Fairly common diagnosis in medical practice recently became varicose veins of small pelvis, and it is found both in men and women. However, statistics indicate that women face this problem more often of the opposite sex. The varicose veins of the pelvis affects all age group of women, but with increasing age, and increases proportionally the risk of this disease. In the reproductive age varices of the vessels of the small pelvis can be detected in 15-20% of women and in menopause is diagnosed it is already at 75-80% of patients. In men the initial symptoms of varicose veins in the pelvic area most often occur in the range from 12 to 30 years.
CAUSES OF VARICOSE VEINS OF THE PELVIS AND THE PECULIARITIES OF ITS DEVELOPMENT IN WOMEN AND MEN
The development of this disease contributes to a number of reasons. Some of them depend on heredity and overall health, while others are the result of lifestyle and habits. Factors which provoke the appearance of varicose veins of the small pelvis are:
- pathological dilatation of the rectum and lower extremities;
- genetic predisposition;
- congenital weakness of connective tissue and venous walls;
- the development of tumors, tumors and hernias in the urogenital system;
- inflammatory diseases of the pelvic organs in the chronic form;
- sedentary and static sports;
- heavy physical exertion;
- forced prolonged sitting or standing;
- the lack of regular sexual life;
- nervous disorders and frequent lack of sleep;
- poor diet and excess body weight;
- bad habits.
Depending on gender the above list is complemented by various factors. For example, in men, this factor may be non-standard feature of the structure of blood vessels of the genitals. This condition is called varicocele – varicose veins of the spermatic cord. Given the characteristics of the male anatomy, we can say that the disease is often localized on the left side.
Features of the development of varicose veins of small pelvis in women (the so-called female varicocele) are due to the presence of the following risk factors:
- inflammatory gynecological diseases;
- mechanical compression of the veins by the enlarged uterus;
- sexual disorders (discomfort during intercourse and anorgasmia);
- polyhydramnios and multiple pregnancy;
- numerous and heavy labor;
- hormonal changes;
- hormonal therapy and contraception.
It is worth noting that, despite the greater prevalence, varicose veins of the pelvis are poorly understood, and perhaps there are other reasons for its occurrence.
VARICOSE VEINS OF SMALL PELVIS, THE SYMPTOMS AND THEIR CHARACTERISTICS IN WOMEN AND MEN
Signs of varicose veins of small pelvis in the early stages of the disease show no symptoms. In male patients who have it have symptoms, which often can be detected solely using the methods of palpation, ultrasound, functional tests and results of physical examination. Only when the degree of damage of veins very high, varicose veins can manifest deformity of the penis, and severe pain even at rest.
Patients of both genders pain in varicose veins of the pelvis begin to occur with the development of pathological changes in the blood vessels and the deterioration of the outflow of blood. They are located in the lower abdomen and have different intensity, most patients report aching and nagging pains that give in sacrolumbar area. They occur or become more pronounced when walking, after a prolonged static and dynamic loads.
Varicose veins of small pelvis in women symptoms is more pronounced than that of men:
- crisis pain in the abdomen spread on the area of the perineum and growing, as a rule, after a long stay in the standing or sitting; in the first days of menstruation, after exposure;
- unpleasant sensations in the genitals and the pelvis during intercourse and some time after it ;
- pronounced premenstrual syndrome;
- failure of the menstrual cycle (dysmenorrhea): increase the duration and intensity of menstruation;
- increased secretion of glands of the external genital organs;
- venous nodes in the crotch area;
- particularly sensitive areas of the perineum;
- dysfunction of urination.
VARICOSE VEINS OF SMALL PELVIS IN PREGNANCY
Pregnancy is a peculiar indicator of the health of the woman. A disease is asymptomatic, are in the period of gestation.
During pregnancy, the rapidly growing uterus takes up more and more space in the pelvis. At the end of the third trimester, it reaches the maximum possible size and compresses other organs, constricting the venous vessels. Their walls, due to the reduction of uterine tone, in this period, much weaker than usual. This physiological process is harmful to health, and pregnancy may be complicated by rupture of veins, bleeding. And postpartum anemia and painful sensations which lead to problems with the veins.
With the growth of the fetus, the outflow of blood from the uterus increases approximately 15-20 times, and valve apparatus of the vessels of the uterus are not always able to deal with it. It is a violation of the unidirectional flow of blood, which causes venous congestion and inflammation. The bloodstream begins to take place in a roundabout way, which involved a weak small vessels of the pelvic organs. This leads to excess of blood, and, as a consequence, is manifested varicose veins of the pelvis. It is possible that after childbirth may occur in the reverse process, and the disease will retreat.
Because of the impaired blood flow varicose veins of the pelvis leads to a shortage of oxygen to the baby. Hypoxia of the fetus, sometimes this is the reason for the caesarean section.
During pregnancy it is particularly important not to confuse varicose veins of the uterus and pelvis. To establish an accurate disease will only survey-based methods with a high level of diagnostic capability: ultrasonography (us), computed tomography (CT), magnetic resonance imaging (MRI). In this period of life women is a preference for ultrasound and MRI, because CT involves radiation exposure. MRI is absolutely safe, but it is not recommended to do in the first trimester. Indications for MRI with varicose veins of small pelvis ultrasound results.
During pregnancy to treat varicose veins of the pelvis using only conservative methods of therapy. Therefore, to completely get rid of the disease after childbirth. In extremely critical situations, resort to surgical intervention. Then use minimally invasive techniques – radio-frequency and laser coagulation.
In the treatment without surgery all the recommendations are mainly related to correction of lifestyle:
- increase your physical activity. Hiking at least two hours a day, with a mandatory rest;
- to eliminate lifting;
- you need to stick to a diet that includes products rich in fiber (cereals, fruits and berries, vegetables) and with a high content of healthy fats;
- to take a contrast shower, a welcome swimming pool;
- from the second trimester to be sure to wear the designated kind of compression hosiery or prenatal bandage;
- sleep better on his side with a slightly raised legs;
- exercise and respiratory therapy.
When there is an imminent threat of premature birth, treatment is held stationary, under the supervision of medical personnel.
TREATMENT OF VARICOSE VEINS OF SMALL PELVIS: THE USE OF DRUGS AND THERAPEUTIC EXERCISES
Varicose veins of the pelvis treatment consists of therapy, various medications and special gymnastic exercises.
The use of essential drugs in the acute phase of the disease. The main active components are: diosmin, hesperidin, troxerutin, pentoxifylline. Vitamins and pills that contain juice, extracts and vegetable oil will also give a modest improvement of the patient's condition.
Pregnant women, doctors try to prescribe the means (with varicose veins of small pelvis) solely on the basis of natural ingredients: horse chestnut extract, green tea extract, vitamins, oils, etc., that is, those drugs which less side effects. Most often, the doctor a comprehensive treatment provides more direction to physical therapy, or physiotherapy.
Gymnastics with varicose veins of small pelvis have a wide range of actions. They are the main form of treatment, which simultaneously has preventive value. Exercises involve the back muscles, peritoneum, pelvis and hips, have a positive effect on improving blood flow. Given the possible intensity of the load, the characteristics of health, labour at work and at home, you can pick up a reasonable set of exercises.
Exercises for home can include the following complex:
- the exercise "Bicycle": the rotation of legs, lying on his back. 15-20 approaches;
- exercise "knees up": raise the chest to the knee, pointing the toe up, fix this position for a few seconds. 10 reps on each leg;
- exercise "Scissors": in supine position, keep arms at sides, legs straight, toes stretched myself, alternately crossed legs. 15 approaches;
- exercise "Candle": the head, neck and shoulders are on the floor, the body must be secured in a vertical position, the back can hold hands, to do 5-7 minutes;
- exercise on flexibility of the back: the support should be on hands and knees, first bend, then straighten the back. 10 approaches.
At work, for example, you can perform the following exercises:
- of urging and straightening of the toes;
- circular rotation of the feet in the sitting position, 10 times;
- alternate transfer of body weight on one leg, then the other.
In the initial stages of the disease to complement the treatment of varicose veins of the pelvis can folk remedies. These include the adoption of tonic baths, the use of anti-inflammatory extracts and promote blood decoction.
Most of the tools are easy to prepare at home. Benefit in the treatment of the disease is given: the fruit and flowers of horse chestnut, birch chaga, dandelion roots, chamomile flowers.
Special place in treatment is prevention:
- adherence to a healthy lifestyle (quitting Smoking and alcohol consumption);
- custodial nutrition (eating small portions 5 times a day at equal intervals of time);
- the optimum ratio of exercise and rest;
- sexual life after of varicose veins of the pelvis should be moderate;
- regular monitoring of blood parameters;
- a visit to a phlebologist.
After treatment of the disease, the patient will note an improvement in not only physical but also emotional state.