Pelvic varicose veins are a fairly difficult condition to diagnose, occurring mainly in women. The point is that there is an abnormal dilation of the vessel wall in a limited area. As a result of such a disease, the blood flow to the gynecological organs is disrupted. This disease is dangerous not only because of the significant decline in quality of life. In the worst case scenario, it can cause childbirth difficulties, miscarriages and thrombosis.
The incidence of such pathological processes is extremely high. However, there is a clear relationship between its prevalence and the age of women. As an example, for seventeen years, this pathology is detected in up to nineteen percent of girls. After the onset of menopause, this number begins to exceed seventy percent. It is worth noting that such a disease is most often accompanied by damage to the veins that supply the ovaries.
Varicose veins in the small pelvis are essentially a violation of the cellular and tissue structure of the vessel wall. It is innate in nature and morphologically manifests itself in a decrease in the number of collagen fibers in the vessel wall. Quite often, this condition develops with changes in the veins in the lower extremities.
There are a number of factors that create favorable conditions for the development of this disease. First, it is weight lifting and low levels of physical activity. Severe pregnancy and childbirth, various traumatic effects of the pelvis may also contribute to the appearance of this pathology. The presence of diseases of the reproductive system also plays a significant role. Examples include uterine gland tissue growth, misalignment, inflammatory and neoplastic lesions, systemic coitus interruptus, and more. It is hypothesized that changes in the endocrine system and irrationally selected oral contraceptives may cause the vessel wall to lose its voice.
The varicose veins of the small pelvis are conditionally divided into two types:
- Vulvar and perineal varieties;
- Variety accompanied by a venous population.
It is worth noting that in the vast majority of cases in these two variants, such diseases occur simultaneously and exacerbate each other.
In addition, the pelvic varicose veins are mild, moderate, and severe depending on the severity. Slightly the lumen of the vessels reaches a diameter of five millimeters. The moderate degree is characterized by vasodilation ranging from six millimeters to one centimeter. Severe grade is found when the diameter of the vascular structures exceeds ten millimeters, and the changes occupy almost all the veins.
Symptoms of pelvic varicose veins
The clinical symptoms of this disease vary somewhat depending on the type. With the defeat of the vessels of the vulva and perineum, there are complaints of discomfort and itching in the labia and vagina. There are often curved pains of varying severity. The examination revealed that the external genitalia were edematous. Another characteristic symptom is spontaneous bleeding, which is most often caused by sexual intercourse. Such bleeding is quite difficult to stop.
The most common complication of this type is thrombophlebitis, in which inflammatory lesions develop in the vein wall, accompanied by the formation of thrombotic masses. In this case, symptoms such as severe pain, redness and swelling in the affected area occur. In parallel, the fever increases, reaching subfebrile or febrile values.
Varieties that develop in venous abundance have different clinical manifestations. It is often confused with inflammation of the urinary system, gynecological organs, colon and so on. The most specific symptom is pain. It is localized at the lower level of the abdominal cavity, spreads to other anatomical regions, and is painful in nature. An increase in pain syndrome is most commonly seen after sexual contact, long sitting, or weight lifting. Quite often there are symptoms such as overly painful menstruation and dysuria disorders.
Diagnosis and treatment of the disease
The diagnosis of this disease is based primarily on concomitant clinical manifestations. A full gynecological examination is mandatory. Existing changes in the veins can be detected by Doppler ultrasound and transuterine phlebography. CT scans of the pelvis can also be performed. In the event that the methods listed do not provide the required information or in doubt, diagnostic laparoscopy is used.
Pelvic varicose veins are treated with both conservative and surgical methods. Non-steroidal anti-inflammatory drugs, drugs that improve venous wall tone, antiplatelet agents, and therapeutic practices are used as part of conservative therapy. In severe cases of this disease, surgery is recommended. Minimally invasive methods are most commonly used.
Prevention of pelvic varicose veins
To prevent this pathological process, lifting heavy objects should be avoided, a high level of physical activity should be maintained, a full sex life should be pursued, and a healthy lifestyle should be followed in general.