Symptoms of varicose veins of the pelvis and preventive measures

Varicose veins of the pelvis or chronic pelvic pain syndrome is still an exotic disease with unclear diagnostic boundaries for many doctors.

This explains the fact that some physicians for a long time does not "notice" this disease in their patients, while others got it almost every second person suffering from constant unexplained pain in the abdomen.

Meanwhile, from early detection varicosity of the pelvic veins depends largely on the quality of life of the patient, his ability to enjoy the intimate side of the relationship with the loved one and the ability to procreate.

The phenomenon of chronic pelvic pain is known to physicians for a long time. But only relatively recently became known the most probable reason is varicose veins of the pelvis. This disease was first described in 1975 and is still not well understood.

varicose veins of the pelvis

Most likely, this pathology evolves according to the following algorithm:

  1. Venous plexus in the pelvis is a complex construction, which consists of large vascular trunks, and the waste from these smaller veins. Thus the venous system of small pelvis in men and women differs according to their structure, which makes the sexual specification of the disease is much more common in the fairer sex.
  2. Due to the compression of vessels, complete or partial blockage of the venous bed, changes the tone of the vascular wall impaired outflow of blood from the deep pelvic veins.
  3. In the result, the veins cease to perform their functions in full: progressing insufficiency of the venous valves , and normal outflow of blood.
  4. In pelvic veins commence congestion associated with the backward reflux of blood through the vessels – it provokes dilatation and varicosity development.
Symptoms of varicose (varicosity) of the veins of the internal organs of the pelvis is much more common in women of reproductive age than in men. While most often suffer from the ovarian vein in 85% of cases.

The leading symptom is pain, which is registered in more than 90% of patients. But the prevalence of this disease among the population is still not clear: according to different studies it ranges from 6 to 80%. Such a big difference in "readings" can only be explained by insufficient qualification of medical diagnosticians in the diagnosis.

Causes and risk factors

Causes of pelvic varicosity are any changes in the body that can trigger the launch of the pathological mechanism of this disease:

Anatomo-physiological cause varicosity What can cause this
Mechanical pressure on the pelvic veins
  • inguinal hernia
  • the tumor in the pelvis
  • increased pressure in the abdomen due to constipation
  • pregnancy and childbirth
  • gynecological diseases (tilted uterus, ovarian cysts)
The change of tone of vessels
  • connective tissue diseases, in particular dysplasia
  • congestion in the vessels of the pelvis, associated with defective sexual life
  • genetic predisposition and congenital weakness of the venous walls
A blockage in the veins of the pelvis
  • prolonged use of oral contraceptives
  • tendency to thrombosis
varicose veins of the pelvis symptoms

The increased risk factors varicosity of the pelvis are:

  • intense physical work;
  • not enough regular or unsatisfactory sex life;
  • abuse in intimate life interrupted sexual intercourse;
  • a large number of pregnancies and births;
  • the most common gynecological diseases;
  • contraception by means of hormonal drugs;
  • hormonal disruptions in the body;
  • the lack of exercise.

Classification and stage of varicosity

In medical circles it is accepted conditional division varicosity of the pelvis on the nature of the flow on the varicosity of the veins of perineum and external genitalia (e.g., labia) and the syndrome of venous plethoras of small pelvis. This classification is of little practical value, since in most cases patients meet both of these forms at the same time as provoking the emergence of each other.

You can also find the classification of the disease at the root cause of its occurrence. In this regard, the varicosity of the pelvis is divided into:

  • primary – caused by the poor performance of the venous valve;
  • secondary – develops as a complication of existing inflammatory, gynaecological or oncological diseases of internal organs.

There is also an attempt of classification of the disease based on the severity of the pathology. In this connection allocate 3 stages of pelvic varicosity:

Stage The characteristic features of the affected veins
diameter (in mm) localization
First less than 5 any pelvic venous plexus
Second from 6 to 10 the ovaries or uterus
Third 10 more total defeat of the veins of the pelvis

What is dangerous and whether the consequences

This vascular pathology can not be called a deadly disease. Discovered in time, it is well to medical correction. But the problem is that to detect it is not so easy. In this play a role and insufficient knowledge of the disease, and low awareness of most doctors-diagnosticians.

varicose veins of the pelvis than threat

It turns out that patients suffering from this disease without even knowing it. And in their body, meanwhile, is a series of irreversible changes:

  • varicosity progresses, the pathological process included a related field – there is a dilatation of the reproductive organs (for example, varicosity of the penis), perineum and lower limbs.
  • There is a persistent dysfunction of the internal reproductive organs that may cause infertility or inability to carry pregnancy in women.
  • Amid pain syndrome develop a variety of psychoemotional disorders by type of neurasthenia.
  • Because of chronic pain, exacerbated during intimacy, a person can completely abandon sex.
  • The rarest and at the same time the most severe complications are pelvic varicosity vein thrombosis and pulmonary thromboembolism. They occur in about 5% of cases, but always deadly.


Typical symptoms of varicose veins and pelvic vessels requiring treatment to the doctor for treatment include:

  • Chronic pain. Pain is most often localized in the lower abdomen, sometimes "give" in the groin and lower back. Accelerate in the second half of the menstrual cycle in women, after intercourse or prolonged standing on his feet.
  • Discharge from the genital tract. This is typical of "female" symptoms. In this case select normal in appearance and have no foreign smell. The patient is alarming only their unusually large number.
  • External signs of disease – spider veins or increased venous pattern on the thighs, in the crotch area – occurs in approximately half of the patients. Men may experience a small varicose veins on the penis.
  • Menstrual disorders in women and disorders of urination in patients of both sexes is uncommon and evidence advanced form of the disease.

When to go to the doctor and to what?

The reason for going to the doctor can be any of the above symptoms. Procrastinate this is notbecause figuring out the true causes of the discomfort and prescribe effective treatment will take time.

Profile a specialist in this disease is the doctor-phlebologist, but for women an initial visit to the gynecologist, who will be convinced in the absence of concomitant gynecological diseases.
varicose veins of the pelvis diagnosis


According to American researchers, in the beginning 2000-x years only 2% of patients with varicosity of the pelvis initially put the correct diagnosis. Sometimes the result of diagnostic errors was the removal of the reproductive organs in women, although this could have been avoided if used the most accurate methods of diagnosis of pelvic varicosity:

  • Ultrasound and Doppler study of the veins – allows to suspect varicosity;
  • Phlebography is an invasive study which allows high accuracy to determine the presence and extent of the disease;
  • Laparoscopy is indispensable in differential diagnosis of varicosity of small pelvis from similar symptoms of gynecological diseases (endometriosis, fibroids, vaginitis).
  • Selective variography is the study of the condition of the veins with contrast agent, is the most objective diagnostic method.
  • Computer or magnetic-resonant tomography allows to define the details of the disease and differentiate it from other pathologies with similar symptoms (joint disease, Crohn's disease, etc.).


In the treatment of varicosity of the pelvis are as follows:

  • to normalize vascular tone;
  • to improve the nutrition of tissues;
  • prevent congestion and possible complications.

Treatment of varicosity of the pelvic vessels at a time can go in several directions, while surgical intervention is only necessary in stage 3 of the disease.

Medical direction Specific activities
Therapy without medication
  • regular therapeutic exercise
  • diet
  • contrast water procedures
  • the varicosity compression when wearing lingerie and stockings
  • hirudotherapy
Drug therapy
  • the epidural nonsteroid anti-inflammatory drugs
  • prescriptions to maintain venomous (phlebotonics, angioprotectors)
  • the use of drugs to improve blood circulation (Pentoxifylline)
  • hormone therapy if necessary, correction of hormonal background
  • symptomatic treatment of related pathologies
  • sclerotherapy is the most effective method with minimal complications
  • phlebectomy – crossing and ligation of the venous plexuses
  • laser or radiofrequency coagulation – modern minime psidium method
Treatment of folk ways using herbal remedia based on dandelion, chagas and horse chestnut
varicose veins of the pelvis prevention methods

Predictions and prevention measures

To completely cure the varicose veins of the pelvis without surgery is almost impossible. Using conservative medicine can significantly alleviate and even eliminate most of the unpleasant symptoms and greatly reduce the risk of complications of the disease. The operation also does not give an absolute guarantee that the disease will not return.

In order to prevent recurrence, you should always adhere to proper lifestyle:

  • do not smoke;
  • not to use hormonal drugs uncontrollably;
  • more moving and less standing on his feet still;
  • to comply with the antisclerotic diet with lots of fresh plant foods;
  • daily to perform complex medical gymnastics and breathing exercises to maintain the health of blood vessels;
  • after the conducted surgery concerning varicosity need to wear compression stockings and to take preventive doses of prescribed drugs-venotonics.

Pelvic varicosity – this is a hidden beach women's health, a kind of disease Ghost, which is difficult to detect, but to suffer from it quite real.

The main symptom of the disease – chronic pelvic pain, which can bother the patient for a long time and become a source of rejection of the many joys of life. To endure such discomfort and not to go to the doctor it is impossible!

With the appearance of specific symptoms should be clearly understood that this is not normal and immediately seek help from a specialist.