Chronic uterine pain syndrome is also known as varicose veins in the pelvic organs or varicose veins in the uterus. This disease is more common in women of childbearing age, is difficult to diagnose and may be almost asymptomatic, but its signs should be known to avoid misdiagnosis of female diseases.
What are varicose veins in the uterus
Varicose veins are blood congestion in the veins, which leads to loss of elasticity due to hormonal changes or genetic predisposition. The vessels of the lower extremities and the pelvic organs are most often susceptible to disease. Varicose veins in the small pelvis are more dangerous than the manifestation of a similar disease in the legs as they cannot be determined visually, and infertility, inflammation in the ovaries, uterus and vagina can become a consequence of varicose veins. internal.
Causes of varicose veins in the small pelvis
There are several theories about the appearance of this pathology in women of childbearing age. Pregnancy is considered the main triggering factor for varicose veins in the uterus. conditions appear for the progression of the disease:
- an increase in the concentration of progesterone in the blood, which relaxes blood vessel walls;
- an increase in load on the pelvic organs (OMT), a violation of your normal blood supply;
- reverse blood flow through the ovarian vein;
- chronic inflammatory processes of the uterus, adnexa;
- artificial termination of pregnancy.
Not all pregnant women are at this risk. this disease is genetically determined. Before planning a pregnancy, it is essential to take a serious examination to exclude risks to your health and possible complications during childbirth. Varicose veins of the uterus are detected through ultrasound diagnoses and confirmation of the diagnosis through transuterine phlebography, ovaricography.
Varicose Vein Symptoms
The disease can be identified mainly by two symptoms:
- chronic lower abdominal pain, aggravated by physical exertion, during sexual intercourse, in the second half of the menstrual cycle, and during pregnancy;
- increased vaginal discharge.
The pain is intensified if the woman leads a sedentary and sedentary lifestyle, during the inflammatory processes of the genitourinary system. Often, varicose veins in the uterus are closely associated with sexual dysfunction. Symptoms may be minor or absent, depending on the stage of the disease:
- the first stage - the size of the vein (diameter) up to 5 mm, the tortuous course of the vessels (smaller symptoms);
- the second - a vein of up to 10 mm, varicose enlargement of the parametric veins of the uterus;
- the third - a diameter of more than 10 mm, a total type of varicose veins.
What's Dangerous During Pregnancy
If the diagnosis is made before conception, during pregnancy, symptoms may worsen due to hormonal changes. Many women wonder why varicose veins are dangerous and how to deal with it during pregnancy. If a woman is under the constant supervision of a doctor and is monitoring her health, the violation of blood flow during pregnancy is not dangerous. In rare cases, varicose veins in the small pelvis may be a reason to prescribe a cesarean, less often - it can cause placental insufficiency.
Diet for varicose veins
In the treatment and prevention of varicose veins of various etiologies, nutrition plays a very important role. Doctors recommend giving up coffee, strong tea and limiting the use of sugar and salt. It will be helpful to fill the diet with fresh vegetables, fruits, vegetable oils. This diet has a beneficial effect on blood flow, the condition of blood vessel walls, prevents fluid stagnation in the body, which relieves the load on the veins. It is important for pregnant women to limit the amount of fluid they drink, as hormone levels cause blood stagnation.
Treatment of small pelvis varicose veins
Once the signs of varicose veins are identified, after confirming the diagnosis, patients are treated with conservative methods with the aid of medication and physiotherapy. If treatment does not improve and the pain persists, they resort to surgery. An important question for many is how to treat varicose veins during pregnancy? At this time, the woman needs to be under the supervision of a doctor in supportive care, and after childbirth - to undergo intensive treatment.
The first thing to treat stage 1-2 varicose veins in the uterus is venotonic. The phlebologist names them after a comprehensive examination. Venotonic drugs are prescribed. Taking pills lasts from two to three months under the supervision of a doctor. During this time, OMT pain should be significantly reduced, pain syndrome during menstruation should decrease. It is best to combine this treatment with a gym to improve health.
Mandatory physical activity involves long walks and flushing exercises that relax the cervix and perineum muscles - these are "birch", "bike" exercises. Special therapeutic breathing exercises are helpful - even deep breathing with the inclusion of muscles in the lower abdomen. Also shown is the use of compression briefs and pantyhose that support the legs, the vascular plexuses of the perineum, and the buttocks. An additional beneficial effect is provided by a contrast shower.
Surgical treatment of varicose veins
If drug treatment does not help, the pain is not relieved, or the third stage of small pelvic varicose veins is diagnosed, then surgical intervention is provided, the degree of which is selected, taking into account the location of the reverse blood flow:
- ligature of the ovarian vein;
- ovarian vein embolization;
- angiography (administration of contrast agents);
- open removal of the gonadal veins.
If the patient's varicose veins are observed not only in Organs pelvic organs, but also in the legs, then the Troyanov-Trendelenburg operation is used, which consists of removing the great saphenous vein. This method is common in combating the third stage of the varicose veins of the uterus and total venous dilation. With early diagnosis, it is possible to avoid surgical intervention to interrupt its development in the early stages. It is necessary to exclude factors that are companions of varicose veins and complications:
- sedentary lifestyle;
- self-medication during hormonal changes, gynecological diseases;
- inadequate nutrition.