Varicose veins of the small pelvis: causes of the disease

Varicose veins of the small pelvis are very difficult to diagnose, especially in women. Its essence is the presence of pathological dilation of the walls of blood vessels in a limited area. As a result of such a disease, blood flow to the gynecological organs is impaired. This disease is dangerous not only with a significant reduction in quality of life. In the worst-case scenario, a child can become pregnant, miscarry, and thrombosis.

The frequency of such pathological processes is extremely high. At the same time, there is a clear link between its prevalence and the age of women. As an example, we can say that by the age of seventeen, this pathology is not found in more than nineteen percent of girls. After the onset of menopause, this figure begins to exceed seventy percent. It should be noted that such a disease is often accompanied by damage to the vessels that supply the ovaries.

Varicose veins of the small pelvis are a violation of the cellular and tissue structure of the vascular wall. It is congenital and morphologically manifested by a decrease in the number of collagen fibers in the vessel wall. This condition often develops with changes in the blood vessels in the lower extremities.

There are a number of factors that create favorable conditions for the formation of this disease. First of all, it is weight lifting and low level of physical activity. Difficult pregnancy and childbirth, various traumatic effects on the pelvis can also contribute to the appearance of this pathology. The presence of diseases of the reproductive system also plays an important role. Examples include enlargement of the glandular tissue of the uterus, its improper placement, inflammatory and tumor changes, systemic sexual intercourse, and so on. It is believed that the vascular wall may lose its tone against the background of changes in the endocrine system and irrationally selected oral contraceptives.

There are two types of small pelvic varicose veins:

  • Vulvar and perineal diversity;
  • Diversity accompanied by venous plethora.

It should be noted that in most cases, such a disease occurs simultaneously in these two variants, which aggravate each other.

In addition, depending on the severity, varicose veins of the small pelvis are light, medium and heavy. With a slight degree, the lumen of the vessels reaches a diameter of five millimeters. The average is characterized by vasodilation from six millimeters to one centimeter. If the diameter of the vascular structures is more than ten millimeters and the changes occupy almost all the vessels, a serious degree is determined.

Symptoms of varicose veins of the small pelvis

Doctor's appointment for pelvic varicose veins

The clinical signs of this disease will be slightly different due to the variety in which it occurs. With the defeat of the vulva and perineum vessels, there are complaints of discomfort and itching in the labia and vagina. There are often arching pains of varying severity. Examination may reveal edema of the external genitalia. Another characteristic symptom is spontaneous bleeding, which is most often provoked by sexual intercourse. It is very difficult to stop such bleeding.

The most common complication of this variety is thrombophlebitis, in which inflammatory changes develop in the venous wall accompanied by the formation of thrombotic masses. In this case, there are symptoms such as severe pain, redness and swelling of the skin in the affected area. In parallel, the fever increases, reaching subfebrile or febrile values.

Ongoing diversity with venous plethora has different clinical manifestations. Inflammation of the urinary system, gynecological organs, large intestine, etc. mixed with. The most specific symptom is pain. It is localized in the lower abdomen, spreads to other anatomical areas and is painful. Increased pain syndrome is often noted during sexual intercourse, prolonged sitting or lifting weights. Often there are symptoms such as extremely painful menstruation and dysuric disorders.

Diagnosis and treatment of the disease

ovarian cyst with pelvic varicose veins

The diagnosis of this disease is based primarily on the accompanying clinical manifestations. A full gynecological examination is mandatory. Existing changes in the vessels can be detected using Doppler ultrasound and transuterine phlebography. In addition, a CT scan of the pelvis may be performed. When the listed methods do not provide the necessary information or there is any doubt, diagnostic laparoscopy is used.

Varicose veins of the small pelvis are treated both conservatively and surgically. As part of conservative therapy, NSAIDs, drugs that improve the tone of the venous wall, antiplatelet agents, as well as therapeutic exercises are used. In severe cases of this disease, surgery is recommended. Minimally invasive methods are often used.

Prevention of varicose veins of small pelvic vessels

To prevent this pathological process, it is necessary to avoid lifting heavy objects, engage in high physical activity, lead a full sexual life and generally lead a healthy lifestyle.