Pelvic varicose veins drug therapy and surgical options

There are several treatment options for small pelvic varicose veins, depending largely on the cause of the disease and its stage of development.

Small pelvic varicose veins are more common in people who are in one position for a long time, causing bruising. The disease is considered a modern STD.

Causes of disease and risk groups

Leg pain from pelvic varicose veins

Varicose veins most commonly occur for several reasons. Contributes to the development of disease:

  1. Vascular diseases of various etiologies.
  2. High blood pressure.
  3. Pelvic infections (including endometriosis).
  4. Varicose veins of lower extremities.
  5. Hard work involving lifting weights.
  6. Improper diet, sedentary work, etc.
  7. genetic predisposition.

Varicose veins usually develop on the background of reduced elasticity of blood vessels, their walls weaken, and they malfunction.

Hormonal changes in the body can also lead to pathological changes. So women during pregnancy often face similar symptoms. Also at risk are:

  • overweight person;
  • menopausal women;
  • People who are addicted to alcohol or nicotine;
  • Dystocia women.

Genetic factors, hormonal issues, systemic stress and a sedentary lifestyle play a role. Alcohol and nicotine also do not have the best effect on the state of the blood vessels, they can cause them to spasm, which can lead to the development of varicose veins.

Most of the time, the pathology is diagnosed in women and it develops against the background of changes in hormone levels during pregnancy, childbirth, menopause. To cause varicose veins to appear, you can:

  • Take hormonal drugs.
  • Take oral contraceptives.
  • A sharp drop or rise in the level of estrogen in the blood.

Often, a woman's problem is diagnosed during pregnancy, and the birth of a child can exacerbate the course of the disease.

In men, the disorder is diagnosed less frequently and develops mainly due to:

  • genetic predisposition;
  • work hard;
  • malnutrition;
  • over-enthusiasm for weightlifting;
  • Frequent consumption of alcoholic beverages;
  • Nicotine addiction and other bad habits.

The disease can also have a professional slant, but the most common varicose veins develop against the backdrop of an unhealthy lifestyle.

symptoms of disease

Varicose veins in the small pelvis have different symptoms, and the treatment of the disease depends on it. Since the main purpose of treatment is to eliminate unpleasant symptoms, these include:

  1. Pain and tingling in the pelvic area.
  2. Heavy and painful periods (women).
  3. Pain in the lower back, tailbone, or abdomen.
  4. reproductive function problems.
  5. Impotence or erectile dysfunction (in men).
  6. Pain or discomfort during sex.

The main symptom is pain, which is constant worrying or occurs from time to time. Pain syndromes come in varying degrees of severity, and women are only concerned about changes in the hormonal background during menstruation.

Ultrasound diagnosis of pelvic varices

The lack of oxygen and nutrients carried by the blood can lead to the development of infertility or impotence, usually in the context of varicose veins, hemorrhoids develop.

If the disease is actively progressing, a person may be disturbed by unpleasant sensations in the form of tingling in the lower back, abdomen, and legs. It also shows that varicose veins are actively progressing and causing damage to the blood vessels of the lower extremities.

In men, on the background of small pelvic varicose veins, impotence often occurs, erectile function is disturbed, and there are unpleasant sensations during sexual intercourse. In women, the disease causes interruption of blood flow to the uterus and appendages. Against this background, infertility develops, the uterus enlarges, the first signs of endometriosis and other reproductive disorders appear.

Classified by disease severity

There are only 3 main stages of development of small pelvic varices, and the severity of the signs and the degree of pathological changes depend on the stage of the disease.

Thus, the main stages of the development of the disease:

  1. First: the diameter of the blood vessel is enlarged, the elasticity of its wall is reduced, and due to the reduced elasticity, the passage into the vein resembles a corkscrew in appearance;
  2. Second: the diameter of the blood vessel is enlarged to 10mm, the edge is sagging, and the ovarian plexus can be seen to expand, with nodules and congestion;
  3. Third: In diameter, the vascular entrance is enlarged (more than 10 mm), the possibility of thrombosis is high, and necrotic changes occur in the tissue.

3rd degree small pelvic varicose veins are untreatable. In this case, drug therapy cannot eliminate the pathological changes. Its purpose is simply to get rid of some unpleasant symptoms and lessen their severity.

If we assess prognosis, detection of varicose veins at an early stage of development is most beneficial. In this case, conventional treatments can not only significantly slow the progression of the disease, but also eliminate its main symptoms.

When the disease enters the second stage of development, its treatment aims to stop the pathological changes. It is important to prevent thrombosis and prevent varicose veins from transitioning to the final stages of development.

If the pathology is detected in time, the treatment is carried out under the supervision of a specialist, and the patient carefully follows the doctor's advice, the disease will progress very slowly. Progress can be stopped, slowed down significantly, and a person will not face the unpleasant signs of varicose veins anytime soon. However, if measures are not taken in time, the chances of complications are high.

diagnosis method

The disease is diagnosed by several methods, most often:

  1. Ultrasonography of the blood vessels of the pelvic organs.
  2. Ultrasound of the uterine appendages (through the abdominal cavity and transvaginally).
  3. Collect medical records (ask patient complaints).
  4. MRI of pelvic organs (rarely performed due to high cost of examination).
  5. Doppler contrast (often combined with ultrasound of pelvic organs).

Ultrasound is considered to be the most informative and most common, and if performed in conjunction with Doppler angiography, can accurately diagnose patients. Because Doppler ultrasound helps track blood flow to the pelvic organs.

Vascular CT or MRI is rarely done because these studies are expensive. But doctors can prescribe these tests if necessary. The results obtained at the end of the study were sufficient to make a diagnosis.

But doctors may already suspect varicose veins when collecting the medical history. If characteristic signs of pathology are observed, a preliminary diagnosis is made, and the above tests confirm the diagnosis.

Main tasks and general situation of treatment

Treatment is aimed at delaying the development of pathological changes. It is necessary to increase the elasticity of the vessel wall to avoid thrombosis. This will help deal with the main signs of pathology and avoid complications.

Conservative treatment

Involves taking medication. These can be drugs of various ranges of action. In most cases, doctors prescribe venotonic medications, which are taken by mouth.

The dose of the drug is determined individually and the course of treatment is long. Various medications, including vitamins, can enhance the effects of medications.

Also, if necessary, anti-inflammatory drugs are prescribed, they will help reduce the severity (if any) of the inflammatory process.

Antispasmodics are used to relieve pain.

diet and nutrition

If small pelvic varicose veins are detected, it is recommended to refuse:

  1. from foods high in fat.
  2. from semi-finished products.
  3. From salty and smoked foods.

Fatty and salty foods are the most harmful to the vascular system. Salt can cause fluid build-up in the body, which increases blood pressure levels in the body. The ships were affected by this, they narrowed sharply and then swelled. For varicose veins, such a load can trigger disease progression.

Fat deposits on the walls of blood vessels, leading to the development of atherosclerosis, reducing the lumen of the arteries and leading to thrombosis.

Diet needs to be varied:

  • fiber products;
  • Beverages and foods that contain antioxidants;
  • Products that lower blood pressure.

The diet includes fresh fruit, dairy products, lean meats and fish. It is recommended to avoid overeating and beverages high in caffeine.

Caffeine roughs up the blood vessels, dilating them, and then shrinking them dramatically -- which causes cramping, which increases the load. As a result, the arteries become unbearable, varicose veins begin to develop, and the risk of complications increases.

Gymnastics, recommended practice

Varicose Vein Exercise

Physical activity stimulates blood flow to the pelvic organs. In order to normalize blood circulation, it is recommended to perform exercises in which the legs are in a stretched state.

Doctors recommend doing this:

  1. Bicycle (in a circular motion with your legs, lying on your back).
  2. Scissors (it's worth stretching your legs and doing a cross movement with them, reminiscent of the action of scissors).
  3. Lift the pelvis (lie on your back, lift your straight leg, tear the pelvis off the surface).

Good results are jogging, walking and exercising in the pool. But it's best to reject exercises designed to train your abdominal muscles. They disrupt blood flow.

operation treatment

Surgery is considered a last resort and is performed only when indicated:

  • If the drug treatment does not bring the expected results;
  • if the risk of complications is high;
  • If varicose veins are in the final stages of development.

In most cases, arterial embolization is performed, hardening:

  1. If we talk about arterial embolization, then this is their ligation. Arteries are pulled with special securing devices so blood does not flow to them. Natural necrotic changes begin to prevent the development of pathology.
  2. Sclerosis is the introduction of a special substance into the blood vessels that sticks them together and does not allow blood to pass through the altered arteries. This helps avoid pathological changes.

prevent recurrence

The following precautions are recommended:

  • take regular walks;
  • 2 IV medications per year;
  • eating right and exercising;
  • stop drinking and smoking;
  • Regular preventive check-ups (visits to the doctor and ultrasound scans;
  • Avoid stressful and stressful situations.

It is necessary to lead a correct lifestyle, eat well, wear compression underwear, use special preparations. This will help prevent the disease from recurring.

Criteria for Treatment Effectiveness

The effectiveness of treatment depends directly on the stage of development of the disease. The most effective is a comprehensive approach to problem solving. You must reconsider your lifestyle, adjust your lifestyle carefully, get rid of bad habits, eat right, and exclude foods that damage blood vessels from your diet.

Small pelvic varicose veins are a pathological condition with serious consequences. If the disease goes untreated, you could face serious problems.

13.02.2022