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What to take with varicose veins of the small pelvis. What preparations of venotonics are used in the treatment of pelvic varicose veins. Degrees and differential approach

Venotonics for pelvic varicose veins and drugs of a similar spectrum of action are the main way to treat such a disease. However, before using such drugs, it is necessary to study their features and consult a doctor.

How venotonics work

Venotonics are drugs with angioprotective action, which are used to treat and prevent diseases associated with impaired venous blood flow. Currently, drugs are produced based on plant, synthetic or combined raw materials.

The main purpose of exposure to venotonics is the tissues of the venous walls. In case of violation of the movement of blood through the vessels, such drugs are used for the following purposes:

increased vascular tone;
protection against oxidants;
decrease in the permeability of vascular tissues for blood plasma;
improvement of metabolic processes in the vascular tissue;
elimination of the inflammatory process;
antiallergic effect;
direct hemodynamic effect on the musculo-venous pump;
coumarin-like effect;
increased lymphatic drainage.

Venotonics, as a rule, are categorically contraindicated during pregnancy and lactation. Some drugs of this action (especially those made on the basis of horse chestnut and ergot) have much more contraindications, so you should consult your doctor before using them.

Types of venotonics and methods of their use

During the period of exacerbation of pelvic varicose veins, the use of venotonics becomes an integral part of the treatment of the disease. In this case, drugs that improve vascular tone play a major therapeutic role.

In many cases, such drugs are used to prevent venous diseases.

All venotonics must meet certain requirements:

Made from absolutely safe components. In this case, preference is given to herbal medicinal raw materials.
Have a long-term therapeutic effect (the duration of taking some drugs is several months).
Combine with other drugs that can be used in the treatment of varicose veins.
Be accessible to different segments of the population and easy to use.
Do not adversely affect internal organs and organ systems.

Depending on the method of application, the drugs are divided into the following forms:

topical agents (creams, gels, ointments, rectal suppositories);
means for internal use (tablets, capsules, injection solutions),

Depending on the components included in the preparation and the method of influencing the body, venotonics are of the following types:

products made on the basis of medicinal plant materials;
drugs that have a strengthening effect on vascular tissues;
drugs with a combined effect;
drugs synthesized by a chemical method;
polyvalent agents.

What drugs are used for varicose veins of the small pelvis

The question of which venotonics should be used in the treatment of varicose veins in specific case, a qualified phlebologist should decide. The doctor examines the patient and performs the necessary diagnostic measures. Based on the information received, the specialist selects the most suitable drugs.

Treatment of varicose veins in most cases is carried out with the help of drugs for external use. It can be creams, gels and various lotions. All of these tools have the following properties:

Very quickly absorbed by the skin. This contributes to a faster onset of the therapeutic effect.
They have an unobtrusive odor. This is due to the fact that most preparations contain natural aromatic additives or essential oils. Some products also have a deodorizing effect.
Eliminate inflammatory processes. Any venotonics for topical use contain vitamins and mineral components that help activate the local defenses of the human body.
Helps eliminate puffiness and evens out color skin. This effect is especially important with rosacea. Antistax drugs (based on grapes), Troxerutin and Troxevasin have such an effect.
Accelerate the process of recovery of damaged tissues. This effect is most pronounced in the drug Ginkor Gel. This medicinal product is made on the basis of an extract from grape leaves. The active substance helps to activate the natural mechanisms of regeneration of the connective and muscle layer of the vascular tissue. The strongest effect is observed after a couple of weeks after regular use.

The most common venotonics are the following drugs:

Detralex;
Venarus;
Troxevasin;
Anavenol;
Doppelhertz.

Flebodia and Detralex drugs have the best effect. These drugs are the primary choice of doctors in the treatment of venous circulation disorders in the pelvic vessels. Drugs have the following effects on the body:

Eliminate pain and discomfort. Often, pelvic varicose veins are accompanied by severe pain in the groin area, thereby forcing a person to eliminate this symptom with painkillers. When using venotonics, the need for additional analgesics is eliminated.
Increase the tone and strength of vascular tissue. Simultaneously with the expansion of the veins, the thinning of the vascular walls begins, resulting in the release of toxic substances of the final metabolism. Against this background, local tissue poisoning occurs. Due to the high content of flavonoids and tannins in the preparations, you can get rid of this problem in a very short time.
Eliminate puffiness and restore the natural color of the skin.

No less popular are Troxevasin and Troxerutin, as well as drugs with a similar effect. The active substance of these drugs is rutin. The drug is made in the form of gels for topical use and tablets. It helps improve blood flow by preventing red blood cells from clumping together. This reduces the risk of blood clots.

Such a drug helps to get rid of puffiness and relieve inflammation, as well as get rid of other unpleasant symptoms.

Troxerutin can be used during pregnancy (in the 2nd and 3rd trimesters).

Such drugs as Lyoton, Venorutinol, Phleboton, Venolan have a similar effect. Such drugs can also be used to treat hemorrhoids.

The effectiveness of venotonics

Numerous reviews of doctors and patients indicate that venotonics have a very good effect in the treatment of varicose veins. Young and middle-aged people can completely get rid of this disease with a minimal risk of relapse.

The treatment of such a pathology in the elderly is somewhat complicated by the development of a physiological form of vein expansion. However, the use of venotonics in this case brings a positive effect. Such drugs help to return a person to a full life, relieving many unpleasant symptoms.

We must not forget that it is possible to treat varicose veins by one means or another only after consulting a doctor, since some drugs can not only not bring the desired effect, but also harm.

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From this article you will learn: why varicose veins of the small pelvis is considered a separate disease, and not a type of varicose veins of the legs; who can get this disease and why. Manifestations and diagnosis of this pathology, how to properly treat it, the chances of recovery.

Article publication date: 01/13/2017

Date of article update: 05/25/2019

Varicose veins of the pelvis is a weakening of the walls of the internal or external venous vessels of the pelvic region, leading to excessive expansion of their diameter (ectasia). Varicose veins are not able to provide outflow of blood from the pelvic organs, which leads to its stagnation and complete destruction of the vascular wall. As a result, a violation of the structure and functions of the female reproductive system.

The initial stages of the disease cause only minor discomfort in the vulva and lower abdomen. Women with advanced forms of pelvic varicose veins suffer from constant severe pain, various gynecological diseases, are infertile, have a cosmetic defect in the form of tortuous dilated venous nodes on the perineum, labia or at the entrance to the vagina.

The disease can be completely cured, but lifelong prophylaxis is necessary to prevent recurrence. This problem is dealt with jointly by vascular surgeons or phlebologists and obstetrician-gynecologists.

Varicose veins of the small pelvis in men in this form, as in women, does not happen. But a similar disease exists - varicocele. The mechanisms of occurrence and manifestations are similar to those of pelvic varicose veins. The expansion of the veins occurs in the left testicle and along the spermatic cord due to the fact that blood stagnates in the left testicular vein. It is thrown back from the left renal vein, into which the testicular vein flows.

The essence of the pathology, how serious is it

The external and internal female genital organs are well supplied with blood. In order to ensure a sufficient outflow of incoming blood, a powerful network of venous vessels is needed. Therefore, the venous system of the pelvis in women is well developed. Each vein has strong walls, is equipped with valves, and is connected to a number of passing veins. All this forms a well-functioning venous network of the pelvic region, which collects blood from the perineum, external reproductive organs (vulva, vagina), intrapelvic structures (ovaries, uterus), and transports it to the inferior vena cava.

Click on photo to enlarge

Varicose veins of the pelvis differ from healthy ones in that they:

Expanded in diameter;
filled with blood;
Overly convoluted;
They have saccular protrusions in the form of nodes;
Flabby and weak.

Pelvic veins affected by varicose veins can collect blood from the external genital and intrapelvic organs, but are not able to transport it normally to larger vessels (vena cava). This leads to the fact that the blood stagnates in the pelvis, and penetrating through the venous wall, it affects those tissues from which it should flow. They become swollen, plethoric, inflamed and lose their function.

But most of all, varicose veins of the small pelvis are dangerous:

dishormonal disorders of the ovaries;
and menstrual disorders;
Infertility, the threat of termination of pregnancy and the impossibility of natural childbirth;
The formation of blood clots in the lumen of varicose veins, which threatens them with separation from the place of formation and migration to the heart and vessels of the lungs. This is the most dangerous complication, life-threatening - (PE).

Pulmonary embolism

The reasons

Basically, varicose veins of the pelvis occurs in mature women:

Up to 20 years - 20%;
20–30 years old - 30%
30 - 45 years - 50%

Mechanisms of varicose degeneration of the venous system of the pelvis:

(in 80%). They are the largest main veins that collect blood from the uterus and ovaries and carry it directly to the vena cava (right) or to the renal (left) veins. If a breakdown occurs in them, this completely blocks the venous outflow.
Uniform weakening or destruction of the venous wall of all pelvic veins - they all simultaneously expand and are not able to contract to move blood into the overlying sections.
The reverse reflux of blood from the deep vein of the thigh into the superficial pudendal vein, which, collecting blood from the perineum and external genitalia, prevents outflow. As a result, the pressure in it rises, and its trunk and all tributaries expand varicosely.

The immediate reasons for triggering these mechanisms may be as follows:

Congenital weakness or dysplasia (underdevelopment) of the venous wall and valves.
Hormonal changes in the female body (puberty, pregnancy, menopause, dishormonal ovarian diseases).
Frequent inflammatory processes, endometriosis, operations, adhesions in the pelvis.
Postponed thrombosis and thrombophlebitis of the pelvic veins.
Hard physical labor.
Prolonged stay in a lying or sitting position.
Overweight.
Pregnancy and childbirth.
Regular interruption of sexual intercourse for many years, especially in the absence of an orgasm.
Curvature of the uterus backwards or anteriorly.
Tumors of the small pelvis.
Descent of the uterus.

Causes of varicose veins of the small pelvis in women

Degrees of varicose veins - classification

According to the anatomical sign (prevalence), varicose veins of the small pelvis are divided into three types:

Intrapelvic venous plethora;
Vulvar and perineal varicose veins;
combined forms.

To reflect the nature of pathological changes, the disease is divided into three degrees:

The first is that any of the organ plexuses of the pelvis does not exceed 0.5 cm in diameter, excessively convoluted.
The second - the diameter of the veins increases to 1 cm, the process is extended not only to the organ plexuses (uterine, ovarian), but also around them (peripheral tissue).
The third is an expansion (ectasia) of more than 1 cm, affecting all vessels - intraorganic, periorganic, and main (the trunk of the ovarian vein).

The higher the degree of the disease, the worse the dilated veins and the more severe the stagnation of blood in the pelvis..

Characteristic symptoms

Women with pelvic varicose veins note:

Constant or recurrent pain in the lower abdomen, aggravated in the evening or after exertion, mainly in the second half of the cycle (closer to menstruation). At grade 3, the pain can be very severe.
Itching, burning, swelling and cyanosis of the genitals.
Painful menstruation and sexual intercourse.
Abundant menstruation and uterine bleeding, irregular cycle.
Inability to get pregnant.
Thickened tortuous veins in the perineum and labia.
Frequent painful urination.
Pronounced manifestations of premenstrual syndrome.

Symptoms of varicose veins of the small pelvis in women

Diagnostics

To confirm the diagnosis is carried out:

Treatment Methods

Varicose veins of the small pelvis are jointly treated by vascular surgeons or phlebologists with obstetrician-gynecologists. According to modern ideas, treatment consists of the following areas:

Normalization of lifestyle;
Conservative medical treatment;
Compression and sclerosing therapy;
Surgery.

It is possible to cure varicose veins of the pelvis. To do this, specialists draw up an individual treatment plan, and sick women must adhere to treatment and preventive recommendations for life.

1. Normalization of lifestyle

Since an unhealthy lifestyle is a prerequisite and a direct cause of pelvic varicose veins, its normalization will help to cure:

Eliminate prolonged standing or sitting (more than 2-3 hours without a break).
Don't lift heavy things and avoid strenuous physical work.
During the day, perform unloading exercises for the pelvis (exercises "birch tree", "bicycle") or simply lie down for 10-15 minutes with the pelvis raised above the level of the body.
Reduce weight (if obese).
Do not take a hot bath, replace it with a contrast shower.
Give up alcohol and smoking.

2. Drug therapy

Treatment of pelvic varicose veins of any degree is not possible without medical support. In the first degree, it is the main therapeutic measure, in the second and third, it complements the complex treatment.

The following drugs are used:

Phlebotonics - strengthen venous vessels (Detralex, Phlebodia, Venodiol, Normoven, Troxevasin).
Anticoagulants - thin the blood, facilitate its movement through the vessels (Cardiomagnyl, Clopidogrel, Trombonet, Warfarin).
Preparations that improve microcirculation (Trental, Pentoxifylline, Vasonite).

Additional groups of drugs are prescribed taking into account the existing deviations in the body:

Preparations of female sex hormones (for dyshormonal disorders).
Painkillers and anti-inflammatory drugs (Ketoprofen, Ketonal, Diclofenac, Ibuprofen).
Hemostatics - (Dicinone, Etamzilat, Sangera, Tranexamic acid).

3. Compression and sclerotherapy

One of effective means in the treatment of varicose veins in the vulva and perineum is a compression effect. The principle of this method is similar to the use of elastic bandages for varicose veins of the legs. Compression (compression) of the superficial veins from the outside contributes to their emptying of blood. Special tights or shorts made of compression medical knitwear can create such an effect. You can buy them in specialized pharmacies, stores, salons of medical devices, individually choosing right size and compression strength.

Sclerotherapy is a puncture of a varicose vein with the introduction of special preparations into the lumen (Sclerovane, Fibrovein, Ethoxysclerol), which cause it to stick together. Such treatment is carried out with external (subcutaneous) pelvic varicose veins without hospitalization. Internal veins can also be sclerosed, but this procedure is technically more complex and takes place in an operating room.

4. Surgical treatment

Varicose veins of the small pelvis are best treated surgically with:

2-3 degrees of ectasia;
The rapid progression of the disease;
planning pregnancy;
Severe pain syndrome;
Persistent uterine bleeding and other gynecological disorders.

The main types of operations for pelvic varicose veins:

Forecast

If varicose veins of the pelvis are not treated at all, over time they expand even more (in 95%), which threatens with dangerous complications. In the remaining 5% - women with subcutaneous perineal varicose veins of 1-2 degrees, in whom it arose after childbirth, the pathology does not increase, but it will never go away on its own.

If the disease is treated, it is possible to achieve a complete recovery (10-50% depending on the degree) or a significant improvement in the condition (45-50%), especially in the case of a combination of surgical methods with conservative ones. But in any case, after complex treatment, lifelong prophylaxis should be carried out, which consists in following lifestyle recommendations, periodic medication or compression support for weakened veins.

Varicose veins of the small pelvis (VRVV) is a fairly common disease, especially in women. The initial stages of the disease cause only minor discomfort in the vulva and lower abdomen.

Women with advanced forms of pelvic varicose veins suffer from constant severe pain, various gynecological diseases, are infertile, have a cosmetic defect in the form of tortuous dilated venous nodes on the perineum, labia or at the entrance to the vagina.

What it is?

Varicose veins of the pelvis is a weakening of the walls of the internal or external venous vessels of the pelvic region, leading to excessive expansion of their diameter (ectasia).

The reasons

The most common cause of the disease is pregnancy, or rather, the reverse flow of blood (reflux) through the ovarian vein, which, in turn, is caused by compression of the pelvic vessels or changes in hormonal levels during pregnancy.

In addition, the causes of pathology can be:

inactive sedentary work;
numerous genera;
congenital pathologies of connective tissue;
excessive physical activity;
inflammatory gynecological diseases;
increased production of estrogen;
sexual dysfunction.

Among the adverse factors include such features of sexual life as frequent interruption of sexual intercourse, lack of orgasm. AT last years experts argue about the harmful effects of hormone replacement therapy and contraception. This is supported by the fact that in the postmenopausal period, the manifestations of the syndrome are significantly reduced.

Symptoms and photos

Varicose veins in the pelvis are characterized by specific symptoms. Common signs of vasodilation in a woman are:

Violation of the menstrual cycle also indicates varicose thickening of the veins of the female pelvic organs.
Increased susceptibility of the skin in the perineum, the sensitivity of the vaginal mucosa.
Severe intermittent or constant pain. It often becomes more intense during menopause or after ovulation.
Vaginal discharge: colorless or slightly white.
Pain in the last term of pregnancy, during sex or towards the end of the day.
In the presence of varicose veins, there is a slight swelling of the vagina, vulva.
Heaviness, pressure on the pelvic region is another possible symptom of varicose veins.

The photo below shows how the disease manifests itself in women.

Stages of the disease

To reflect the nature of pathological changes, the disease is divided into three degrees:

Depending on the stage of development of the disease, appropriate treatment is prescribed.

Diagnostic methods

The main method for diagnosing VRVMT is Doppler ultrasound of the veins of the small pelvis. In this study, the veins are visualized using ultrasound. The screen shows dilated, tortuous veins of the small pelvis, the speed of blood flow in them decreases. Signs of dysfunction of venous valves are determined.

An informative method for diagnosing VRVMT is transuterine phlebography. This is a study of the veins associated with filling them with a contrast agent, clearly visible on the x-ray. As a result, a series of images of veins is obtained, where collaterals, dilated veins, thrombosis sites, and the state of the valves are visible. The method is contraindicated for iodine intolerance (part of the contrast) and pregnancy.
If RVMT is suspected, laparoscopy is performed: examination of the pelvic cavity with an endoscope through a small puncture in the abdominal wall.
The most informative study is considered selective ovaricography: x-ray examination of the veins of the ovaries using contrast.
For the purpose of differential diagnosis with other diseases of the pelvic organs, computed tomography can be performed.

It is necessary to conduct a differential diagnosis with diseases such as inflammation of the appendages, endometriosis, uterine prolapse, postoperative neuropathies, inflammation of the large intestine, or Bladder, sciatica, pathology of the hip joints.

How to get rid of the disease?

Varicose veins of the small pelvis are jointly treated by vascular surgeons or phlebologists with obstetrician-gynecologists. According to modern ideas, treatment consists of the following areas:

Normalization of lifestyle;
Conservative medical treatment;
Compression and sclerosing therapy;
Surgery.

It is possible to cure varicose veins of the pelvis. To do this, specialists draw up an individual treatment plan, and sick women must adhere to treatment and preventive recommendations for life.

During pregnancy

During the period of bearing a baby, if the pathology does not progress and does not bother with the manifestation of symptoms, expectant tactics are most often chosen. At the same time, daily use of compression underwear and supporting corsets, as well as exercise therapy exercises, is recommended.

Operative methods of treatment during pregnancy are prohibited, and are used only if there is a threat to the life of the mother. After delivery, in 90% of cases, varicose veins disappear completely or enter the stage of regression on their own.

In other cases, it is necessary to consult a phlebologist and prescribe the necessary treatment.

How to treat varicose veins of the small pelvis?

Even the highest quality treatment does not make it possible to completely cure varicose veins of the small pelvis. But, nevertheless, adequate therapy allows you to get rid of most of the clinical manifestations and significantly improve the patient's condition. It helps to solve the following tasks:

normalization of venous tone;
prevention of stagnant processes in the vessels of the small pelvis;
improved tissue nutrition.

Pharmacological preparations for this disease are prescribed in courses and include the following pharmacological groups:

phlebotonics (normalize the tone and increase the elasticity of the venous wall, improve rheology - blood flow);
antiplatelet agents (prevent thrombus formation): trental, aspirin, pentylyl;
phleboprotectors (have an anti-inflammatory and anti-destructive effect, reduce vascular permeability, improve lymph flow);
antioxidants and membrane protectors (prevent oxidation, eliminate free radicals, support the functioning of cell membranes, cell division and energy processes): vitamins C and E, ubiquinone, licopid.
NSAIDs (ibuprofen, nise) - relieve pain and act anti-inflammatory;
enterosorbents (bind toxins in the intestines): Activated carbon, smecta, polysorb.

phlebodia 600 - reduces vein extensibility, eliminates venous stasis, normalizes lymph flow and improves microcirculation, has an anti-inflammatory effect - take for 2 - 4 months;
detralex - increases the tone of the venous wall and normalizes the outflow of lymph, the duration of admission is 6 months;
troxevasin (available both in tablets and in the form of an ointment), taking up to 3 months, as a local treatment - treat the vulvar and perineal veins;
aescusan (available in drops);
venoruton;
antistax;
vase.

Experts advise combining drug therapy with physiotherapy exercises and wearing compression underwear.

The basis of any treatment is the mode and proper nutrition. First of all, patients with RVMT should resolve the issue of working conditions. If possible, the employee is transferred to work that excludes heavy lifting, significant physical exertion. In the case of sitting or standing work, small breaks should be taken every 30 minutes with simple exercises (walking in place, squatting, high knees). The same principle should be adhered to in your free time.

You also need to rethink your diet. Refractory fats (fat, fatty meats), spicy foods, seasonings, marinades, smoked meats and pickles, alcoholic beverages, and smoking should be excluded from the diet. Menu to diversify a lot fresh vegetables and fruits, vegetable oils (a source of vitamin E - an antioxidant), cereals.

Physiotherapy

It is recommended to combine medicinal and alternative therapy with special therapeutic exercises and wearing compression underwear. The system of physical activity for the treatment of varicose veins in a woman consists of exercises:

"Birch". Lie face up on any hard, comfortable surface. Raise your legs up and gently wind them over your head. Supporting the lumbar region with your hands and putting your elbows on the floor, slowly straighten your legs, lifting the body up.
"Bike". We lie down on our back, throw our hands behind our heads or place them along the body. Raising your legs, we perform circular movements with them, as if we were pedaling a bicycle.
"Scissors". Starting position - on the back. Slightly raise the closed legs above the floor level. We part the lower limbs to the sides, return back and repeat.

It will not be superfluous to do respiratory anti-varicose gymnastics, which consists in deep, unhurried breaths / exhalations performed in turn.

Compression and sclerosing therapy

One of the effective means in the treatment of varicose veins in the vulva and perineum is a compression effect.

The principle of this method is similar to the use of elastic bandages for varicose veins of the legs. Compression (compression) of the superficial veins from the outside contributes to their emptying of blood. Special tights or shorts made of compression medical knitwear can create such an effect. You can buy them in specialized pharmacies, stores, salons of medical products, individually choosing the right size and compression strength.

Folk methods

We suggest you familiarize yourself with several popular and effective recipes:

Carrot cocktail. Large carrots need to be chopped with a fine grater, and then squeeze the vegetable juice through cheesecloth. Add a teaspoon of linseed oil to the juice. It is necessary to drink this healing drink daily, preferably in the morning.
Chestnut tincture. To prepare the medicine, several chestnut fruits must be carefully crushed and poured with half a liter of medical alcohol (ordinary vodka is also suitable). Leave to infuse for 2 weeks. For medicinal purposes, it is recommended to drink 25 drops of tincture, 3 times a day.
Dandelion infusion. A tablespoon of dandelion root should be steamed in a glass of boiling water. After 2 hours, cool and strain the resulting medicine. Take dandelion tincture is worth a tablespoon, 4 times throughout the day.

A good therapeutic effect is also given by the method of hirudotherapy. Leeches with varicose lesions of the pelvic veins are recommended to be placed on the sacrum and lumbar region.

Consequences of varicose veins of the small pelvis

If you observe at least one of the above symptoms, consult a doctor for advice, do not leave the condition unattended. Varicose veins of the small pelvis, left to chance, has several unpleasant consequences:

violation of the functioning of the uterus;
contraindication to childbirth in a natural way;
the appearance of concomitant diseases, such as varicose veins of the legs and hemorrhoids;
mental disorders (increased anxiety, irritability, sleep disturbances, impaired attention, fear of sexual intimacy due to painful sensations).

Varicose veins of the small pelvis in women is a rather serious disease that can lead to the development of a number of undesirable complications. The therapeutic course is developed by a specialist, depending on the severity of the patient's condition and provoking factors. In the presence of concomitant complications, as well as in the later stages of the process, surgical intervention is recommended.

Prevention

Varicose veins can be prevented by following simple measures. You must adhere to the following rules:

eliminate hard work;
move more;
do not sit for hours in one place;
lead a healthy lifestyle;
eat more fruits and vegetables;
take vitamins that affect the state of blood vessels;
timely treat chronic diseases of the genital organs;
give up weightlifting.

If, nevertheless, signs of varicose veins appear, then you should immediately visit a doctor. It is required to wear compression stockings and drink drugs that strengthen blood vessels. These medicines are taken for several months, otherwise there will be no effect. Thus, varicose veins of the pelvic organs is a common pathology among women.

A detailed description for our readers: suppositories for pelvic varicose veins on the site site in detail and with photos.

Varicose veins are called a chronic disease associated with a decrease in elasticity and a deterioration in the capacity of the venous vessels. Most often, the symptoms of this unpleasant disease are found on the lower extremities, but no less common is varicose veins of the small pelvis.

It is noteworthy that this form of the disease affects both men and women. In the first case, they are talking about varicocele (VRV of the testicles), in the second - about varicose veins of the labia.

Medical statistics are disappointing - 80% of men and 55% of women aged 25 to 30 years have varicose veins in the pelvis.

The following factors contribute to the violation of conductivity and a decrease in the elasticity of the walls of the inguinal veins:

Genetic predisposition to the development of vascular pathologies;
Weak vessel walls;
Varicose veins of the pelvic organs may be the result of high blood pressure in this area;
Bad habits (alcohol abuse, smoking);
Specificity professional activity("sedentary work);
Symptoms of pelvic varicose veins often occur in women during and after pregnancy;
Overweight (obesity) diabetes mellitus;
Metabolic disease;
Sedentary lifestyle, lack of daily routine, unbalanced diet;
Infectious diseases of the pelvic organs (including venereal).

Features of female and male inguinal varicose veins

The causes of varicocele (varicose veins of the scrotum) can be:

Good and malignant neoplasms in the pelvis;
Irregular sexual life;
inguinal hernia;
Individual features of the structure of the vessels of the testicles;
Excessive physical activity (for example, when doing weightlifting);
Regular constipation.

In addition to the described varicocele, the representatives of the stronger sex may also encounter VRV of the penis. The main causes of this disease are:

Problems completing sexual intercourse (premature ejaculation);
Irregular promiscuity;
Improper treatment of concomitant diseases (for example, sexually transmitted diseases);
"Local" infections.

Female inguinal varicose veins are localized in the area of the labia. Symptoms of varicose veins of the small pelvis are "faithful companions" of pregnancy and the postpartum period. The main causes of the problem are:

body weight growth;
Increased functional load on the lower limbs, pelvic organs, spine;
Hormonal changes in the body;
Decreased elasticity and thinning of the vascular walls;
Genetic predisposition to the development of inguinal varicose veins;
Gynecological diseases;
anorgasmia;
Replacement therapy with hormonal drugs;
Intensive physical labor or, conversely, "sedentary" work;
Failure of the menstrual cycle;
Prolonged use of hormonal contraception;
Elevated levels of estrogens (female sex hormones).

Clinical picture

VRV of the small pelvis is “silent” for a long time and does not manifest itself in any way. The first signals of the development of the disease are noticeable veins of the penis and scrotum, pain during urination and erection.

The initial symptoms of female inguinal varicose veins are:

Irritation, burning, itching in the labia;
Drawing pains in the lower abdomen, discomfort during urination.

In addition to varicose veins of the labia, women often experience VRV of the uterus and vagina.

Local signs of VRV of the small pelvis are often supplemented by general symptoms:

headaches;
weakness;
Irritability;
Apathy;

Decreased performance;
Depressive conditions;
Hyperthermia, chills, fever.

The diagnosis of "inguinal varicose veins" is made on the basis of the results of a patient's interview, visual examination (palpation) of the affected foci, as well as the results of Dopplerography (computer study of the state of the vessels).

Complications

Varicose inguinal veins can lead to:

thrombosis;
Thrombophlebitis;
Thromboembolism;
Violation of the pelvic organs;

Systemic vascular diseases;
Dermatological problems;
Impotence and male infertility.

How to deal with the problem

Treatment of varicose veins of the small pelvis is carried out in a complex manner. The main elements of the therapeutic scheme:

Compression stocking;
Pressotherapy;
Reception of systemic and use of local medicines (venotonics, anticoagulants, antiplatelet agents, anti-inflammatory and symptomatic drugs);
The use of natural home formulations;
Correction of the diet, daily regimen, rejection of bad habits.

Traditional treatment

The main drugs for pelvic varicose veins are venotonics, anticoagulants, antiplatelet agents, anti-inflammatory drugs. Consider the most popular medicines that can be found in a pharmacy:

Phlebodia. An effective venotonic composition based on diosmin. It has a minimum of contraindications and side effects, is used to treat pelvic varicose veins in pregnant women. The optimal duration of taking the tablets is 2 months.
Glivenol. The drug for the treatment of pelvic varicose veins with venotonic properties, improves blood circulation, fights venous congestion. The main active ingredient is tribenoside. The form of release of the drug is pills, capsules. This tool not only strengthens the walls of blood vessels, reduces their permeability and improves the capacity of venous valves, but also demonstrates anti-inflammatory and analgesic effects.
Troxevasin. Gel and capsules - venotonics. The drug fights the inflammatory process, relieves swelling, reduces the permeability of the vascular walls. Troxevasin is prescribed to patients whose course of varicose veins is complicated by a violation of tissue trophism. The drug is contraindicated in pregnant women, patients with renal insufficiency and people suffering from peptic ulcers of the gastrointestinal tract.
Aescusan. Phytopreparation - angioprotector, effectively combats venous circulation disorders. Dosage forms - tablets, dragees. The medication helps to eliminate convulsions, swelling of the lower extremities, reduces inflammatory manifestations, increases vascular tone.

The selection of drugs and their dosage should be carried out only by a phlebologist. Taking venotonics is fraught with disruption of the digestive tract, so these tablets are drunk only during or immediately after a meal, with plenty of liquid.

folk therapy

Treatment of varicose veins in the pelvis is carried out at home. Any natural remedies that will be used to combat the symptoms of the disease must be agreed with a phlebologist.

Consider some useful recipes:

Dried and pre-crushed nettle leaves are poured into 500 ml of boiling water, after which this medicine is infused for half an hour, cooled, filtered. Treatment of pelvic varicose veins is carried out in this way: they drink a third of a glass of a healing drink three times a day no earlier than 1 hour after eating.
Apple cider vinegar is a unique natural product that has blood-thinning properties, positively affects the functioning of the female reproductive system, improves the function and condition of blood vessels. This remedy can be used both orally and topically. Treatment is carried out as follows: 2 tsp. acids are diluted in 500 ml of purified water, drunk in the morning and evening. Twice a day, swollen veins in the groin are treated with apple cider vinegar.
In a pharmacy, you can buy a tincture of white acacia flowers - an anti-inflammatory and blood-thinning agent. It can treat the affected vessels twice a day.
Pre-crush a few hop cones, 1 tbsp. l. This vegetable raw material is poured with a glass of boiling water, after which it is sent to a water bath for 15 minutes. The finished broth is filtered, cooled, taken three times a day, 1 glass / time. In addition, a piece of gauze is moistened in this remedy and applied to the dilated veins as a compress.
Dry hazel bark is crushed to a powder state, 1 tbsp. l. the resulting mass is poured with half a liter of boiling water, left for half an hour, filtered, cooled. Treatment of inguinal varicose veins is carried out according to the following scheme: half a glass of decoction is drunk 4 times a day before meals (at least an hour).
Greens (unripe) walnuts placed in a jar and topped with olive oil. The resulting mixture is placed in a sunny place for 40 days, when ready, dilated veins in the groin are treated with it.
Pharmacy tincture of celandine also helps to cope with the symptoms of the disease. Take it daily (three times) as follows: dilute 9 drops of medicine in a tablespoon of milk.

Prevention

To avoid exacerbation of VRV inguinal veins, it is recommended:

Avoid strenuous physical activity on the lower body;
Timely treat concomitant diseases;
Practice regular workouts of moderate intensity (therapeutic exercises, yoga, swimming);
Fight obesity and diabetes;
Refuse to wear high heels frequently;
Have a regular "healthy" sex life;
Wear compression hosiery selected by a phlebologist;
Review lifestyle (diet, daily routine);
To refuse from bad habits.

Properly drawn up therapeutic scheme and timely prevention of recurrence of varicose veins of the small pelvis will not only help to cope with the unpleasant symptoms of the disease and prevent the development of complications, but also significantly improve the quality of life of patients with this diagnosis.

How venotonics work

The main purpose of exposure to venotonics is the tissues of the venous walls. In case of violation of the movement of blood through the vessels, such drugs are used for the following purposes:

increased vascular tone;
protection against oxidants;
decrease in the permeability of vascular tissues for blood plasma;
improvement of metabolic processes in the vascular tissue;
elimination of the inflammatory process;
antiallergic effect;
direct hemodynamic effect on the musculo-venous pump;
coumarin-like effect;
increased lymphatic drainage.

Types of venotonics and methods of their use

In many cases, such drugs are used to prevent venous diseases.

All venotonics must meet certain requirements:

Made from absolutely safe components. In this case, preference is given to herbal medicinal raw materials.
Have a long-term therapeutic effect (the duration of taking some drugs is several months).
Combine with other drugs that can be used in the treatment of varicose veins.
Be accessible to different segments of the population and easy to use.
Do not have a negative effect on internal organs and organ systems.

Depending on the method of application, the drugs are divided into the following forms:

topical agents (creams, gels, ointments, rectal suppositories);
means for internal use (tablets, capsules, injection solutions),

Depending on the components included in the preparation and the method of influencing the body, venotonics are of the following types:

products made on the basis of medicinal plant materials;
drugs that have a strengthening effect on vascular tissues;
drugs with a combined effect;
drugs synthesized by a chemical method;
polyvalent agents.

What drugs are used for varicose veins of the small pelvis

The question of which venotonics should be used in the treatment of varicose veins in a particular case should be decided by a qualified phlebologist. The doctor examines the patient and performs the necessary diagnostic measures. Based on the information received, the specialist selects the most suitable drugs.

Treatment of varicose veins in most cases is carried out with the help of drugs for external use. It can be creams, gels and various lotions. All of these tools have the following properties:

Very quickly absorbed by the skin. This contributes to a faster onset of the therapeutic effect.
They have an unobtrusive odor. This is due to the fact that most preparations contain natural aromatic additives or essential oils. Some products also have a deodorizing effect.
Eliminate inflammatory processes. Any venotonics for topical use contain vitamins and mineral components that help activate the local defenses of the human body.
Helps eliminate puffiness and evens out skin tone. This effect is especially important with rosacea. Antistax drugs (based on grapes), Troxerutin and Troxevasin have such an effect.
Accelerate the process of recovery of damaged tissues. This effect is most pronounced in the drug Ginkor Gel. This drug is made on the basis of an extract from grape leaves. The active substance helps to activate the natural mechanisms of regeneration of the connective and muscle layer of the vascular tissue. The strongest effect is observed after a couple of weeks after regular use.

The most common venotonics are the following drugs:

Detralex;
Venarus;
Troxevasin;
Anavenol;
Doppelhertz.

Eliminate pain and discomfort. Often, pelvic varicose veins are accompanied by severe pain in the groin area, thereby forcing a person to eliminate this symptom with painkillers. When using venotonics, the need for additional analgesics is eliminated.
Increase the tone and strength of vascular tissue. Simultaneously with the expansion of the veins, the thinning of the vascular walls begins, resulting in the release of toxic substances of the final metabolism. Against this background, local tissue poisoning occurs. Due to the high content of flavonoids and tannins in the preparations, you can get rid of this problem in a very short time.
Eliminate puffiness and restore the natural color of the skin.

Such a drug helps to get rid of puffiness and relieve inflammation, as well as get rid of other unpleasant symptoms.

Troxerutin can be used during pregnancy (in the 2nd and 3rd trimesters).

Such drugs as Lyoton, Venorutinol, Phleboton, Venolan have a similar effect. Such drugs can also be used to treat hemorrhoids.

The effectiveness of venotonics

We must not forget that it is possible to treat varicose veins by one means or another only after consulting a doctor, since some drugs can not only not bring the desired effect, but also harm.

Venotonics for pelvic varicose veins are the main component drug treatment pathology.

Drugs and drugs in this group help prevent blood stasis.

It also normalizes blood circulation in the pelvic region.

Thanks to their active components, it is possible to reduce the symptoms of the disease and stop its further progression.

In order to avoid serious complications, phlebotropic drugs should be taken only according to the indications of the attending physician.

Features of the use of venotonics

With an exacerbation of varicose veins of the small pelvis (VRVMT), a course of medication is an important part of the treatment of the disease. The main role in the treatment is given to venotonic agents that improve vascular tone. To prevent the development of a relapse of the disease, they are also prescribed for prophylactic purposes.

Venotonics must meet the following requirements:

Produced on the basis of safe components, among which preference is given to herbal ingredients.
To have a long-term medicinal effect (the course of taking many venotonics is several months).
Combine with other groups of medicines prescribed for varicose veins.
Be accessible and easy to use.
Do not have a destructive effect on internal organs, unlike many potent drugs.

Depending on the method of application and composition, venotonics are divided into various groups.

So, according to the method of use, the following medicines are distinguished:

external means (creams and ointments, rectal suppositories);
internal preparations (tablets, ampoules, capsules).

Their difference lies in the therapeutic effect that they have on the body. If external preparations act locally on the affected area, then systemic agents act at the cellular level, while affecting the intestines and stomach.

By composition, venotonic drugs are combined into entire pharmaceutical groups.

These include:

Herbal medicines - flavonoids and saponins.
Medicines that strengthen muscle fibers blood vessels - rutosides.
Combined drugs.
Chemically synthesized drugs.
Venotonics of polyvalent action.

Drugs against varicose veins of the small pelvis, no matter which group they belong to, should be prescribed by the attending physician based on the available indications. This also takes into account the presence of primary and secondary pathologies, the general condition of the patient, as well as possible development side effects.

Plant based venotonics

Treatment of varicose veins with saponins and flavonoids is characterized by efficiency and a more gentle effect on the human body.

Flavonoids include:

Diosmin.
Venarus.
Detralex.
Vasoket.

The above remedies are herbal medicines that have biological activity. In contrast, saponins are produced on the basis of extracts of natural herbs and plants, such as ginseng, licorice, horse chestnut.

The most famous drugs in this group are:

Aescin.
Aescusan.
Herbion esculus.

Detralex

The action of the main component of the drug - diosmin - is aimed at increasing venous tone, improving hemodynamics, as well as reducing congestion in the blood. This greatly improves blood circulation in the pelvic area. On the basis of diosmin, Phlebodia 600 is also produced - an effective modern drug against pelvic varicose veins.

Detralex is a fast-acting drug compared to similar drugs. Before using it, you should read the instructions. The main contraindications are associated with individual intolerance to the components that make up its composition. With extreme caution, the drug is taken during pregnancy and lactation.

The duration of taking Detralex depends on the course of the disease, as well as the severity of the symptoms. As a rule, the course is no more than 3 months of daily use.

An effective oral remedy used to treat chronic venous insufficiency. Produced on the basis of vitamin B1 (thiamine), as well as horse chestnut extract.

The drug has truly unique actions aimed at eliminating the disease in the pelvic region:

antioxidant;
venotonic;
decongestant;
anti-inflammatory;
antithrombotic, etc.

The drug is available in the form of tablets and oral solution. It has side effects and contraindications. According to the instructions, during the 2nd and 3rd periods of pregnancy, it is allowed to take the medicine according to the available indications.

The course of taking the drug is approximately 3 months, but can be increased by the attending physician.

Rutosides

Due to the high content of vitamin P, these drugs are glycosides, along with flavonoids and saponins. However, rutosides are allocated to a separate group of drugs that act on the muscle fibers of the vessels of the affected area (veins and capillaries).

The most famous means of this group include:

Venoruton.
Troxevasin.
Rutin.
Troxerutin.

Venoruton

A venotonic with a wide spectrum of action, which is enhanced by interaction with ascorbic acid (vitamin C). That is why, in addition to drug therapy recommended to follow a special diet, including a large number of vitamins and minerals.

The active ingredients that make up the drug have the following properties:

phlebotonizing;
antioxidant;
painkillers;
anticonvulsant;
decongestant;
angioprotective.

Also, the tool has a tonic effect on the vascular walls. Thanks to systemic medication, internal bleeding decreases, itching and severe pain are relieved, and the general condition of the patient improves.

Troxevasin

An effective venotonic agent acting on veins and small capillaries. Regular use of the drug helps to eliminate the main symptoms of the disease: swelling, pain, itching, and bleeding. It also has an anti-inflammatory effect. Available in the form of capsules for oral administration and gel for external use.

The drug is also prescribed as an auxiliary treatment after sclerotherapy or surgical removal of varicose veins.

Like any of the above venotonic drugs, Troxevasin is able to have side effects, and also has a number of contraindications regarding pathologies of the gastrointestinal tract.

At the initial stages of the disease, it is also possible to effectively treat pelvic varicose veins with the help of venotonics of combined and polyvalent action.

Venotonics for pelvic varicose veins - drugs of various pharmaceutical groups, spectrum of action and form of release. However, the purpose of their use is the same - to eliminate the disease by restoring blood circulation in the vessels of tissues and organs.

All drugs are selected by the doctor in each case.

Varicose veins of the small pelvis are provoked by such a phenomenon as the reverse reflux of blood through the ovarian vein, which occurs against the background of squeezing of the vessels. The trigger for the development of the disease is pregnancy, namely the hormonal changes observed during this period and the growing pressure of the uterus on the vessels of the small pelvis. This type of varicose veins is manifested by prolonged and intense pain in the lower abdomen, usually appearing after constant heavy physical exertion or before menstruation.

Hereditary predisposition, congenital weakness of the venous walls, underdevelopment of the venous valves.
Excessive production of female sex hormones.
Women's diseases of the inflammatory nature.
Coitus interruptus as a commonly used contraceptive.
Sedentary lifestyle, work associated with static sitting or standing.
Difficult labor and multiple pregnancies.
Frequent strenuous exercise.
Anorgasmia (lack of orgasm).
Pain in the genital area during and after intercourse.

Often this type of disease occurs in adolescents, only without symptomatic manifestations. The only sign of the onset of the disease is the appearance of copious discharge from the genital tract.

It is important to distinguish varicose veins of the small pelvis from varicose veins of the uterus, since both ailments have different causes and clinical manifestations.

Video: Causes of varicose veins of the small pelvis.

Symptoms of the manifestation of the disease

Severe and long-lasting pain in the lower abdomen, spreading to the lumbosacral region and the perineum and aggravated, as a rule, after a long standing or sitting position, in the first days of menstruation, during and after sexual intercourse, as well as against the background of stress , fatigue, hypothermia.
Menstrual irregularities (dysmenorrhea).
In rare cases, violation of urination.
Soreness and increased sensitivity of the vagina and perineum.
Clear manifestations of PMS.
Discharge from the genital tract is profuse.
Venous nodules on the posterior thigh, buttocks and perineum.

The intensity of the manifestation of symptoms in each case is different, as is their number. One woman may have 1-2 symptoms, the other - all of the above.

There are two variants of the course of the disease: varicose veins of the perineum and vulva and the syndrome of venous plethora of the small pelvis. In both cases, the causes and symptomatic manifestation are almost the same.

Consequences of varicose veins of the small pelvis

violation of the functioning of the uterus;
contraindication to childbirth in a natural way;
the appearance of concomitant diseases, such as varicose veins of the legs and hemorrhoids;
mental disorders (increased anxiety, irritability, sleep disturbances, impaired attention, fear of sexual intimacy due to painful sensations).

Diagnosis of the disease

Correct and timely diagnosis great importance, since varicose veins of the small pelvis are dangerous for the development of inflammation and thrombosis. Often, people have been treated for years for gynecological inflammatory diseases (endometriosis, uterine fibroids, etc.), because the symptoms are similar, unaware of varicose veins, triggering the disease, without getting rid of pain. In this case, the doctor carries out a differential diagnosis for an unmistakable confirmation of the diagnosis and detection of the area where the backflow of blood into the veins of the perineum occurs. For this, several methods are used:

Ultrasound of the pelvic organs and lower extremities;
dopplerography of vessels (features of blood circulation in vascular formations);
transuterine phlebography (place of blood clots);
diagnostic laparoscopy (rarely, to exclude the presence of related diseases).

Stages of the disease

Stage 1 - the veins increase in diameter up to 5 mm, at the upper edge of the left ovary are expanded. At this stage, the disease is due to acquired or hereditary valvular insufficiency of the ovarian veins.

Stage 2 - the veins increase in diameter up to 10 mm, covering the left ovary, there is also varicose veins of the uterine veins and the right ovary.

Stage 3 - the veins increase in diameter by more than 10 mm, while there is a varicose vein of the right ovary, approaching the left in size. This stage is due to gynecological pathologies (tumors).

Depending on the stage of development of the disease, appropriate treatment is prescribed.

Treatment of pelvic varicose veins

It is impossible to completely cure varicose veins, but with timely and proper treatment, it is possible to significantly slow down its development and the appearance of serious complications, eliminate the symptoms of the manifestation of the disease, achieve a long-term remission of the disease, improving the quality of life of the patient.

For the first and second stages of pelvic varicose veins, compression hosiery is provided (mandatory during pregnancy), medication (in cases of exacerbation - venotonics and drugs to improve the rheological properties of blood) and local therapy (rarely ointments, gels), nutrition correction with a predominance of fiber and protein, physiotherapy exercises, and in some cases are effectively used folk remedies. Together, these measures allow you to restore the tone of the veins, prevent congestion and improve tissue trophism. If you are diagnosed with varicose veins, you should give up alcohol and smoking. At the third stage of the disease, when conservative therapy is powerless, surgical treatment is used (venous plexus ligation, embolization). The operation helps to forget about the disease for several months, but, unfortunately, the disease is prone to relapse, especially in the absence of prevention.

In case of varicose veins caused by hormonal disorders, drug correction of the hormonal background and the use of local hormonal preparations - ointments, suppositories, gels are indicated.