Varicose veins of the pelvis (WRMW) or chronic pelvic pain syndrome is still an exotic disease with fuzzy diagnostic boundaries for many doctors.
This explains the fact that some doctors "do not notice" this ailment for their patients for a long time, while others make this diagnosis to almost every second person suffering from constant inexplicable pain in the lower abdomen.
Meanwhile, the quality of the patient’s further life, his ability to enjoy the intimate side of relationships with a loved one and the ability to continue his family, largely depends on the timely detection of the varicose veins, largely depends.
Description of the disease, its prevalence, statistical data
The phenomenon of chronic pelvic pain has been known to doctors for a long time. But only relatively recently it became the well -known most likely reason - varicose veins of the pelvis. This is a diseaseIt was first described in 1975And still not well studied well.
It is most likely that this pathology develops according to the following algorithm:
- The venous plexus in the pelvis is a complex formation, which includes both large vascular trunks and smaller veins extending from them. At the same time, the venous system of the small pelvis in men and women differs in its structure, which determines the sexual specification of the disease - VRVMTIt is much more common in the representatives of the weaker sex.
- Due to squeezing vessels, complete or partial clogging of the venous channel, changes in the tone of the vascular walls are disturbed by the outflow of blood from deep pelvic veins.
- As a result, veins cease to fulfill their functions in full:The deficiency of venous valves progressesAnd a normal outflow of blood is disturbed.
- In the pelvic veins, stagnant phenomena associated with the reverse blood cast through the vessels begin - this provokes the expansion of veins and the development of varicose veins.
Symptoms of varicose veins (varicose) of the veins of the internal organs of the pelvis are much more common in women of reproductive age than in men. At the same time, ovarial ("ovary") veins most often suffer - in 85% of cases.
The leading symptom is the pain that is recorded in more than 90% of patients. But the prevalence of this disease among the population has not yet been clarified: according to different studies, it is from 6 to 80%. Such a large run in the "testimony" is explained only by the insufficient qualifications of diagnostic doctors when making a diagnosis.
Causes and risk factors
The causes of pelvic varicose veins are any changes in the body that can provoke the launch of the pathological mechanism of this disease:
| The anatomical and physiological cause of varicose veins | What can lead to this |
| Mechanical compression of the pelvic veins |
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| Changing the tone of blood vessels |
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| Clogging veins of the pelvis |
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High risk factors VRVMT are:
- tense physical work;
- insufficiently regular or unsatisfactory sex life;
- abuse in intimate life by interrupted sexual intercourse;
- a large number of pregnancies and childbirth;
- frequent gynecological diseases;
- contraception with hormonal drugs;
- hormonal malfunctions in the body;
- Hypodynamia.
Classification and stages of varicose veins
In the medical environment, the conditional separation of VRVMT is accepted by the nature of the course into varicose veins of the crotch and external genitals (for example, labia) and venous plethora syndrome.
This classification does not have much practical significance, sinceIn most cases, patients have both of these formsAt the same time, like provoking each other.
You can also find a classification of the disease by the root cause of its appearance. In this regard, VRVMT is divided into:
- Primary- caused by the unsatisfactory work of the venous valves;
- secondary- develops as a complication of existing inflammatory, gynecological or oncological diseases of internal organs.
What is dangerous and whether there will be consequences
This type of vascular pathologycannot be called a deadly disease. Discovered in time, it lends itself well to medical correction. But the whole problem is that finding it is not so simple. The insufficient knowledge of the disease and the low awareness of most diagnostic doctors play a role in this.
So it turns out that patients have been suffering from this ailment for years without even suspecting it. And in their body, meanwhileThere is a number of irreversible changes:
- Varicosis progresses, adjacent areas are included in the pathological process - the expansion of the veins of reproductive organs (for example, varicose veins of the penis), perineum and the lower extremities appear.
- Persistent dysfunction of the internal genital organs appears, whichcan lead to infertility or the inability to endure pregnancyIn women.
- Against the background of pain syndrome, various psycho -emotional disorders by the type of neurasthenia develop.
- Due to chronic pain, aggravating during intimacy, a person may completely abandon sex.
- The most rare and at the same time the most severe complications of pelvic varicose veins are considered thrombosis of the veins and thromboembolism of the lungs. Theymeet in about 5% of cases, but always deadly.
Diagnostics
According to American researchers, in the early 2000s, only 2% of patients with VRVMT initially made the correct diagnosis. Sometimes a consequence of a diagnostic error was the removal of detergent organs in women, although this could be avoided if they were usedThe most accurate methods for diagnosing pelvic varicose veins:
- Ultrasound and dopplerographic study of veins- makes it possible to suspect varicose veins;
- Phlebography- invasive study, which allows with high accuracy to determine the presence and degree of disease;
- Laparacopy- In case of differential diagnosis of VRVMT from the differential diagnosis of symptoms of gynecological diseases (endometriosis, myoma, colpitis).
- Selective ovariography- The study of the state of veins by introducing a contrast matter is considered the most objective diagnostic method.
- Computer or magnetic resonance imagingIt allows you to clarify the details of the course of the disease and differentiate it from other non -hydroxological pathologies similar in symptoms (articular diseases, Crohn's disease, etc. ).
Forecasts and preventive measures
It is almost impossible to completely cure varicose veins of the small pelvis without surgical intervention. With the help of conservative medicineyou can greatly facilitate and even eliminate most unpleasant symptomsAnd significantly reduce the risk of complications of the disease. The operation also does not give one hundred percent guarantee that the disease will not return.
In order to prevent a relapse of the diseaseIt is always necessary to adhere to an "anti -variable" lifestyle:
- no smoking;
- Do not use hormonal drugs uncontrollably;
- move more and stand on your feet motionless;
- observe an anti -sclerotic diet with a large amount of fresh plant foods;
- daily perform a complex of therapeutic gymnastic and breathing exercises to maintain the health of blood vessels;
- After a surgical operation for VRVMT, it is necessary to wear compression knitwear and take preventive doses of venotonics drugs prescribed by the doctor.
Pelvic varicose veins -This is a hidden scourge of women's health, a kind of ghost disease, which is difficult to find, but to suffer from it is quite real.
The main symptom of the disease is a chronic pelvic pain that can torment the patient for a long time and become a source of abandoning many joys of life. You can’t endure such discomfort and you can’t see a doctor!
When specific symptoms appear, you need to clearly understand that it is abnormal and immediately seek help from a specialist.
Basic therapy
In such a matter as the treatment of varicose veins of the pelvis, the basis consists of correction of its nutrition. To begin with, women with VRVMT should learn that even Detralex will not have due efficiency if they do not refuse to work in harmful production.
If there is such an opportunity, it is better to switch to a lighter job - excluding excessive physical activity, weight lifting.
If during a working day you have to sit or stand for a long period, arrange for yourself 5-minute breaks every half an hour. At this time, you can just walk or lie down, or you can do therapeutic gymnastics.
High -quality treatment of varicose veins is also not possible without changes in the diet. From the diet it is necessary to completely remove fat and fried foods, smoked foods and conservation. Use as few citrus fruits as possible, try to use seasonings less often when cooking.
Add more natural products to your daily menu - fruits and vegetables. Instead of animal fats, use vegetable ones - they contain a large amount of B vitamins E.
With the painful expansion of the veins of the pelvis, it is necessary to wear special compression linen. We are talking about tights or stockings that contribute to the normalization of blood circulation in the vessels, and also eliminate the stagnation of fluid in the veins.
In addition to all of the above, women with VRVMT should be engaged in anti -varicose methodology every day. It includes the following exercises:
- swimming in the pool or open ponds with clean water;
- morning jogging;
- bicycle skiing;
- Riding or skating riding.
A daily shower will help to tone the veins. Water the area of hips, abdomen and buttocks with jets of different temperatures.
Drug therapy
If the disease of the pelvic veins is at the initial stages of development, you can try to cope with it with the help of medications. The degree of damage can be detected by ultrasound (ultrasound examination of the veins of the pelvis).
Quite often, varicose veins of the pelvis during pregnancy are found. If a woman gives birth soon, it is necessary to stabilize her condition as early as possible.
Preventive measures
Forever get rid of the varicose veins of the pelvis, without resorting to surgical intervention is almost unrealistic. However, the vessels never expand on their own, which means that troubles can be avoided by adjusting your lifestyle.
Even after surgical intervention, you will not get an absolute guarantee that the ailment will not return again. Of course, modern conservative methods greatly simplify the process of treatment and recovery. You can avoid relapse only if you follow a number of rules:
- Refuse smoking;
- The cause of varicose veins of the pelvis in women is often taking hormonal contraceptives that are selected incorrectly;
- Try to be physically active, take frequent breaks in work;
- Observe a diet for varicose of a small pelvis - consume a lot of natural food of plant origin;
- maintain the vessels in tone, performing therapeutic exercises for varicose veins of the pelvis, as well as set respiratory gymnastics;
- Follow all the doctor’s prescriptions in the recovery period after surgical intervention - wear compression underwear, take medicines in time.
Folk remedies
To relieve symptoms and accelerate the restoration of the affected veins, the use of traditional medicine means. However, do not use natural medicines without prior consistency with the doctor.
List of effective recipes:
- Grinded ginger (4 tbsp. ) And lemon zest are poured with boiling water (1 l). After cooling, honey is added to the infusion (2-3 tbsp. L. ). The drink is used instead of tea.
- Horse chestnut (200 g) is crushed and poured with vodka (1 l). The tool is infused for 7 days in a dark place. Recommended dosage: 10 drops 3-4 times a day for a month.
- The branches of oak, willow and chestnut in crushed form (1 tbsp. ) Are poured into a pan, poured with boiling water (1 l) and placed on low fire. Half an hour after boiling, the decoction is removed from the stove and cooled. Next, chamomile, series, drying and St. John's wort (1 tbsp. ) Are added to it. The deadline is 12 hours. A little honey should be put on the filtered drug.
The decoction scheme: the first 2 days - 3 times 50 ml, the next 2 days - 100 ml, in the future, the dosage increases to 150 ml. The duration of therapy is 20 days, after which a break is made for 10 days.
To improve the condition of blood vessels, it is useful to use blueberries, as well as flower pollen daily.
When using folk remedies, it is important to understand that they only complement the main course, so it is undesirable to refuse drugs prescribed by a doctor.
The regular medical examination is of no small importance, which will allow you to detect any deviation in time and proceed to therapy. The sooner the disease is detected, the easier it is to cope with it. Severe cases require prolonged treatment.
Varicose lesions of the veins of the pelvis without pronounced symptoms can be eliminated by conservative methods. They fight with a neglected disease with the help of surgery, even after surgical manipulations, a repeated occurrence of pathology is possible.
It will be possible to minimize the risk of VRVMT thanks to prevention, which implies a healthy lifestyle.