Varicose veins of the uterus
According to statistics, every third woman faces the same problem as varicose veins.
Varicose veins - an abnormal widening of blood vascular, accompanied by impaired blood supply to the affected area and valvular insufficiency of the veins. One of the subtypes of this disease is varicose veins of the uterus.
Varicose veins of the uterus - a disease that is difficult to diagnose because it has no characteristic symptoms. Often associated with varices of the cervix and the labia majora. Patients often go to the doctor, suspecting you have other gynaecological pathology.
The clinical picture
The symptoms found in women of reproductive age, but prevalence among adolescents. The most common complaints are:
- Pains of various nature in the abdomen;
- Menstrual cycle;
- Discomfort and/or pain during intercourse or after it;
- Discomfort in the groin area after or during sports;
- Pain during urination with absence of abnormalities in the kidneys;
- Sometimes there is increased sensitivity of the vaginal walls.
It is important to remember that in the first stage the disease is asymptomatic, pain appear on the second and subsequent stages. Although varicose veins in the uterus is not a life-threatening condition, functioning reproductive system may be affected, leading to infertility.
The causes of the disease. Risk groups
Causes of varicose veins in the uterus:
- pregnancy (increases uterine blood flow, the veins having more than the weak muscle wall, are stretched, their function valve is broken);
- exercise with weights (increases blood flow to the pelvic organs);
- frequent constipation (pelvic also increased blood flow as a result of increased intra-abdominal pressure);
- long-term use of hormonal drugs (under the influence of estrogen the walls of blood vascular lose their elasticity);
- lack of exercise;
- a congenital alteration of the anatomy of the uterus (e.g., bending);
- the inability to achieve orgasm;
- hormonal disruptions.
Also at risk are women in history whom there are long-term inflammatory disease of the pelvic organs. Women who have gone through a difficult birth, and repeatedly interrupt the pregnancy.
The disease is diagnosed by ultrasound of the uterus, which is performed vaginally.
- Computed tomography of the pelvis;
- Auricularia (done with contrast).
At the time of diagnosis the specialists required to undertake a differentiated diagnosis of other gynecological pathology: prolapse/uterine prolapse or vaginal tubes, endometriosis, inflammatory processes of the intestine and others.
Features of pathology in pregnancy
During pregnancy increases the volume of incoming to the uterus of blood, which in combination with the rest of the load on the body can lead to varicose veins of the uterus. Such cases are rare and mostly in women who become pregnant after 35 years old.
Unfortunately, if you have varicose veins on the uterus during pregnancy, the disease is virtually untreatable.
Sometimes, in severe cases, the patient Caesarian section, because the birth with varicose veins of the uterus can cause serious complications with a high probability:
- Impaired function of the placenta;
- 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 purpose of therapeutic measures involved the gynecologist together with flebologia (a doctor dealing with diseases of the blood vascular). In the case of pregnancy the mode of childbirth is also decided after consultation phlebologist: using the ultrasonic diagnosis specialist identifies the degree of damage to the blood vascular.
In the absence of pregnancy and early stages of the disease, doctors prescribe conservative therapy that includes:
- Normalization of sleep and rest;
- The rejection of physical exertion;
- A diet rich in vegetables and fruits;
- The inclusion in the diet of vegetable oils (olive, flax) that are rich in vitamin E and prevent the formation of blood clots;
- Avoiding harmful habits;
- Kegel exercises (to maintain muscle of the vagina and uterus in good shape);
- Physiotherapy activities.
Medicines, usually prescribed venotonic:
- Troxerutin (capsule);
- Detralex and.
With them often take krovanistaya (in the absence of contraindications of the heart of the system):
- Thrombotic ACC;
- Cardiomagnyl, etc.
Drugs women the position is not indicated, as there is a risk to the fetus, therefore, pregnant patients prescribed physiotherapy, douches, multivitamins, andcompression, normalizing the blood flow.
If the woman to have a natural birth or caesarean section, decides the patient herself after consultation with your doctor.
In the case when pathology is discovered at a late stage of the disease and conservative treatment did not bring results, doctors may resort to surgical treatment method. The method of surgical correction is selected physician and patient.
Because of the methods of surgical intervention enough, the specialist is able to choose the least traumatic and most effective of them.
The types of operations for uterine varicose veins:
- Phlebectomy (removing smaller varicose vascular through the incisions);
- Sclerotherapy (injected into the damaged vein a special drug, the vessel sticks together, and eventually disappears due to the stop of circulation of blood on it);
- Laser treatment (normalization of blood flow)
- Radiofrequency coagulation;
- If there are serious complications resort to removal of the uterus without the ovaries, and sometimes with them. After such surgery the patient is assigned to hormone replacement therapy that avoids early menopause.
As against any other disease, anti-varicose veins of the uterus, there is prevention.
The main point is the periodic medical examination. Particularly indicated for monitoring patients at risk or planning a pregnancy in the near future.
- Moderate exercise, do not overexert;
- Give up bad habits;
- Avoid stress;
- To take and krovanistaya venotonic drugs (under doctor's recommendation);
- To monitor their own health;
- Conduct regular sex life.
The prognosis of such diseases as varicose veins of the uterus, in most cases favorable. However, to completely cure it will fail, so the woman should observe preventive measures to be observed by the doctor and not to self-medicate.