How dangerous are varicose veins of small pelvis: symptoms and treatment
Varicose veins of the pelvis (more VRWM) is a disease of the vascular system, the main "audience" of which are women of childbearing age. Much less from this disease affects men.
Cunning VRMT as the disease is the difficulty of its diagnosis in the early stages of development when the symptoms of varicose veins of pelvic organs become pronounced. When VRMT disorders connective tissue function is due to a change in its structure (dysplasia).
As a consequence, weaken the walls of the veins where there is the least muscular elements.
Appearance BRUMT is caused by two major causes — blockage of venous trunks and venous obstruction (occlusion) of the pelvic organs (uterus, ovaries, fallopian tube in women and spermatic cord in men).
In the first case, patients present outflow of venous blood through the network of collateral (roundabout) ways in the second — dilatation in the downstream areas due to the increased pressure caused by occlusion.
8 out of 10 cases of varicose veins of pelvic organs in women arise from the reflux (reverse blood flow) in the veins of the ovaries.
The factors provoking development
Doctors phlebologists there are two groups of factors responsible for varicose veins of small pelvis: primary and secondary.
Secondary include varicose veins developing on the background of pathologies of the reproductive system (tumors of the uterus, ovaries, etc.). The primary factors in the development of URMT determine the development of valvular insufficiency of the veins of the ovaries or other organs.
- intensive and regular physical exercise.
- the need for a long stay in a standing position, by occupation;
- postpartum complications;
- frequent pregnancy;
- the application of a number of hormonal contraceptives;
- the practice of the PAP as the main method of contraception;
- the failure of menstrual function.
Features of the disease
The clinical picture is varicose veins of the pelvis involves three stages of development of disease, which are classified according to the degree of expansion of the ovarian veins. At the first stage they are expanding to 5-7 mm, while in the latter, up to 9 mm, "criss-crossing" is not only the ovaries but also the uterus. The diameter of the veins in the third stage of the disease reaches 10-13 mm, we observed a marked dilatation of the pelvic organs.
The third stage VRWM if untreated, can develop into thrombophlebitis.
In the first stage dilatation is not diagnosed visually expressedsymptoms of illness are observed. Often the varicose veins begins to bother, already moving to the second stage, when signs of stagnation in the pelvis already determined "by eye", and the symptoms begin to manifest themselves much brighter.
The main symptoms of varicose veins of the pelvis include:
- The appearance of pronounced venous knots in the hips, buttocks, perineum.
- Severe pain the prolonged nature in the lower abdomen, radiating to the lumbar-sacral area and perineum. Typically, pain is exacerbated in the first days of menstruation, in the course of sexual intercourse or after it, when cold or with emotional upheaval.
- Increased sensitivity in the vulva.
- Bleeding from the vagina.
- Pain during urination.
In some patients, the symptoms of varicose veins of the pelvis can manifest in the complex, others worried about only 1-2 of the above phenomenon.
To determine VRWM apply the methods of differential diagnosis, eliminating the possibility of tangling of the features of this disease with symptoms of other diseases:
- ultrasound examination of small pelvis organs;
- venography (x-ray of the veins);
- laparoscopy (in some cases).
Primary diagnosis of varicose veins — the task of phlebology (physicians specializing specifically on the pathology of the veins).
If you suspect BRUMT it is advisable to contact a specialist, not a therapist, as there is a risk of setting the wrong diagnosis.
BRUMT and pregnancy
According to statistics, varicose veins of the pelvis, extending to the crotch region, is diagnosed in 30% of women preparing for motherhood. The development of varicose veins of the pelvis during pregnancy is caused by increased blood flow to fully kislorodolechenie of the placenta.
With the development of the embryo the uterus is expanding and begins to "oppress" is located next to the bodies. In parallel, the blood is ejected a double dose of sex hormones, causing a weakening of the vein walls. As a result of venous valves can not cope with the overlap of the extended gaps, which leads to stagnation.
The first to suffer the iliac vein — extending, they affect the veins of the vagina and perineum. Symptomatic of this phenomenon is reflected in the presence of a pulling, sometimes sharp pain in the lower abdomen that radiates to the crotch.
VRWM treatment in pregnancy involves mainly the appointment of the external venotonicuse with minimum side effects. Surgical treatment of pathology and the reception of venotonic internal use during pregnancy are not assigned.
The presence of BRUMT hinders implantation of the embryo in the uterine wall and prevents the formation of the placenta, often being the cause of failure of early pregnancy.
Treatment of varicose veins of the small pelvis includes two basic techniques:
The conservative method is to combine drug therapy with other measures (compression garments, therapeutic exercise, special diet). When drug therapy is prescribed so-called venotonic — drugs that restore normal venous tone and providing an adequate blood supply.
The complex can be assigned venotonic local applications (ointments, salves, gels, creams) and internal (tablets, capsules).
Physical therapy for BRUMT involves exercises to accelerate blood flow in areas of stagnation (squats, proprietary, "Bicycle", "scissors", etc.).
To enhance the effectiveness of drug and fizkulture helps to wear a special knitted fabric with compression properties.
The essence of surgical therapy embolization (overlap) venous plexus. The operation is performed under local anesthesia.
During the procedure the introduction of the ovarian vein catheter, through which comes sclerotiorum substance, leading to the overlap of the lumen of the vessel.
Another method of embolization of the ovarian vein — introduction microspiral, which completely blocks the flow of blood.
Embolization is considered to be more progressive method of flow BRUMT. Along with her practiced as phlebectomy, involving ligation of the affected areas.