Varicose veins of the pelvis or chronic pelvic pain syndrome is still an exotic disease with a fuzzy diagnostic limits for many doctors.
This explains the fact that some physicians for a long time does not "notice" this disease in their patients, while others got it almost every second person suffering from a permanent obscure pain in the abdomen.
Meanwhile, the timely identification of varicosity of the pelvic veins depends largely on the quality of life of the patient, his ability to enjoy the intimate side of the relationship with the loved one and the ability to procreate.
The phenomenon of chronic pelvic pain is known to physicians for a long time. But only relatively recently became known the most probable reason is varicose veins of the pelvis. This disease was first described in 1975 and is still not well understood.
Most likely, this pathology evolves according to the following algorithm:
- Venous plexus in the pelvis is a complex construction, which consists of large vascular trunks, and the waste from these smaller veins. Thus the venous system of small pelvis in men and women differ in their structure, which leads to sex specification of the disease is much more common in the fairer sex.
- Due to the compression of vessels, complete or partial blockage of the venous bed, changes the tone of the vascular wall impaired outflow of blood from the deep pelvic veins.
- In the result, the veins cease to perform their functions in full: progressing insufficiency of the venous valves , and normal outflow of blood.
- In pelvic veins commence congestion associated with the backward reflux of blood through the vessels – it provokes dilatation and varicosity development.
Symptoms of varicose (varicosity) of the veins of the internal organs of the pelvis is much more common in women of reproductive age than in men. While most often suffer from the ovarian vein in 85% of cases.
The leading symptom is pain, which is registered in more than 90% of patients. But the prevalence of this disease among the population is still not clear: according to different studies it ranges from 6 to 80%. Such a big difference in "readings" can only be explained by insufficient qualification of medical diagnosticians in the diagnosis.
Causes and risk factors
Causes of pelvic varicosity there are any changes in the body that can trigger the launch of the pathological mechanism of this disease:
|Anatomo-physiological cause varicosity||What can cause this|
|Mechanical pressure on the pelvic veins||
|The change of tone of vessels||
|A blockage in the veins of the pelvis||
The increased risk factors varicosity of the pelvis is:
- intense physical work;
- not enough regular or unsatisfactory sex life;
- abuse in intimate life interrupted sexual intercourse;
- a large number of pregnancies and births;
- the most common gynecological diseases;
- contraception by means of hormonal drugs;
- hormonal disruptions in the body;
- the lack of exercise.
Classification and stage of varicosity
In medical circles it is accepted conditional division varicosity of the pelvis on the nature of the flow on the varicosity of the veins of perineum and external genitalia (e.g., labia) and the syndrome of venous plethoras of small pelvis. This classification is of little practical value, since in most cases patients meet both of these forms at the same time as creating each other.
You can also find the classification of the disease at the root cause of its occurrence. In this regard, the varicosity of the pelvis is divided into:
- primary – caused by the poor performance of the venous valve;
- secondary – develops as a complication of existing inflammatory, gynaecological or oncological diseases of internal organs.
There is also an attempt of classification of the disease based on the severity of the pathology. In this connection allocate 3 stages of pelvic varicosity:
|Stage||The characteristic features of the affected veins|
|First||less than 5||whether pelvic venous plexus|
|Second||from 6 to 10||the ovaries or uterus|
|Third||more than 10||total defeat of the veins of the pelvis|
What is dangerous and there will be consequences
This vascular pathology can not be called a deadly disease. Timely identified, it is well amenable to medical correction. But the problem is that to find it is not so easy. In this play a role and insufficient knowledge of the disease, and low awareness of most doctors-diagnosticians.
It turns out that patients suffering from this disease without even knowing it. And in their body, meanwhile, is a series of irreversible changes:
- varicosity progresses, the pathological process involved the adjacent field appears varicose veins, reproductive organs (e.g. varicosity of the penis), perineum and lower limbs.
- There is a persistent dysfunction of the internal reproductive organs that may cause infertility or inability to carry pregnancy in women.
- Amid pain syndrome develop a variety of psychoemotional disorders by type of neurasthenia.
- Because chronic pain that is exacerbated during intimacy, a person can completely abandon sex.
- The rarest and at the same time the most severe complications are pelvic varicosity vein thrombosis and pulmonary thromboembolism. They occur in about 5% of cases, but always deadly.
Typical symptoms of varicose veins and pelvic vessels, which require treatment to the doctor for treatment include:
- Chronic pain. Pain is most often localized in the lower abdomen, sometimes "give" in the groin and lower back. Accelerate in the second half of the menstrual cycle in women, after intercourse or prolonged standing on his feet.
- Discharge from the genital tract. This is typical women's symptoms. In this case select normal in appearance and have no foreign smell. The patient is alarming only their unusually large number.
- External signs of disease – spider veins or increased venous pattern on the thighs, in the crotch area – occurs in approximately half of the patients. Men may experience a small varicose veins on the penis.
- Menstrual disorders in women and disorders of urination in patients of both sexes is uncommon and evidence advanced form of the disease.
When to go to the doctor and to what?
The reason for going to the doctor can be any of the above symptoms. We must not tarry, since figuring out the true causes of discomfort and prescription of effective treatment will take time.
Profile a specialist in this disease there is a doctor-phlebologist, but for women it could be a primary visit to the gynecologist, who will be convinced in the absence of concomitant gynecological diseases.
According to American researchers, in the beginning 2000-x years only 2% of patients with varicosity of the pelvis put the correct diagnosis. Sometimes the result of diagnostic errors was the removal of the reproductive organs in women, although this could have been avoided if used the most accurate methods of diagnosis of pelvic varicosity:
- Ultrasound and Doppler study of the veins gives you the opportunity to suspect varicosity;
- Phlebography is an invasive study which allows high accuracy to determine the presence and extent of the disease;
- Laparoscopy is indispensable in differential diagnosis of varicosity of small pelvis from similar symptoms of gynecological diseases (endometriosis, fibroids, vaginitis).
- Selective variography is the study of the condition of the veins with contrast agent, is considered the most objective diagnostic method.
- Computer or magnetic-resonant tomography allows to define the details of the disease and differentiate it from other pathologies had similar symptoms (joint disease, Crohn's disease, etc.).
In the treatment of varicosity of the pelvis are as follows:
- to normalize vascular tone;
- to improve the nutrition of tissues;
- prevent congestion and possible complications.
Treatment of varicosity of the pelvic vessels may occur simultaneously in several directions, while surgical intervention is only necessary in stage 3 of the disease.
|Medical direction||Specific measures|
|Therapy without medication||
|Treatment of folk ways||using herbal remedia based on dandelion, chagas and horse chestnut|
Predictions and prevention measures
Completely cure varicose veins of the pelvis without surgery is almost impossible. Using conservative medicine can significantly alleviate and even eliminate most of the unpleasant symptoms and greatly reduce the risk of complications of the disease. The operation also does not give an absolute guarantee that the disease will not return.
In order to prevent recurrence, you should always adhere to proper lifestyle:
- do not smoke;
- not to use hormonal drugs uncontrollably;
- more moving and less standing on his feet still;
- to comply with the antisclerotic diet with lots of fresh plant foods;
- daily to perform complex medical gymnastics and breathing exercises to maintain the health of blood vessels;
- after the conducted surgery concerning varicosity need to wear compression stockings and to take preventive doses of prescribed drugs-venotonics.
Pelvic varicosity – this is a hidden beach women's health, a kind of disease Ghost, which is difficult to detect, but to suffer from it quite real.
The main symptom of the disease – chronic pelvic pain, which can bother the patient for a long time and become a source of rejection of the many joys of life. To endure such discomfort and not to go to the doctor it is impossible!
With the appearance of specific symptoms should be clearly understood that this is not normal and immediately seek help from a specialist.