Varicose veins of the small pelvis - the problem of modern women

The problematic issue of varicose veins of the small pelvis lies in the complexity of its diagnosis, especially in the early stages, and the high probability of diagnostic errors. 25% of young girls and more than 80% of postmenopausal women suffer from pelvic varicose veins. Symptoms of varicose veins of the small pelvis are provoked by two main reasons - obstruction of large venous trunks, in which a network of venous outflow collaterals appears with expansion, and obstruction of the veins of the small pelvic organs, which provoke an increase in pressure in the lower areas.

What is the main cause of pelvic varicose veins?

The main cause of varicose veins of the small pelvis is connective tissue dysplasia. There is a violation of the structure and functioning of the connective tissue of the whole organism. This is manifested by the weakness of the structures that connect the cells of the body. As a result, there is weakness of the vascular wall, especially in the veins,  where there is little muscle tissue. 

Provoking factors of varicose veins of the small pelvis:

• Repeated pregnancies and births.
• Extended sitting or standing while working.
• Hard physical labor.
• Using coitus interruptus for contraception, no orgasm.
• Gynecological diseases (backward bending of the uterus, salpingitis, endometriosis).
• Irregular menstruation, hormone replacement therapy, hormonal contraception, elevated estrogen levels.

The causes of the development of connective tissue dysplasia are also negative effects on the fetus and environmental pollution.

Symptoms of varicose veins of the small pelvis

The main sign of the development of varicose veins of the small pelvis is the presence of chronic pain, which is localized in the lower abdomen. It has a pulling, aching character, radiates to the lower back and inguinal region. For most women, these pains intensify during menstruation. The cause of increased pain may be sexual intercourse. Pain can be provoked by standing or sitting for a long time.

At the same time, premenstrual syndrome is quite pronounced in such women, and menstruation is painful. In the period between menstruation, discharge from the genital tract is disturbing. On examination, in addition to the symptoms of varicose veins of the small pelvis, dilated veins are visible on the thighs, buttocks and perineum.

Methods for diagnosing varicose veins of the small pelvis

Doppler ultrasound is the main method for diagnosing varicose veins of the small pelvis. This method determines defects in the walls of blood vessels against the background of connective tissue dysplasia, existing blood flow disorders, and establishes the functions of the valves.

Extrauterine phlebography is also used for diagnostic purposes. When filling the veins with a contrast agent during phlebography, all defects in the vessel wall due to connective tissue dysplasia are clearly visible on x-rays. You can see collaterals, places of blood clots, expansions, the condition of the valves.

During pregnancy and individual intolerance, the method is contraindicated. If there is a suspicion of varicose veins of the small pelvis, laparoscopy may be performed. The most informative study for this pathology is selective ovarycography.

CT is performed to differentiate the diagnosis from pelvic inflammatory disease, uterine prolapse, neuropathy, inflammation of the small intestine, hip pathology, and sciatica.

Prevention and treatment of varicose veins of the small pelvis

Treatment of varicose veins of the small pelvis is aimed at normalizing the tone of the veins and improving the blood supply to the tissues, stopping the reverse blood flow through the veins of the ovary, and also to relieve pain and bleeding. Therapy consists of taking medications in exacerbation, and physiotherapy exercises to prevent relapses.

Medicines used to treat pelvic varicose veins are taken with antiplatelet agents. If treatment with drugs is ineffective, surgical treatment is performed with the removal of clogged veins. The embolization method is used, which consists in artificial blockage of the ovarian veins.

This is done using a thin catheter with a special sclerosing agent that is inserted into a vein. This procedure is effective and less traumatic. Non-steroidal anti-inflammatory drugs are used to treat pain.

In order to prevent and treat varicose veins of the small pelvis in the first stages of varicose veins of the small pelvis, it is advisable to use horse chestnut, Kombucha and dandelion root. Infusions of these plants effectively normalize the tone of the veins.

Also, in order to prevent varicose veins, it is necessary to normalize working conditions as much as possible, take regular breaks in work with a change in body position. It is important to normalize the stool and prevent constipation, giving up bad habits. A contrast shower on the perineal area will significantly increase the tone of the veins. From physical exercises it is effective to do the exercise "scissors" with legs raised up, breathing exercises involving the abdominal muscles.