Small pelvic varicose veins in women

Small pelvic varicose veins

Small pelvic varicose veins in women mainly occur in reproductive age. Pathology can negatively affect the condition of the uterus and adnexa, leading to unpleasant symptoms and, in advanced cases, complications that adversely affect the quality of life of young women. The disease is difficult to diagnose because it is often accompanied by symptoms of common gynecological diseases, such as inflammation of the organs of the genitourinary system, hormonal disturbances, etc. A complete gynecological examination, as well as an evaluation of the condition and function of the pelvic veins. If you suspect small pelvic varicose veins and need a high-quality diagnosis and professional medical care, please contact the clinic where experienced, highly qualified specialists will help identify and successfully treat this serious condition.

Classification of small pelvic varicose veins

Pelvic varicose veins are a pathological process accompanied by weakening of the venous walls of the pelvic organs, which in turn promotes the development of dilation. Pathology can develop in two forms:

  • Vulvar and perineal varicose veins;
  • Venous congestion syndrome.

In most cases, both forms lead to and support each other's progress. Isolated perineal and vulvar varices develop in the context of the backflow of blood through the saphenofemoral fistula, with simultaneous damage to the external pudendal veins and the inflow of the great veins. This pathology is usually found in pregnant women and develops against the background of fetal growth and uterine enlargement compressing the ilium and inferior vena cava.

According to the nature of the severity of the disease, the pathological process has 3 stages of development:

  1. first. The dilated veins were no more than 0. 5 cm in diameter and the vessels were tortuous.
  2. second. The diameter of the affected vessels increases to 0. 6 - 1 cm. Lesions can be complete or can affect parametric vessels, myometrial apical veins, and the ovarian plexus.
  3. third. Affected blood vessels larger than 1 cm in diameter can have serious complications.

Considering the nature of development, RVMT can be of the following types:

  • basic. It develops in the context of congenital or acquired ovarian venous valve insufficiency. Common predisposing factors for such pathology: complications during pregnancy and childbirth, physical exertion, use of hormonal drugs, etc.
  • Minor. It develops in the context of progressive gynecological diseases such as tumors, endometriosis, etc.

reason

Small pelvic varicose veins often occur due to:

  • Connective tissue dysplasia. A congenital disorder characterized by reduced levels of certain types of collagen, which can lead to reduced blood vessel wall strength.
  • genetic predisposition. If a woman has a case of this type of vascular disease in her family, it is likely that she will also face RVMT due to a combination of adverse factors.
  • Physical inactivity. Due to the lack of physical activity required by the body and a sedentary lifestyle, the venous outflow of the small pelvis is disturbed, which in turn leads to the development of a stagnant process.
  • Pregnant. As the pregnancy progresses, the uterus gradually enlarges, compressing surrounding tissues, including the presenting veins, which can sometimes lead to the development of varicose veins.
  • obesity. With excess body weight, the load on the small pelvic vessels increases significantly.
  • Varicose veins and hemorrhoids of the lower extremities. In this case, VRVMT develops in the context of systemic lesions of the connective tissue.
  • hormone imbalance. Hormonal exhaustion, the excessive production of progesterone in a woman's body, weakens the tone of the small pelvic veins, which in turn leads to the development of varicose veins.

female:

  • Abuse of bad habits: alcoholism, smoking;
  • Don't live an intimate life, and don't have an orgasm;
  • experience gynecological complications during pregnancy and childbirth;
  • underwent abdominal surgery;
  • have severe pelvic injury;
  • Forced to undergo hormone replacement therapy.

symptom

Many times, varicose veins in the small pelvis do not cause any suspicious symptoms. For many years, a woman may not be aware of her serious illness. Early on, symptoms are nonspecific, so RVMT is often mistaken for a gynecological pathology with similar clinical presentations. Symptoms that should be vigilant and become the cause of a comprehensive examination of the organs of the reproductive and urinary systems and the small pelvic veins:

  • Abdominal pain during non-menstrual period. The intensity of the pain syndrome depends on the degree of venous injury and the incidence of pathological processes. In the earliest stages, the pain is mild and can radiate to the lower back and sacrum. In advanced cases, the pain is severe, unbearable, and radiates to the abdomen, perineum, and lower back.
  • Severe PMS. A woman's condition worsens dramatically during the second phase of the cycle, during menstruation, severe pain, increased discharge, and dysmenorrhea may occur.
  • Difficulty with sexual intercourse. Discomfort and pain can interfere directly during and after sex.
  • Urinating problems. Going to the toilet became more frequent, and when a woman tried to urinate, she felt pain and discomfort.

Diagnosis of small pelvic varicose veins

Even at the preliminary research stage, doctors can make an initial diagnosis based on a patient's complaint and the presence of these characteristic signs:

  • Dilation of superficial veins of the vulva and perineum;
  • Cyanosis of the vaginal wall;
  • Pain on abdominal palpation.

However, to confirm the diagnosis of RVMT, an initial examination and palpation are not sufficient. Therefore, patients are referred for a comprehensive diagnostic workup, including the following procedures:

  • Combined ultrasound transabdominal and transvaginal methods. It makes it possible to identify organic lesions, using color Doppler mapping to detect the localization of pathological processes.
  • Doppler imaging. Allows physicians to assess the status of the vascular and venous systems of the MT organ.
  • tomography. Computer or magnetic resonance imaging with contrast agents allows you to examine the veins in detail, their location, and see areas of dilation.
  • Extrauterine venography. Allows you to determine the localization and prevalence of pathological processes, assess the status of the valve system, detect thrombi.

For differential diagnosis or the lack of information for the above methods, they turned to diagnostic laparoscopy.

Treatment of small pelvic varicose veins

Treatment of small pelvic varices can be conservative or surgical. If the veins do not change significantly and the condition does not threaten the patient's health, individual drug therapy is prescribed, the main task of which is to improve the condition of the veins and eliminate unpleasant symptoms. For these purposes, the following groups of drugs are used:

  • Venotonics. Their mechanism of action is aimed at correcting venous circulation disorders, which are the main cause of the development of varicose veins. Systemic IVs help heal blood vessels throughout the body because they affect the entire venous system.
  • Medications that have blood-thinning effects. Reduce blood density and prevent thrombosis.
  • Non-steroidal anti-inflammatory drugs. Relieves inflammation and eliminates unpleasant symptoms.
  • Vitamin and mineral complex. Help strengthen lending and reduce its vulnerability.

Throughout the medication, doctors recommend wearing compression underwear, which is similar to bandaging with an elastic bandage. This underwear allows you to distribute external pressure according to the physiological characteristics of the patient's body. Regular wear helps to normalize blood circulation without causing skin changes and local metabolic disturbances. In order to get the most out of your compression bra, it is necessary to work with your doctor to choose a product.

If the disease is advanced and conservative treatment fails to stop its progression, physicians will consider options for surgical intervention with the patient. Modern minimally invasive surgical methods include:

  • hardening. The essence of the technique is to introduce a sclerosant into the affected vein, which can lead to venous blockage and further absorption. All manipulations were performed under angiographic control.
  • Ovarian vein thrombosis. This surgical approach to treating VRVMT involves introducing an embolic coil through a catheter into a vein. This allows you to completely block the blood flow in the dilated vein. The procedure is performed under angiographic control.

prevention

Prevention of RVMT involves following simple rules:

  • lead a healthy, active lifestyle;
  • Get rid of bad habits;
  • normalized body weight;
  • In connection with a sedentary lifestyle, moderate physical activity, exercise therapy;
  • Improve nutrition by diversifying your diet with fresh fruits and vegetables;
  • For those with a tendency to varicose veins in the small pelvis, wear compression underwear and choose together with the attending physician;
  • If the disease is caused by excessive physical exertion, it is necessary to try to limit it to the maximum;
  • receive hormone therapy under the strict supervision of a doctor;
  • For the purpose of prevention, a comprehensive physical examination every year is helpful for early detection of lesions, timely cure, and avoidance of complications.

complication

The risk of complications can be minimized if the disease is diagnosed and treated promptly. Without proper treatment, this dangerous consequence can occur:

  • thrombosis;
  • thromboembolism;
  • Thrombophlebitis.

Other common complications:

  • hormone imbalance;
  • functional uterine bleeding;
  • Chronic inflammatory processes in the organs of the reproductive and urinary systems;
  • Infertility.

Small pelvic varicose veins are often exacerbated during pregnancy and pose a serious threat not only to the health of the pregnant woman but also to the health of her child. Women with progressive vascular disease are more likely to give birth to premature babies who are underweight and have visceral hypoplasia. During labor with varicose veins, the thinned blood vessel walls can be damaged, which can lead to massive, uncontrolled bleeding that can be fatal. Therefore, if a woman is diagnosed with VRVMT during pregnancy, doctors recommend a surgical delivery method - a caesarean section.

Cost of treating small pelvic varicose veins

Treatment costs for small pelvic varicose veins are calculated separately for each patient. Factors such as:

  • The degree of neglect and prevalence of the pathology;
  • associated complications;
  • The most effective treatment is conservative or surgical;
  • Complementary therapy is required.

To get more detailed information on the cost of treating pelvic varicose veins, you should contact a specialist who will determine the stage of the disease and advise on treatment.

11.02.2022