Fairly common diagnosis in medical practice recently it was varicose veins of small pelvis, and is found both in men and women. However, statistics indicate that women have to face this problem, most often of the opposite sex. Varicose veins of the pelvis affects all age groups of women, but with increasing age, and increases proportionally to the risk of this disease. In the reproductive age varicose veins of the vessels of 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 initial symptoms of varicose veins in the pelvic area most often occur in the range of 12 to 30 years.
CAUSES OF VARICOSE VEINS IN THE PELVIS AND THE PECULIARITIES OF THEIR DEVELOPMENT ON WOMEN AND MEN
The development of this disease, contributes to a number of reasons. Some of them depend on heredity and health in general, while others are the result of the life style and habits. The factors causing the appearance of varicose veins of the pelvis, are:
- pathological dilation of the rectum and of the lower limbs;
- the genetic predisposition;
- weakness congenital connective tissue and venous walls;
- the development of tumors, tumors and hernias in the system urogenital;
- inflammatory diseases of the organs pelvic in the chronic form;
- sedentary and static sports;
- heavy physical effort;
- obliged to remain 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 the genre, the above list is complemented by a variety of factors. For example, in men, this factor may not be standard, depending on the structure of the blood vessels in the genitals. This condition is called varicocele – varicose veins of the spermatic cord. Given the characteristics of the anatomy of the male, we can say that the majority of the disease is localized to the left side.
Characteristics of the development of varicose veins of the 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 labour;
- the hormonal changes;
- hormonal therapy and contraception.
It is worth noting that, despite the higher prevalence, varicose veins of the pelvis are poorly understood, and perhaps there are other reasons for their appearance.
VARICOSE VEINS OF THE SMALL PELVIS, THE SYMPTOMS AND THEIR CHARACTERISTICS IN MEN AND WOMEN
Signs of varicose veins of small pelvis in the early stages of the disease show no symptoms. In patients who have symptoms, and they can often be detected only by using the methods of palpation, ultrasound, functional testing and physical examination. Only when the degree of involvement of the veins is very high, the varicose veins can manifest deformity of the penis, and severe pain, even at rest.
Patients of both genders pain in the varicose veins of the pelvis start to happen with the development of pathological changes in the blood vessels and decreasing blood flow. They are located in the lower part of the abdomen and have different intensity, in the majority of patients report pain and persistent pain, giving in sacrolumbar area. Occur or be more pronounced when walking, after a long static and dynamic loads.
Varicose veins of small pelvis in women symptoms is more pronounced than that of men:
- pain attacks in the abdomen spread to the area of the perineum and increase, usually after a long stay in the standing or sitting; in the first days of menstruation, after exposure;
- bad sensations in the genitals and the pelvis during intercourse and shortly after ;
- pronounced premenstrual syndrome;
- the failure of the menstrual cycle (dysmenorrhea): an increase in the duration and abundance of the menstruation;
- increased secretion of the glands of the external genital organs;
- venous nodules in the crotch area;
- special area sensitivity 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, they are in the gestation period.
During pregnancy, the rapid growth of the uterus occupies more space in the pelvis. At the end of the third quarter, which reaches the maximum possible size and compresses other organs, the constriction of the vessels venous. The walls, due to the decrease of the tone-uterine, in this period, much weaker than usual. This physiological process is harmful to health and pregnancy may be complicated by the rupture of the veins, bleeding. And postpartum anemia and sensations, which leads to problems with the veins.
With the growth of the fetus, the output of blood from the uterus increases approximately 15-20 times, and the 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 the blood, which causes congestion venous and inflammation. The bloodstream begins to take place in a circuitous route, that has led to a weak small blood vessels of the pelvic organs. This leads to an excess of blood, and, as a consequence, there is varicose veins of the pelvis. It is possible that after the part can be produced in the inverse process, and the disease will retreat.
Due to the impairment of blood flow to the varicose veins of the pelvis leads to a lack of oxygen to the baby. Hypoxia of the fetus, sometimes, this is the reason for the cesarean section.
During pregnancy it is especially important not to confuse the varicose veins of the uterus and of the pelvis. To establish an accurate of the disease only survey-based methods with a high level of ability of diagnosis: ultrasound (us), computed tomography (CT), magnetic resonance imaging (MRI). In this period of the life of women is a preference for ultrasound and MRI, because CT involves exposure to radiation. MRI is absolutely safe, but it is not recommended to do in the first quarter. Indications of the magnetic RESONANCE with varicose veins of the pelvis are the results of the ultrasound.
During pregnancy the treatment of varicose veins of the pelvis, using only conservative methods of therapy. So completely get rid of the disease can be after the birth. In extremely critical situations, resort to the surgical intervention. Then, using techniques minimally invasive – radio-frequency and laser coagulation.
In the treatment without surgery all the recommendations mainly refer to changes in life-style:
- increase your physical activity. For Hiking at least two hours a day, with a mandatory rest;
- to eliminate lifting;
- you need to follow a diet that includes products rich in fiber (cereals, fruits and berries, vegetables) and with a high content of healthy fats;
- to take a shower contrast, a welcome swimming pool;
- from the second trimester to make sure to bring a designated type of compression hosiery or prenatal bandage;
- sleep best on your side with a little raising of the legs;
- exercise and therapy respiratory.
When there is an imminent threat of premature birth, the treatment remains stationary, under the auspices of the medical staff.
TREATMENT OF VARICOSE veins OF THE SMALL PELVIS: The USE OF MEDICATIONS AND THERAPEUTIC EXERCISES
Varicose veins of the pelvis treatment consists of therapy, various medications and special gymnastics exercises.
The use of essential medicines in the acute phase of the disease. The main active components are: diosmin, hesperidin, troxerutin, pentoxifylline. The vitamins and pills that contain juice, extracts and vegetable oils will also give you a modest improvement of the condition of the patient.
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. Then there are the drugs that have fewer side effects. Often the attending physician of the therapy holistic provides a referral to the physiotherapy or remedial gymnastics.
Gymnastics with varicose veins of small pelvis have a wide range of actions. Are the main form of treatment, which simultaneously has preventive value. Exercises involving the back muscles, the peritoneum, the pelvis and the hips, have a positive effect on the improvement of blood flow. Given the intensity of the load, especially in the health, job and house, 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 "knee": increasing the chest to the knee, with the tip up, fix this position for a few seconds. 10 repetitions of each leg;
- exercise "Scissors": in the position of supine, keep the arms at sides, legs straight, fingers stretched out to me, in turn, cross to the legs. 15 approaches;
- exercise "Candle": the head, neck and shoulders are on the ground, the body must be secured in a vertical position, the rear part can keep the hands, for 5-7 minutes;
- the exercise of the flexibility of the back: the support should be in the hands and knees, first bend, then straighten the back. 10 approaches.
In the work, for example, you can perform the following exercises:
- of the moment and to straighten the toes;
- circular rotation of the foot in the sitting position, 10 times;
- alternative transfer the 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.
The majority of the tools that are easy to prepare at home. Preferences in the treatment of the disease is given: the fruit and flowers of horse chestnut, birch chaga, roots of dandelion, flowers of chamomile.
Special place in treatment is prevention:
- the adherence to a healthy lifestyle (stop Smoking and alcohol consumption);
- regime of diet (small portions of food 5 times a day in equal time intervals);
- the optimal ratio of exercise and rest;
- sexual life after of varicose veins in the pelvis should be moderate;
- regular monitoring of blood parameters;
- a visit to the phlebologist.
After recovering from the disease, the patient will note an improvement, not only physical but also emotional state.
