Chronic uterine pain syndrome is also known as varicose veins or varicose veins in the uterus. This disease is more common in women of childbearing potential, is difficult to diagnose, and can be almost asymptomatic, but you need to know its signs to avoid misdiagnosis of women’s diseases.
What is the varicose vein in the uterus
Varicose veins are blood clots in the veins that lead to loss of elasticity due to hormonal changes or genetic predisposition. The lower limbs and pelvic organs are more prone to disease. The pelvic varicose veins are more dangerous than the appearance of a similar disease on the legs as they cannot be visually determined and inflammation of the infertility, ovaries, uterus and vagina can result from internal varicose veins.
Causes of varicose veins in the small pool
There are several theories for the appearance of this pathology in women of childbearing potential. Pregnancy is considered to be the main cause of uterine varicose veins. Conditions for disease progression:
- an increase in the concentration of progesterone in the blood, which relaxes the walls of blood vessels;
- increase in the load on the pelvic organs (OMT), violation of their normal blood supply;
- reverse blood flow through the ovarian vein;
- chronic inflammatory processes of the uterus, appendages;
- artificial abortion.
Not all pregnant women are in such danger. this disease is genetically determined. Before planning a pregnancy, you must undergo a serious examination to rule out health risks and complications during childbirth. Varicose veins of the uterus are detected by ultrasound diagnosis and confirmation of the diagnosis by trans-uterine phlebography, ovarycography.
Symptoms of varicose veins
The disease can be identified primarily on the basis of two symptoms:
- chronic pain in the lower abdomen, aggravated by physical exertion, during intercourse, in the second half of the menstrual cycle, and during pregnancy;
- increased vaginal discharge.
The pain is exacerbated when a woman pursues an inactive, sedentary lifestyle during the inflammatory processes in the urogenital system. Often, uterine varicose veins are closely associated with sexual dysfunction. Symptoms may be mild 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 - more than 10 mm in diameter, the complete type of varicose veins.
What is dangerous during pregnancy?
If the diagnosis is made before conception, the symptoms may get worse during pregnancy due to hormonal changes. Many women wonder why varicose veins are dangerous and how to treat them during pregnancy? If a woman is under the constant supervision of a doctor and monitors her health, a violation of blood flow during pregnancy is not dangerous. In rare cases, pelvic varicose veins may be the reason for prescribing a cesarean section, less commonly - this placenta - can cause insufficiency.
Diet for varicose veins
Nutrition plays a very important role in the treatment and prevention of varicose veins of different etiologies. 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 flow, 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 fluid they drink, as hormone levels cause blood to stagnate.
Treatment of pelvic varicose veins
After identifying signs of varicose veins, after confirmation of the diagnosis, patients should be treated with conservative methods using medications and physiotherapy. If treatment does not improve and the pain persists, they will resort to surgery. An important question for many is how to treat varicose veins during pregnancy? At this time, a woman should be under the supervision of a supportive therapy physician and undergo intensive treatment after childbirth.
The uterus 1-2. The first treatment for stage varicose veins is venotonic. The phlebologist appoints them after a comprehensive examination. Venotonic drugs are prescribed. Taking the tablets takes two to three months under the supervision of a doctor. During this time, the pain of OMT should be significantly reduced, and the pain syndrome during menstruation should be reduced. It is better to combine such treatment with health-improving gymnastics.
Compulsory physical activity involves long walks and unloading exercises that relax the muscles of the cervix and perineum - these are "birch", "bicycle" exercises. Special respiratory therapy exercises are useful - even deep breathing involving the lower abdominal muscles. You can also see wearing compression underwear and tights that support the vascular plexuses of the legs, perineum, and buttocks. An additional beneficial effect is provided by the contrast shower.
Surgical treatment of varicose veins
If medication does not help, the pain does not improve, or the third stage of pelvic varicose veins is diagnosed, surgery is performed, the extent of which is selected taking into account the location of the reverse blood flow:
- ligation of the ovarian vein;
- ovarian vein embolization;
- angiography (administration of contrast agents);
- open removal of the gonads.
If the patient’s varicose veins are observed not only in the pelvic organs but also in the legs, the Troyanov-Trendelenburg operation, which consists of the removal of the large saphenous vein, is used. This method is common in the fight against the third stage of uterine varicose veins and total venous dilation. Early diagnosis avoids surgery and stops its development at an early stage. It is necessary to exclude the factors that accompany varicose veins and complications:
- sedentary lifestyle;
- self-medication during hormonal changes, gynecological diseases;