Varicose veins of the uterus: medical and surgical methods of treatment

The disease is difficult to diagnose because its symptoms are very similar to other gynecological pathologies. The following signs may indicate varicose veins of the uterus: discomfort during intercourse, severe pain in the lower abdomen, which occurs periodically, failure of the cycle with prolonged and scanty bleeding. But during childbirth, these symptoms may not appear or show other diseases.

Definition

What is it - varicose veins of the uterus and how it affects the well-being and reproductive function of women? This is a pathological process characterized by lengthening and dilation of blood vessels, the appearance of nodules, thinning of the venous walls and difficulties in the circulatory process. Varicose veins of the uterus are a relatively rare disease that has no specific symptoms and is difficult to detect.

Factors of origin

The reasons for the development of pathology of the uterine veins are mainly as follows:

  • History of abortion.
  • Sedentary lifestyle during pregnancy.
  • Hormonal imbalance (with a predominance of progesterone, which helps reduce the tone of the vessels of the pelvis and uterus).
  • Insufficiency of vascular valves.
  • Untreated inflammatory processes.
  • Prolonged use of oral contraceptives.
  • hereditary predisposition.
  • Menstrual disorders.
  • Chronic forms of other diseases affecting the condition of the reproductive organs.

The main symptom of the disease is dull aching pain in the lower abdomen, sometimes radiating to the lower back or sacrum. There are no characteristic symptoms of varicose veins of the uterus, they occur with equal frequency in other gynecological diseases.

Risk groups

Uterine varicose veins often appear or progress in a pregnant woman, as the development of the disease is influenced by elevated progesterone levels, weight gain and venous pressure. Women who are carrying a child should, if possible, lead an active lifestyle and visit a doctor responsible for pregnancy on a regular basis.

Women at risk for varicose veins include:

  • Overweight;
  • with a large number of abortions in history;
  • leading a sedentary lifestyle;
  • prolific;
  • constant use of underwear for weight loss;
  • with sexual dysfunction;
  • with menstrual disorders.

Such women need to reconsider their habits, adhere to a diet high in vegetables and fruits, move more and monitor the condition of the intestines.

Symptoms and signs

In most cases, varicose veins of the uterus occur with latent or unexpressed symptoms. One of the most commonly reported complaints is discomfort during or after sex, as well as during exercise and menstruation. Occasionally there is increased vaginal sensitivity, increased symptoms of PMS and an increase in the interval between menstruation to 1, 5-2 months.

These symptoms are characteristic of many pathologies of the pelvic organs. Therefore, it is quite difficult to diagnose varicose veins in the uterus. According to statistics, only 10% of patients with this pathology can be diagnosed at the beginning of the disease. If misdiagnosed, the disease continues to progress and can lead to serious consequences over time.

Diagnosis

The diagnosis of varicose veins is possible with the help of laboratory and instrumental methods of examination. Ultrasound of the uterus with a vaginal sensor will allow you to visualize the condition of the veins. CT and X-ray in this case are uninformative. Laboratory tests allow to determine the composition of the blood.

Gynecological examination

If varicose veins are suspected, the specialist should perform a vaginal examination and take the patient's medical history. During the examination the main diagnostic sign of the disease is a bluish tinge of the cervix and vaginal mucosa, varicose veins and nodules.

ultrasound

Ultrasound is important for diagnosis. It can be done in two ways: transvaginally, ie by inserting a vaginal probe, and through the abdominal wall, ie transabdominally (pictured).

Transabdominal ultrasound for the diagnosis of varicose veins of the uterus

The pathology of the venous system can be visualized only by transvaginal ultrasound. After detecting the disease, the doctor should refer the woman to a doctor who specializes in venous pathology (phlebologist). He, in turn, will prescribe a phlebography for a thorough examination of the venous system if the ultrasound cannot give an accurate picture of the condition. This procedure is contraindicated for pregnant women and people with iodine intolerance.

Analyzes

Laboratory testing helps to determine the discrepancy between the parameters of the coagulogram, which may be the cause of venous pathology. If there are many platelets in the blood, it means that it has increased clotting and viscosity, which also prevents it from circulating adequately.

Varicose veins of the uterus during pregnancy

Varicose veins of the uterus during pregnancy in most cases develop in connection with damage to the veins of the legs. Treatment of the disease is recommended after the birth of the child, and symptomatic therapy is prescribed during pregnancy. Intake of venotonics, wearing of compression underwear, complexes of physiotherapeutic exercises are shown.

Varicose veins of the uterus during pregnancy are rare, but create certain problems. Most often the birth is performed by cesarean section. Throughout the gestation period, the woman should be under the medical supervision of a phlebologist.

Treatment

How to treat varicose veins of the uterus? Whether the woman is pregnant or not, the treatment of the disease is performed by a gynecologist in tandem with a phlebologist. In the case of pregnancy, the question of the optimal method of childbirth is decided jointly by these specialists, after the degree of vascular pathology is detected by ultrasound.

Medical therapy

Pharmacotherapy includes venotonics. Anticoagulants are also prescribed.

Women who are carrying a child are not prescribed medication, as such a risk to the fetus is not justified. Contrasting showers, physiotherapy, compression underwear and multivitamin complexes can be prescribed to pregnant women.

Surgical intervention

If the pathology is detected at a late stage and conservative treatment is ineffective, resort to surgery. There are many ways of surgical correction, of which it is important to choose the least traumatic and effective:

  • Sclerosis of the blood vessels;
  • Removal of small affected vessels through slots;
  • Radiofrequency coagulation;
  • Laser coagulation.

In severe cases, the uterus is removed with or without appendages. Such serious surgery requires the appointment of hormone replacement therapy (HRT), which helps to avoid premature menopause.

Diet

As the lower intestines are located close to the uterus, it is important to monitor the composition and diet. Wheat bran improves peristalsis, and lactic acid products maintain the microflora.

In addition, the abundance of plant foods will have a good effect on the condition of the veins: celery, tomatoes, cucumbers, cranberries and cherries. Foods high in iodine, such as seaweed, perfectly restore the venous wall, strengthening it and reducing fragility. For the normal functioning of the organs it is necessary to drink up to 1, 5-2 liters of water per day.

Sample menu for the day

breakfast:

  • Tomato and cucumber salad;
  • Whole grain bread;
  • 1 egg.

Dinner:

  • Vegetable soup;
  • Mashed potatoes;
  • Cutlet;
  • Sauerkraut with blueberries.

Dinner:

  • Kefir;
  • Whole grain bread;
  • Slice of cheese.

It is not desirable to use white flour and sugar products, confectionery (chocolate, pastries, cookies). In small quantities you can eat honey, jam, marshmallows. Fatty foods are contraindicated because they cause blood clots. The food is best cooked by steaming or boiling.

Physiotherapy

A good result in varicose veins gives a contrast shower, it should be sent to the perineum. Physiotherapy exercises can also help, they consist of performing the exercises "wheel", "birch" and others. In addition, it is recommended to do breathing exercises and wear compression underwear.

Kegel exercises

These exercises strengthen the pelvic floor muscles if done with a certain regularity, gradually increasing the complexity of the technique and increasing the duration. There are several types:

  • Compression and relaxation. Tighten your muscles, count to three, then relax. Count to three again and strain. Gradually increase the duration of the exercise to 20 seconds.
  • The alternation of the intensity of the exercises, the so-called "lifting". 1st floor - muscles are easily squeezed and held for 3-5 seconds. 2nd floor, the intensity and duration increase, etc. On the 5th-7th floor, do the exercises in reverse order: from a strong load to a weak one.
  • Rapid contraction and relaxation of muscles.
  • Pushing is the tension of the muscles involved in the experiments. This is similar to experiments during the process of defecation or childbirth.

Complications of the disease

Why is the disease dangerous? If varicose veins of the cervix are not diagnosed in time, complications can occur that will lead to impaired reproductive function:

  • Damage to the veins.
  • Massive hemorrhages.
  • Inflammation of the uterus and appendages.
  • Inability to conceive and give birth.

The disease can progress and lead to the development of the following conditions:

  • Functional insufficiency of the genital organs.
  • Thrombosis, most common in pregnant women.
  • Stomach ache.
  • Anxiety and irritability.

The disease significantly complicates intimate life, to the development of vaginismus and fear of sexual intercourse.

Prevention of varicose veins of the uterus

To prevent the pathology of the uterine veins, it is necessary to increase physical activity, eat properly and engage in special gymnastics. With varicose veins, it is useful to rest with raised legs to improve flow.

It is not necessary to diagnose on your own based on the symptoms, as even a doctor cannot always tell if there is a pathology or if it is a symptom of other gynecological diseases. Pain syndrome does not mean the presence of varicose veins in the uterus.

Scheduled gynecological examination for varicose veins of the uterus

Conclusion and conclusion

The disease leads to a violation of the hormonal background in women and failure of the menstrual cycle. Improper detection of varicose veins can lead to complications and infertility. Women diagnosed with this disease need regular routine examination and monitoring of the course of the disease. This will prevent complications and prevent the progression of the pathology. If the disease is already complicated and conservative treatment does not work, it is necessary to consider the possibility of surgery.