Chronic uterine pain syndrome is also known as varicose veins of the pelvic organs or varicose veins in the uterus. This disease is more common in women of childbearing age, is difficult to diagnose and can be almost asymptomatic, but you need to know its signs in order to avoid misdiagnosis of female diseases.
What is varicose veins of the uterus
Varicose veins are a congestion of blood in the veins, which has led to the loss of their elasticity due to hormonal changes or genetic predisposition. The vessels of the lower extremities and pelvic organs are more often susceptible to disease. Varicose veins of the small pelvis are more dangerous than the manifestation of a similar disease on the legs in that it cannot be determined visually, and infertility, inflammation of the ovaries, uterus and vagina canbecome a consequence of internal varicose veins.
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 trigger for varicose veins in the uterus. conditions appear for disease progression:
- an increase in the concentration of progesterone in the blood, which relaxes the walls of blood vessels;
- an increased load on the pelvic organs (OMT), a violation of their normal blood supply;
- reverse blood flow in the ovarian vein;
- chronic inflammatory processes of the uterus, appendages;
- artificial termination of pregnancy.
Not all pregnant women are at this risk. this disease is genetically determined. Before planning a pregnancy, it is imperative to undergo a serious examination to rule out risks to your health and possible complications during childbirth. Varicose veins of the uterus are detected with the help of ultrasound diagnosis and confirmation of the diagnosis with the help of transuterine venography, ovarycography.
Symptoms of varicose veins
The disease can be identified mainly by two symptoms:
- chronic pain in the lower abdomen, aggravated by physical exertion, during sexual intercourse, in the second half of the menstrual cycle and during gestation;
- increased vaginal discharge.
The pain intensifies if a woman leads an inactive and sedentary life, during inflammatory processes of the genitourinary system. Often varicose veins of 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 (minor symptoms);
- the second - a vein 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 is dangerous during pregnancy
If the diagnosis is made before conception, then during pregnancy symptoms may worsen due to hormonal changes. Many women wonder why varicose veins are dangerous and how to deal with them during pregnancy? If a woman is under the constant supervision of a doctor and monitors her health, then the violation of blood flow during pregnancy is not dangerous. In rare cases, varicose veins of the small pelvis may be a reason to prescribe a cesarean section, less often - it can cause placental insufficiency.
Diet for varicose veins
In the treatment, 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 useful to fill the diet with fresh vegetables, fruits, vegetable oils. Such a diet has a beneficial effect on blood circulation, the condition of the walls of blood vessels, prevents the stagnation of fluid in the body, which relieves the load on the veins. It is important for pregnant women to limit the amount of fluids they drink because hormonal levels cause blood to stagnate.
Treatment of varicose veins of the small pelvis
Having identified the signs of varicose veins, after confirming the diagnosis, patients begin to be treated with conservative methods with the help of drugs and physiotherapy. If the 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 point, a woman should be under the supervision of a doctor under supportive therapy, and after childbirth - undergo intensive treatment.
Take venotonics
The first thing to treat varicose veins of the uterus stage 1-2 is venotonic. The phlebologist appoints them after a complete examination. Venotonic drugs are prescribed. Taking pills lasts two to three months under the supervision of a doctor. During this time, the pain of OMT should be significantly reduced, the pain syndrome during menstruation should decrease. It is better to combine such treatment with health-improving gymnastics.
Exercises
Compulsory physical activity involves long walks and unloading exercises that relax the cervix and muscles of the perineum - these are "birch", "bike" exercises. Special therapeutic respiratory exercises are useful - even deep breathing with the inclusion of muscles in the lower abdomen. We also see the wearing of compression underwear and tights 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 therapy does not help, the pain is not relieved or the third stage of varicose veins of the small pelvis is diagnosed, then surgical intervention is offered, the degree of which is selected taking into account the location of the blood flowinverted:
- ligation of the ovarian vein;
- embolization of the ovarian vein;
- angiography (administration of contrast agents);
- open ablation of gonadal veins.
If the patient's varicose veins are observed not only in the pelvic organs, but also on the legs, the Troyanov-Trendelenburg operation is used, which involves removing the great saphenous vein. This method is common in the fight against the third stage of varicose veins of the uterus and total venous dilation. With early diagnosis, it is possible to avoid surgical intervention, to stop its development at an early stage. It is necessary to exclude the companion factors of varicose veins and complications:
- smoking;
- alcohol;
- sedentary lifestyle;
- self-medication during hormonal changes, gynecological diseases;
- bad nutrition.