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Varicose veins in the uterus

29 Jul 18

Varicose veins of the uterus

According to statistics, every third woman faces such a problem as varicose veins.

Varicose veins are a pathological dilatation of blood vessels, accompanied by impaired circulation of the affected area and valvular insufficiency of the veins. One of the subtypes of this disease is varicose veins of the uterus.

Uterine varicose veins are a disease that is difficult to diagnose, as it does not have characteristic symptoms. Often combined with varicose veins of the cervix and labia majora. Patients often consult a doctor suspecting other gynecological pathologies.

Symptoms are detected in women of reproductive age, but cases of the disease also occur among adolescents. The most common complaints are:

  • Pain of various types in the lower abdomen;
  • Menstrual irregularities;
  • Discomfort and/or pain during or after sexual intercourse;
  • Unpleasant sensations in the groin area after or during sports;
  • Pain when urinating with no kidney pathologies;
  • Sometimes there is increased sensitivity of the vaginal walls.
  • It is important to remember that in the first stage the disease is asymptomatic, pain appears in the second and subsequent stages. Although varicose veins in the uterus are not a life-threatening condition, the functioning of the reproductive system can be affected, leading to infertility.

    Causes of the disease. At-risk groups

    Causes of varicose veins in the uterus:

  • pregnancy (uterine blood flow increases, veins with a weaker muscular wall are stretched, the function of their valves is impaired);
  • physical activity with weights (blood flow to the pelvic organs increases);
  • frequent constipation (blood flow in the pelvic organs also increases as a result of increased intra-abdominal pressure);
  • long-term use of hormonal drugs (under the influence of estrogens, the walls of blood vessels lose their elasticity);
  • physical inactivity;
  • congenital changes in the anatomy of the uterus (for example, bending);
  • inability to experience orgasm;
  • hormonal imbalances.
  • Also at risk are women with a medical history of long-term inflammatory diseases of the pelvic organs . Women who have gone through difficult births and have repeatedly terminated their pregnancies.

    The disease is diagnosed using ultrasound of the uterus, which is performed intravaginally.

  • Dopplerography;
  • Computed tomography of the pelvic organs;
  • Ovaricography (performed using contrast).
  • During diagnosis, specialists are required to conduct a differentiated diagnosis with other gynecological pathologies: prolapse/prolapse of the uterus or vaginal tubes, endometriosis, inflammatory bowel processes and others.

    Features of pathology during pregnancy

    During pregnancy, the volume of blood flowing to the uterus increases, which, combined with the rest of the load on the body, can lead to varicose veins of the uterus. Such cases occur infrequently and mainly in women who become pregnant after 35 years of age.

    Unfortunately, if varicose veins occur on the uterus during pregnancy, the disease is practically untreatable.

    Sometimes, in especially severe cases, the patient undergoes a cesarean section, since childbirth with varicose veins of the uterus can cause serious complications with a high degree of probability:

  • Thrombophlebitis;
  • Placental dysfunction;
  • Internal bleeding;
  • Thrombosis of the uterine venous plexus, ovarian veins, etc.
  • How to treat varicose veins of the uterus?

    Regardless of whether the patient is pregnant or not, the gynecologist together with the phlebologist (a doctor who deals with vascular diseases) prescribes treatment measures. In case of pregnancy, the question of the method of childbirth is also decided after consulting a phlebologist: using ultrasound diagnostics, a specialist identifies the degree of vascular damage.

    In the absence of pregnancy and the initial stage of the disease, doctors prescribe conservative therapy, which includes:

  • Normalization of sleep and rest patterns;
  • Refusal of physical activity;
  • A diet rich in vegetables and fruits;
  • Inclusion in the diet of vegetable oils (olive, flaxseed), which are rich in vitamin E and prevent the formation of blood clots;
  • Rejection of bad habits;
  • Kegel exercises (to keep the muscles of the vagina and uterus in good shape);
  • Physiotherapeutic activities.
  • As a rule, venotonic medications are prescribed:

  • Troxerutin (capsules);
  • Anavenol;
  • Detralex et al.
  • Blood thinners are often taken with them (in the absence of contraindications from the cardiac system):

    Pregnant women are not prescribed medications, as there is a certain risk to the fetus, so pregnant patients are prescribed physical therapy, contrast showers, multivitamins, and compression garments that normalize blood flow.

    Whether a woman will give birth naturally or by caesarean section is decided by the patient herself after consultation with the attending physician.

    Surgical intervention

    If the pathology is detected at a late stage of the disease and conservative treatment has not brought results, doctors may resort to surgical treatment. The method of surgical correction is chosen by the doctor and the patient.

    Since there are many methods of surgical intervention, a specialist is able to select the least traumatic and most effective of them.

    Types of operations for uterine varicose veins:

  • Phlebectomy (removal of small varicose vessels through incisions);
  • Sclerotherapy (a special drug is injected into the damaged vein, the vessel sticks together and disappears over time due to the stoppage of blood circulation through it);
  • Laser coagulation (normalization of blood flow)
  • Radiofrequency coagulation;
  • If there are serious complications, they resort to removing the uterus without the ovaries, and sometimes together with them. After such a surgical intervention, the patient is prescribed hormone replacement therapy, which helps avoid early menopause.
  • As with any other disease, there is prevention against varicose veins of the uterus.

    Its main point is periodic medical examination. Monitoring is especially indicated for patients who are at risk or planning pregnancy in the near future.

  • Exercise moderately, do not overexert yourself;
  • To refuse from bad habits;
  • Follow a diet;
  • Avoid stress;
  • Take venotonic and blood thinning drugs (as recommended by a doctor);
  • Monitor your own well-being;
  • Have a regular sex life.
  • The prognosis of such a disease as varicose veins of the uterus is favorable in most cases. However, it cannot be completely cured, so a woman should follow preventive measures, see a doctor and not self-medicate.

    Varicose veins of the uterus: causes and treatment

    Swollen, blue veins in the legs are a condition that most often affects older people. Meanwhile, varicose veins can affect the veins not only of the thighs and legs, but also of the pelvic organs, in particular the genitals.

    Varicose veins of the uterus are a very serious pathology! If it is not recognized in time, it can cause complications such as thrombosis, amenorrhea, ovarian hypofunction, bleeding of varying severity, and infertility.

    Varicose veins of the uterus, the causes and nature of development, are characteristic of varicose veins of the lower extremities. This is a disease that can be caused by one of the following factors or their combination in various combinations:

  • genetic predisposition;
  • abortions;
  • use of hormonal contraceptives: spirals, tablets, rings, etc.;
  • menstrual irregularities;
  • frequent inflammations;
  • difficult labor;
  • pathology of venous valves.
  • The disease is characterized by signs and symptoms that should prompt a visit to the doctor.

    The main symptoms of varicose veins of the uterus:

  • Pain in the lower abdomen and lower back, reminiscent of menstrual pain, but more severe. In the first stages of the disease, they may not bother much and cause the patient to suspect the development of an inflammatory process, but if varicose veins start, they take on a chronic, exhausting character, knocking the patient out of her usual way of life.
  • Unpleasant sensations during sex, sometimes accompanied by the release of a small amount of blood.
  • Violation of the duration of the menstrual cycle: in some cases it can reach 1.5-2 months. The volume of menstruation becomes scanty, and their duration is noticeably reduced.
  • “Particular attention should be paid to these manifestations for women suffering from varicose veins of the legs - these two diseases often accompany one another. The risk category also includes those women whose mothers and grandmothers suffer from varicose veins.”

    Course during pregnancy

    A common factor that provokes the appearance of varicose veins of the uterus is pregnancy. This is a consequence of the fact that during pregnancy, the volume of circulating blood and lymphatic fluid in a woman’s body increases. The risk of the disease increases in proportion to the weight of the pregnant woman: it creates additional stress on the legs and pelvis, which leads to dilation of the veins in these organs. In addition, the likelihood of developing varicose veins increases with each subsequent pregnancy.

    Uterine varicose veins during pregnancy always cause justified concerns for the leading doctor, because this condition is fraught with a number of serious complications, such as placental insufficiency, ovarian vein thrombosis and thrombophlebitis. From the moment of diagnosis, a pregnant woman is under the supervision of not only an obstetrician-gynecologist, but also a phlebologist. The protocol for managing childbirth depends on their decision: if the disease progresses rapidly or there is the slightest suspicion of possible complications, they have the right to insist on abandoning natural childbirth and performing a planned cesarean section.

    “Varicose veins can pose a threat to the condition of not only the expectant mother, but also the fetus - it is always accompanied by poor circulation, which means it causes problems with the supply of nutrients. Therefore, if the attending physician insists on hospitalization in a hospital, you must follow his advice - under the round-the-clock supervision of specialists, the risks associated with the baby’s health are reduced significantly.”

    Diagnosis and treatment

    The diagnosis of “varicose veins of the uterus,” suspected by a gynecologist based on the patient’s complaints, must be confirmed by a phlebologist using intravaginal ultrasound. If the disease does occur, its treatment will depend on the severity.

    When varicose veins of the uterus are diagnosed, treatment should begin with complex therapy. In the initial stages, a woman is prescribed therapy aimed at strengthening the walls of the veins and thinning the blood. The complex of treatment methods includes: the use of ointments, creams and gels, taking courses of phlebotropic drugs, vitamin therapy, physical therapy, and physical treatment. During pregnancy, taking pills is permissible only in the early stages.

    Compression therapy is considered to be the best treatment for diseases of the veins and blood vessels. Therapeutic compression garments help improve blood flow from the legs to the heart. Daily wearing of compression garments improves the tone of the veins, reduces severe swelling, and protects against blood clots. Pregnant women need to wear such knitwear from the first days of pregnancy.

    Sclerotherapy is considered the fastest way to get rid of dilated veins on the genitals. An injection into a vein and it disappears. This occurs because the walls of the vein stick together in response to the drug. But this method is not affordable for everyone and has a number of contraindications. For example, sclerotherapy is prohibited for pregnant women!

    In addition, it is necessary to reconsider the lifestyle and menu.

    To prevent varicose veins, you must:

  • stop using tobacco and alcoholic beverages;
  • review and improve your diet: more fruits and vegetables, freshly squeezed juices, vegetable oils, and nuts should appear on the table;
  • Moderate physical activity is useful for varicose veins - breathing and gymnastics, leisurely walks in the fresh air;
  • a contrast shower and swimming classes contribute to a good therapeutic result;
  • a woman suffering from varicose veins must have compression underwear and tights in her wardrobe;
  • the patient will forever have to give up the habit of sitting cross-legged, wearing tight underwear, tight jeans, and high-heeled shoes that squeeze the legs.
  • Varicose veins are a condition whose treatment requires attention, patience and time. If it does not produce tangible results or the disease worsens, they resort to surgical methods to solve the problem, such as resection of the ovarian veins, and in the most severe cases, fraught with a threat to life, removal of the uterus.

    Traditional medicine is a real treasury of experience, and it has not avoided varicose veins. Below are several recipes that can alleviate the patient’s condition and minimize the manifestations and consequences of the disease:

    1. Nettle infusion: 2 tbsp. Pour boiling water over spoons of fresh or dried herbs, cool and consume 0.25 cups three times a day. The course of treatment is 2 months with a seven-day break.
    2. Chestnut alcohol tincture: 1.5 tbsp. spoons of horse chestnut flowers pour 0.5 liters of alcohol, let it brew for a week, stirring daily. At the end of the period, separate the contents of the jar from the sediment and take 1 tbsp. spoon 3 times a day before meals.
    3. Alcohol tincture of lilac flowers (100 g) and propolis (30 g). Pour the ingredients with 0.5 vodka, leave for a month in a cool and dark place. Drink 1 tbsp three times a day before meals. spoon.
    4. “In no case should we forget that any self-medication is strictly contraindicated during pregnancy, and in normal conditions should not replace regular medical consultations.”

      Varicose veins of the uterus are a pathology that requires immediate treatment. If the development of pathology is allowed to progress to the chronic stage, the consequences can be disastrous.

      Varicose veins of the uterus - causes, symptoms, treatment

      Every woman knows what varicose veins are. The disease is immediately associated with an increase in the number of veins in the legs and the appearance of unpleasant sensations when walking or sitting. But many are not even aware of varicose veins of the internal female organs - most often the uterus. This is a dangerous disease that is difficult to diagnose in a timely manner, so it leads to serious life-threatening consequences. Is it possible to prevent the disease? How to deal with it?

      Varicose veins of the uterus can develop due to:

    5. Obstruction of veins in the pelvic organs - uterus, ovaries, fallopian tubes.
    6. Blockage of vein trunks, in which venous outflow is disrupted.
    7. As a rule, the pathology is most characteristic of older women during menopause, although it sometimes occurs in young 17-year-old girls.

      It is worth noting that the basis of uterine varicose veins is a violation of the functionality and structure of connective tissue (dysplasia). Pathology develops if the vascular walls are weak, as well as during difficult pregnancy, childbirth and, of course, unfavorable environmental conditions.

      We draw your attention to factors that can provoke varicose veins of the uterus:

    8. Sedentary or standing work.
    9. Heavy physical activity.
    10. More than two pregnancies and births.
    11. Gynecological pathologies – salpingitis, uterine inflexion, endometriosis.
    12. Disturbed menstrual cycle.
    13. High estrogen levels.
    14. Passion for hormonal contraception.
    15. First of all, a woman is worried about constant unbearable pain in the lower abdomen. It can be pulling, aching, and radiate to the groin. As a rule, the pain worsens before menstruation. The first time unpleasant sensations may appear is if a woman lifts something heavy, as well as during sexual intercourse.

      With varicose veins of the uterus, the amount of vaginal discharge increases. Often a woman suffers from premenstrual syndrome, painful menstruation. Sometimes you feel discomfort in the perineum and have problems urinating. When a doctor examines a woman, he notices varicose veins in the buttocks, thighs, and perineum.

      If varicose veins are suspected in a woman, the following diagnostic methods must be prescribed:

    16. Dopplerography , during which the veins of the pelvis are examined. Using ultrasound, tortuous and dilated veins with reduced blood flow can be seen on the screen. Dysfunction of the vein valves is also observed.
    17. Over-uterine phlebography . This method cannot be used during pregnancy or if you are allergic to iodine.
    18. Laparoscopy . During the examination, an endoscope is used to carefully examine the pelvic cavity.
    19. Selective ovariography is one of the informative methods during which the veins of the ovaries are examined.
    20. Computed tomography is used to distinguish varicose veins from other diseases of the reproductive system. Varicose veins are often confused with uterine prolapse, endometriosis, inflammation of the appendages, as well as diseases of the large intestine, neuropathy, inflammation of the bladder, and radiculitis.
    21. Effective methods for treating varicose veins of the uterus

      Main goal of treatment:

    22. Stop reverse blood flow in the ovarian veins.
    23. Normalize venous tone, improve blood supply to tissues.
    24. Get rid of unpleasant symptoms - bleeding, pain.
    25. The course of therapy must necessarily include taking medications in case of exacerbation of the disease, as well as physical therapy to prevent serious consequences of varicose veins.

      Venotonic drugs are of no small importance; they can be used to increase the tone of the veins. It is also recommended to take antiplatelet agents, which can help prevent thrombosis. Often, a phlebologist prescribes the following medications:

    26. Phlebodia - treatment is carried out for about two months. Its main advantage is that it can be used in the second and third trimester.
    27. Diosmin relieves blood stagnation, improves lymphatic drainage, and completely relieves swelling. With the help of the drug, tissue circulation can be normalized.
    28. Phlebodia 600 is the best anti-inflammatory agent. You need to take one tablet on an empty stomach. The course of therapy is at least 4 months.
    29. Nonsteroidal anti-inflammatory drugs are taken to relieve pain.
    30. If the above-described drugs are ineffective, the doctor decides to perform an operation. The best method is vein embolization. For this purpose, a special sclerosing substance is used, it is administered through a catheter. This procedure is safe. If varicose veins of the uterus are advanced, an operation is performed during which the affected veins are completely removed.

      Popular plants for the treatment of varicose veins are dandelion (root), horse chestnut, chaga (kombucha). From plants you can prepare an infusion, a tincture that increases the tone of the veins.

      Prevention of varicose veins of the uterus

    31. It is necessary to normalize your working conditions - alternate walking with sitting or standing. Do some light exercises and don’t forget about breaks.
    32. Completely avoid strenuous physical activity and do not lift anything heavy.
    33. Normalize stool, get rid of constipation. Include vegetable fiber and vegetable oils in your diet.
    34. Give up bad habits - smoking, alcohol.
    35. Forget about salty, spicy foods.
    36. Take a contrast shower, direct the stream to the perineum.
    37. Perform gymnastics in a lying position. We recommend well-known exercises: “Scissors”, “Bicycle”, “Birch”.
    38. Do not forget about breathing exercises, which will involve the abdominal muscles.
    39. Wear special compression garments.
    40. Are you experiencing pain in the lower abdomen? Be sure to consult a gynecologist, and also visit a urologist, neurologist, or vascular surgeon. Pay close attention to women's health!

      Uterine varicose veins are a local manifestation of varicose veins. In most cases, the development of such varicose veins occurs during pregnancy.

      A doctor can suspect uterine varicose veins based on the patient’s complaints and examination. The basis for diagnosing varicose veins of the uterus is intravaginal ultrasound. In order to examine blood flow in the pelvis, an X-ray method is used using transuterine venography, which shows productive results in patients with pelvic varicose veins during pregnancy. In this case, it is possible to determine the stage depending on the diameter of the dilated vessels. Also, in unclear cases, laparoscopic examination can be performed.

      The cause of varicose veins of the uterus can be:

    41. Hormonal imbalance. During pregnancy, progesterone is produced in large quantities, which helps not only to reduce the tone of the uterus, but also to relax the pelvic veins - they become full-blooded.
    42. Hereditary predisposition.
    43. Long-term inflammatory processes, abortions, menstrual irregularities.
    44. Insufficiency of the valves of the ovarian veins, which leads to increased pressure in the pelvic veins.
      • The presence of chronic diseases of the genital organs.
      • Taking oral contraceptives.
      • Symptoms of varicose veins of the uterus

        Varicose veins of the uterus do not have specific symptoms; they are also characteristic of various diseases of the genital organs. The main symptom is a dull aching pain in the lower abdomen, which can spread to the sacral region and lower back. Pain increases after sexual intercourse, prolonged standing or sitting, physical activity, and during menstruation. One of the symptoms may also be severe premenstrual syndrome.

        Varicose veins of the uterus can cause the following complications in a woman: bleeding and rupture of veins, infertility, inflammation of the genital organs. Varicose veins of the uterus can also lead to chronic abdominal syndrome, thrombosis, menstrual irregularities, and the development of ovarian hypofunction.

        Treatment of varicose veins of the uterus

        Uterine varicose veins are not a gynecological disease, but a venous one. Treatment should be prescribed by a phlebologist and gynecologist. Treatment of the disease takes a long time and requires patience.

        In the early stages, treatment is usually conservative. It includes the correct organization of work and rest with limitation of static and physical activity. Patients are also prescribed a diet high in fruits, vegetables, and vegetable oil. A woman should give up alcohol and smoking, which have a negative effect on vascular function.

        It is also useful to perform exercises in a lying position and breathing exercises. A contrast shower, which must be directed to the perineal area, has a good effect on the veins. A woman suffering from varicose veins of the uterus should definitely wear therapeutic compression tights.

        In advanced stages of cervical varicose veins and the ineffectiveness of conservative treatment, surgical intervention is performed - resection of the ovarian vessels or amputation of the uterus. Modern medicine can offer the patient laser treatment for the disease. During the treatment period, you must refrain from taking contraceptives in the form of tablets.

        Before pregnancy, a woman should take venoactive drugs that stimulate blood circulation and prevent blood stagnation.

        The disease causes a lot of inconvenience to a woman, and late stages can lead to serious complications. Therefore, if discomfort occurs, you should immediately seek advice from a gynecologist. An individually selected treatment method will relieve varicose veins and significantly alleviate the condition. Treat pelvic varicose veins in a timely manner to live a full life.

        Women of childbearing age (especially during pregnancy) often encounter varicose veins of the uterus. Diagnosis and, as a result, proper treatment of this disease has become possible in the last thirty years, when clinics began to be equipped with high-precision diagnostic equipment. If varicose veins are not treated in time, the woman may subsequently become infertile. To avoid this, you should contact a phlebologist at the first suspicion of the disease. Your obstetrician-gynecologist can also refer you to a phlebologist after an examination.

        Causes of varicose veins of the uterus

        There may be several causes of uterine varicose veins:

      • previous abortion;
      • repeated births;
      • hereditary predisposition;
      • previously untreated inflammation;
      • high blood pressure;
      • overweight.
      • Uterine varicose veins worsen during pregnancy, when a woman has high levels of progesterone, increased weight and increased venous pressure.

        Symptoms of uterine varicose veins

        There are no obvious symptoms of uterine varicose veins. However, there are several signs by which the disease can be identified:

      • aching, sometimes slightly dull pain in the lower abdomen;
      • bloody issues;
      • increased sensitivity.
      • These symptoms can also indicate other diseases, so in order to make a diagnosis, you need to conduct a thorough examination.

        Diagnosis of uterine varicose veins

        If uterine varicose veins are suspected, the doctor should refer the woman for examination. In modern medicine, various diagnostic methods are used for this:

      • radiography;
      • Ultrasound using a transvaginal sensor (echography);
      • laparoscopy;
      • Doppler ultrasound;
      • CT scan.
      • Progressive diagnostic methods used in well-equipped clinics eliminate inaccurate diagnoses.

        Uterine varicose veins are treated in several ways. In the early stages of the disease, it is enough to undergo a course of medication, combining it with wearing compression garments and performing a set of physical exercises to improve blood circulation. Varicose veins during pregnancy sometimes go away after childbirth on their own without much effort.

        In an advanced stage, when treatment does not bring results, surgery will be required. In particularly severe cases, the uterus must be amputated, but usually the disease can be cured simply by removing the problematic veins. The operation is carried out using various methods - it can be a conventional surgical or laser phlebectomy. The main thing is that healthy veins are not affected.

        Prevention of varicose veins of the uterus

        To avoid the appearance of uterine varicose veins, do swimming and gymnastics, walk more, give up alcohol and smoking. Enrich your diet with foods that contain vitamins P, E and C. These vitamins strengthen blood vessels.

        In the Medicenter clinic network, you can undergo a full examination and cure varicose veins of the uterus. Reception is carried out by qualified phlebologists, and treatment methods comply with European standards.

        Varicose veins on the uterus during pregnancy: symptoms and treatment

        Dilated veins of the uterus during pregnancy, unfortunately, are far from uncommon today. For every woman, bearing and giving birth to a baby is the most pleasant and exciting stage in life. But no one will ever be able to accurately predict how the pregnancy will proceed and how the birth itself will go, although it is within the power of every married couple expecting a child to make all 9 months of waiting the most memorable and joyful, despite the difficulties that may arise .

        A lot of diseases in both men and women are hereditary, and dilation of the uterine veins during pregnancy is one of them. Daughters very often repeat their mothers in many ways, this also applies to genetic characteristics, so the risk of developing diseases that the mother suffered from in her daughter increases several times. This happens especially often during pregnancy - a woman’s body becomes more vulnerable during this period of her life, which contributes to the development of even those diseases whose symptoms the expectant mother has never noticed in herself.

        One of these unpleasant and dangerous diseases is varicose veins of the uterus during pregnancy, which can bring a lot of trouble to a woman. For example, women with varicose veins of the uterus are necessarily prescribed a cesarean section, and more complex cases of the disease pathologically affect the process of bearing a child: they threaten miscarriages, underdevelopment of the placenta and the development of various pathologies in the fetus. Dilatation of the veins of the uterus during pregnancy is also dangerous because when straining or defecation, a vein may rupture, which can cause bleeding.

        Causes and signs of pathology

        Varicose veins (from the Latin “varicis” - bloating) is a pathological disease of blood vessels and veins, which causes their expansion and thinning of the walls, as well as the formation of thrombus nodules that disrupt natural blood flow and lead to blockage of blood vessels. All veins of the pelvic organs, which perform a reproductive function in a woman, are susceptible to varicose veins, so the development of this disease in these organs leads to a pathological condition. Vessels from the lower extremities lead to the pelvic organs, through which blood flows to the labia, perineum, vagina, vulva, uterus and its appendages. Enlargement and blockage of the vein can occur in any of these areas, because pregnancy places additional stress on all these organs.

        During pregnancy, a woman’s body, her body structure and lifestyle change significantly; specific factors appear that can trigger the development of varicose veins of the uterus:

      • Due to the onset of pregnancy, a woman’s hormonal background changes greatly: the level of the hormone progesterone increases, which relaxes the muscles of the uterus and the walls of blood vessels, as a result of which the blood circulates poorly and begins to stagnate, which causes even greater dilation of the veins.
      • The blood of a pregnant woman has greater “fluidity,” which improves the flow of oxygen contained in the blood from mother to fetus, but further dilates the veins and blood vessels in the uterus.
      • A woman's blood clotting level increases, which prevents large blood loss during childbirth, but increases the formation of blood clots. This worsens the situation when varicose veins are already progressing.
      • Blood stagnation in the absence of physical activity also negatively affects the presence of varicose veins: due to the “interesting position”, expectant mothers in most cases stop moving actively and try to spend most of the pregnancy lying down, which leads to disruption of proper blood circulation.
      • Varicose veins in the uterus can be congenital or acquired. Congenital varicose veins are a very rare disease that develops as a result of pathology in the intrauterine development of the fetus. Acquired varicose veins are divided into primary and secondary varicose veins. Primary is divided into 3 stages, the development of which determines the treatment method:

      • first stage - the veins of the lower part are small, no more than 7 mm;
      • the second stage is characterized by veins that bend and are larger than 8 mm;
      • the third stage includes veins with formed nodes and sizes greater than 13-15 mm.
      • Secondary uterine varicose veins develop against the background of previous gynecological diseases: endometriosis, ovarian diseases, menstrual irregularities, use of hormonal contraceptives and the presence of pathological tumor formations.

        At the initial stage of development, varicose veins are practically asymptomatic; sometimes nagging pain in the lower abdomen may appear. This occurs after being in one position for a long time or physical activity. The pain is long-lasting, affecting the groin area and lower back, and sometimes urination problems may occur. Pain may intensify after sexual intercourse.

        Since pain in the lower abdomen is practically the only symptom of varicose veins in the uterus, vaginal ultrasound examination of the pelvic organs is used to correctly diagnose this disease. When diagnosing, it is also necessary to exclude the presence of diseases with similar symptoms, such as endometriosis, uterine prolapse, and inflammatory bowel disease. Based on a correct diagnosis, individual treatment is selected, which is based on the characteristics of each patient.

        How to treat varicose veins in a pregnant woman

        Not all known methods of treating this disease are suitable for pregnant women. Surgical interventions and sclerotherapy, a method of injection treatment with special drugs, are contraindicated for expectant mothers. Almost the only methods of treating varicose veins during pregnancy that cannot harm either the baby or his mother are wearing compression underwear (special tights and stockings), which are worn until the birth itself, which reduces the risk of blood clots, and topical agents: creams and ointments heparin based.

        A pregnant woman should avoid strenuous physical activity: do not lift heavy objects, do not squat under any circumstances, do not take hot baths, and carefully monitor your weight. In addition to the obstetrician-gynecologist, you should consult with a phlebologist who can choose the optimal method of conservative treatment. The expectant mother should very carefully monitor the condition of her body: if suddenly redness becomes noticeable in the area of ​​the vein affected by varicose veins, sudden severe pain appears, the heartbeat quickens and the temperature rises, all this should be a reason to immediately consult a doctor and call an ambulance.

        Prevention is the best way to fight diseases. There are many simple rules for pregnant women, by following which future mothers will be able to avoid the development of many pathological conditions during pregnancy and fully enjoy this most wonderful time in the life of every woman:

      • Long and leisurely walks in the fresh air perfectly train the calf muscles and improve blood circulation.
      • Swimming in the pool also promotes blood circulation and relaxes muscles, relieves stress from the spine; it is often recommended to take a contrast shower.
      • Wearing comfortable shoes without heels, laces and elastic bands will not disrupt the blood flow through the vessels and veins of the legs.
      • It is best to sleep on your left side; this position eases the pressure of the uterus on the vein and reduces venous pressure in the extremities.
      • When lying on your back, your legs should be elevated (it is best to place a pillow under them). Following this recommendation for 15-20 minutes is an excellent prevention of varicose veins.
      • It is also necessary to adjust the regime and nutrition. This will help normalize the functioning of the digestive tract and intestines, which also prevents the development of varicose veins.

        Varicose veins of the pelvis: during pregnancy, after and before

        Dreaming of a healthy and beautiful baby and planning their first pregnancy, young women often try to find out what “is written in her blood.” It is better to find out all this from the mother, especially since the upcoming pregnancy itself is an exciting moment. Daughters repeat their mother in many ways, especially when it comes to women’s problems, and they have them not because thoughts are material, but because everything is laid down at the genetic level , against which, as we know, there is no weapon. So it is with varicose veins. And it doesn’t matter which ones. The female body can be haunted by both varicose veins on the legs and varicose veins of the uterus, which is no better, since it is not always noticeable and not very accessible.

        All pelvic organs are susceptible to varicose veins , and given that in women this place is occupied by the reproductive organs, the frequent occurrence of such pathological conditions becomes understandable. Vessels leading to the pelvic organs come from below, that is, from the lower extremities and, branching, collect blood from the labia, vagina, perineum, vulva, uterus and appendages. A venous vessel can expand in any area, or rather, where it receives additional load.

        heredity the development of varicose veins is significantly influenced by hormonal status , which not only changes during each menstrual cycle, but also undergoes a complete restructuring during pregnancy and menopause.

        progesterone begins to actively function , which promotes the retention and accumulation of fluid in tissues and increases the BCC (circulating blood volume). BCC, in turn, will create additional pressure on the walls of blood vessels.

        During menopause, in addition to hormonal effects, gynecological history and associated chronic diseases play a significant role in the formation of pathological processes.

        Pregnancy - happiness and sorrow

        Pregnancy reveals many hidden pathologies, including varicose veins of the small pelvis, and with each pregnancy the situation will worsen. During pregnancy, the volume of circulating blood increases, which is natural, since there is a need to feed the uterus with it, which increases in size. The formation and activity of the placenta requires a full supply of oxygen and nutrients, which will be used for the growth and development of the fetus. The enlarging uterus begins to look for a place in the small pelvis at the expense of other organs, oppressing them and squeezing the vessels.

        Due to the activation of hormonal levels, a large amount of female sex hormones enters the blood, which lead to relaxation of the walls of the venous vessels, which entails a pathological expansion of the veins. In such a situation, the valves located in the veins do not provide complete blood flow, since they cannot completely close the lumen of the dilated vessel. The blood remains and stagnates, where excess blood pressure on the walls of blood vessels will lead to an increase in the permeability of the latter.

        In addition, the pregnant uterus not only takes blood, it also gives it away, and the outflow from it during pregnancy increases almost 20 times. Considering that the venous vessels of the main reproductive organ are also equipped with valves, which, due to circumstances or congenital characteristics, are not able to ensure complete closure of the venous vessel, the blood stagnates and the veins dilate. This is how varicose veins of the uterine vessels develop, where the causes of uterine varicose veins can be presented as follows:

      • Congenital anomalies in the structure of the valve apparatus of the venous vessels of the uterus;
      • Genetic predisposition;
      • Hormonal changes characteristic of pregnancy;
      • Increased blood flow in the uterus;
      • Chronic inflammatory diseases;
      • Artificial termination of pregnancy, miscarriages and childbirth in the anamnesis;
      • Congestion in the venous vessels of the ovaries.
      • Due to the fact that the uterus belongs to the pelvic organs, we can add the prerequisites for the occurrence of varicose veins, which are characteristic of the entire pelvis:

        • Increase in the size of the uterus;
        • Fast weight gain;
        • Alimentary-constitutional obesity and its other types associated with endocrine diseases;
        • Physical exercise;
        • Sedentary work and physical inactivity;
        • Bad habits (smoking).
        • The culprit for the development of varicose veins during pregnancy in the groin, which will stick out in dark blue unattractive nodes and create terrible discomfort for the woman, is often the pregnant uterus. It overfills the iliac veins, which leads to varicose veins, which spread to the labia majora, vagina, perineum, vulva and intestines. The above factors in this situation will also have a negative impact and cause the occurrence of varicose veins of the small pelvis.

          Visible and invisible varicose veins

          Symptoms of pelvic varicose veins may be bright when the veins of the external genitalia dilate, but this indicates congestion in the entire pelvic area. Dilated vessels and nodes in them in such cases are well identified visually. However, the expansion of internal veins is more dangerous to health and poses a greater threat to the course of pregnancy and the postpartum period. Vaginal varicose veins threaten to rupture the veins when straining and/or during defecation, which will lead to bleeding and the development of anemia.

          Due to the paucity of the clinical picture of congestion in the pelvis, the first diagnostic tool for the disease is an ultrasound examination of the pelvic organs using a vaginal sensor. This is how you can detect dilated veins and nodes in the uterus, ovaries, vulva, vagina and other places inaccessible to the eye, the only manifestation of which may be pain in the lower abdomen .

          Probably the most striking symptoms accompany varicose veins of the labia during pregnancy:

        • “Stars” and knots leading to deformation of one or two lips;
        • Dry skin, pigment spots at the site of the lesion;
        • Excruciating itching and soreness;
        • Loss of performance, decreased mood.
        • However, if venous congestion in the pelvis is limited, as a rule, to gentle treatment (elastic bandages, stockings, therapeutic exercises), especially since during pregnancy even minimally invasive methods are not indicated, then vulvar varicose veins require immediate measures, which are highly advisable to take before pregnancy. This is due to the fact that untreated vulvar varicose veins can cause extensive hemorrhage due to rupture of the venous vessel. Varicose veins of the vulva can be treated with radiofrequency and laser coagulation or radical phlebectomy. During the period of gestation, this is impossible, so they try to limit themselves to prescribing compression hosiery and exercise therapy and, only as a last resort, venotonic drugs with minimal side effects can be recommended.

          Threat to normal pregnancy

          Varicose veins of the lower extremities are very often combined with vaginal varicose veins, which indicates the presence of congestion in the pelvis and the involvement of other organs of the female reproductive system in general and the uterus in particular in the pathological process. Damage to the vessels of the uterus can have negative consequences and pose a threat to the fetus and normal gestation, therefore varicose veins during pregnancy acquire a special status, where the venous vessels of the lower extremities play a leading role. After all, it is with them that everything begins, and the small pelvis is already involved in the process.

          It seems incredible to say that varicose veins can interfere with pregnancy and cause infertility, but, nevertheless, it is true. In addition, dilation of the veins before or during pregnancy often creates an obstacle to normal implantation of the embryo and disrupts the correct formation of the placenta.

          There are legends and myths about any common and chronic disease among the people, and varicose veins are no exception. More like a rule. Some assurances mislead the phlebologist’s patients, with which they come to the doctor, where they try to make suggestions to the treatment regimen and diversify it. Or, having successfully dealt with a relapse through laser coagulation or phlebectomy, they begin to believe that varicose veins are a thing of the past and now everything is possible. Myths and refutations:

          Myth #1: Varicose veins are a disease that only affects the legs.

          The statement that vessels located above the heart do not undergo expansion has no basis. Varicose veins can be present in any venous vessels. Of course, the veins of the shoulder girdle are less susceptible to this pathological process, due to their truly high location and significant motor activity (without noticing it, we constantly use our arms). And, as a rule, if varicose veins have reached the arms, then they have “settled” in the legs and pelvis for a long time.

          Myth No. 2: varicose veins can be cured at once

          They say that “someone, somewhere, somehow” cured varicose veins with a medicine, surgical method or folk remedy. The phrase “ cure varicose veins ” can be used only in one case: varicose veins cannot be cured, it can be prevented without forgetting about it for a day, or stopped, but also remembering about it all the time. With varicose veins you need to constantly wage an irreconcilable struggle and then it retreats. For a while…. But as soon as a person allows himself to relax, a recurrence of varicose veins will be right there.

          Myth No. 3: Female varicose veins are treated by a gynecologist

          Some believe that varicose veins of the pelvic organs are a gynecological disease. But what can we say if some doctors are sure of this. But varicose veins are a disease of the venous vessels and it does not matter where they are located. They will be dealt with by a phlebologist (vascular surgeon). However, the gynecologist is usually the first to learn about varicose veins, conducting an ultrasound diagnosis of the pelvic organs, and only then refers the patient to a phlebologist. A pregnant woman is simultaneously observed by both specialists.

          Video: varicose veins and pregnancy

          Especially about varicose veins of the pelvis and lower extremities, young women who have noticed a hereditary predisposition to pathological expansion of venous vessels should know. Prevention, including the use of traditional medicine, gymnastics, walking, swimming and proper nutrition will help prevent the development of the pathological process and ensure the birth of a healthy baby. And, perhaps, several if the mother takes care of her health in advance and properly prepares for the joyful event.

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