assess the blood flow in them and its speed, and determine pathological reflux.

        These diagnostic methods make it possible to exclude organic pathology of the pelvic organs and confirm the presence of varicose conglomerates in the uterus, its broad ligament and in the ovaries.

        The gold standard for vascular examination is an X-ray examination with the introduction of a contrast agent (angiography):

        Over-uterine venography

        Injection of contrast into the uterine muscle in the area of ​​its fundus via the intracervical route, followed by X-ray examination.

        Selective ovariography

        Contrast is injected into the ovarian veins.

        It is performed for vulvar and perineal varicose veins; contrast is injected into the veins of the perineum.

        It is carried out for differential diagnosis and identification of concomitant diseases that complicate the course of ARVMT. In some cases, diagnostic laparoscopy turns into therapeutic laparoscopy - the veins of the ovaries are ligated.

        Treatment of ARVMT should be comprehensive and include basic therapy, medication, and, if indicated, surgical intervention.

        The basis of any treatment is a regimen and proper nutrition. First of all, patients with ARVMT should resolve the issue of working conditions. If possible, the employee is transferred to a job that excludes heavy lifting and significant physical activity. In the case of sedentary or standing work, you should take short breaks every 30 minutes and perform simple exercises (walking in place, squatting, raising your knees high). The same principle should be followed in your free time.

        It is also necessary to reconsider nutrition. Refractory fats (lard, fatty meats), spicy foods, seasonings, marinades, smoked meats and pickles, alcoholic beverages, and smoking should be excluded from the diet. Diversify the menu with a large number of fresh vegetables and fruits, vegetable oils (a source of vitamin E - an antioxidant), and cereals.

        Patients with varicose veins of the pelvic veins are recommended to wear compression underwear - stockings or tights, which normalize blood flow in the vessels and eliminate venous congestion.

        In addition, patients with ARVMT need to do gymnastics daily, doing:

      • exercise “birch tree”;
      • exercise "bicycle";
      • scissors exercise;
      • exercise in a supine position - stretch your legs, then bend your knees and pull them towards your chest;
      • exercise in the position on the stomach - alternately lifting the top of one leg and then the other;
      • walking around the room: on your toes, on your heels, and then with your knees raised high (at least 15 minutes);
      • while lying on your back, raise your straightened legs, bend your knees and hip joints and straighten them upward again.
      • To prevent relapses, swimming, jogging, and cycling are recommended.

        A daily contrast shower of the inner thighs, perineum and lower abdomen is useful.

        Drug treatment

        Pharmacological drugs for this disease are prescribed in courses and include the following pharmacological groups:

      • phleboprotectors (have an anti-inflammatory and anti-destructive effect, reduce vascular permeability, improve lymphatic drainage);
      • phlebotonics (normalize the tone and increase the elasticity of the venous wall, improve rheology - blood fluidity);
      • antiplatelet agents (prevent thrombus formation): trental, aspirin, pentylyl;
      • NSAIDs (ibuprofen, nise) – relieve pain and have an anti-inflammatory effect;
      • enterosorbents (bind toxins in the intestines): activated carbon, smecta, polysorb;
      • antioxidants and membrane protectors (prevent oxidation, eliminate free radicals, support the functioning of cell membranes, cell division and energy processes): vitamins C and E, ubiquinone, lycopid.

      Phlebotonics and phleboprotectors recommended for use:

    11. Detralex – increases the tone of the venous wall and normalizes lymph outflow, duration of use – 6 months;
    12. phlebodia 600 - reduces the distensibility of veins, eliminates venous congestion, normalizes lymphatic drainage and improves microcirculation, has an anti-inflammatory effect - take for 2 - 4 months;
    13. troxevasin (available both in tablets and as an ointment), taken for up to 3 months, as a local treatment - treat the vulvar and perineal veins;
    14. aescusan (available in drops);
    15. venoruton;
    16. antistax;
    17. vaseket.
    18. Surgery

      Surgical treatment of varicose veins of the pelvis is carried out according to strict indications:

      • ineffectiveness of conservative therapy;
      • 3 degree of disease;
      • inability to relieve pain.
      • Various surgical techniques are used depending on the location of reflux and venous conglomerates:

      • ligation of the ovarian vein (through retroperitoneal access or laparoscopy);
      • scleroobliteration of ovarian veins under the control of hagiography (a sclerosing substance is injected into the lumen of the vein, the operation is performed under local anesthesia);
      • resection (partial removal) of ovarian veins through retroperitoneal or laparoscopic access;
      • clipping of ovarian veins laparoscopically;
      • phlebectomy (removal of veins) for vulvar and perineal varicose veins;
      • laser and radiofrequency coagulation;
      • crossectomy - ligation of the great saphenous vein and its tributaries - with a combination of varicose veins of the perineum and lower extremities.
      • Is it possible to use traditional methods of treatment for varicose veins of the pelvic veins?

        Yes, the use of traditional methods of treatment is allowed as an additional therapy to drug and basic treatment. Taking infusions of horse chestnut, birch mushroom (chaga) and dandelion root is effective.

        What are the dangers of this disease?

        Possible complications and consequences of ARVMT include: menstrual irregularities in the form of dysfunctional uterine bleeding, inflammation of the uterus, appendages and urinary tract. There is also a high risk of such a serious complication as pelvic vein thrombosis, which requires immediate surgery and infertility.

        I have significantly dilated veins in the vulva and perineum, I am 34 weeks pregnant with twins. How will I give birth?

        Considering multiple pregnancies and pronounced varicose veins, the doctor will most likely suggest a planned cesarean section, since the risk of possible damage to the veins during spontaneous childbirth and bleeding is very high.

        Is it possible to treat pelvic varicose veins with leeches?

        Yes, hirudotherapy is widely used for varicose veins of both the lower extremities and pelvic veins. Leeches for ARVMT are placed on the skin of the sacrum.

        Categories : Lower extremity pain

    Socks for legs with varicose veins

    Lower back pain radiates to leg treatment

    Recent Entries

    • Feet with white spots itching
    • Tablets for varicose veins
    • Varicose veins first manifestations
    • Leg joint enlargement
    • Itchy veins on the legs

    Categories

    • Lower extremity pain
    • Diagnostics
    • Legs
    • Prevention
    • Adviсe
    • Treatment options
    December 2018
    Mon W Wed Thu Fri Sat Sun
    « Oct    
     12
    3456789
    10111213141516
    17181920212223
    24252627282930
    31  

    Archives

    • October 2018
    • September 2018
    • August 2018
    • July 2018
    • June 2018
    • May 2018
    • April 2018
    • March 2018
    Zabava-24.ru 2018 All rights reserved