What are varicose veins of the uterus? A direct contraindication to natural childbirth is varicose veins of the uterus: what is it and how dangerous is it?

Varicose veins of the cervix

Cervical varicose veins are a pathology that occurs primarily in women of childbearing age. It is manifested by dilation of the veins of the cervix and their plethora. Very often this disease is combined with varicose veins of the uterus, ovaries, labia majora, vagina and lower extremities. In most cases, cervical varicose veins develop during pregnancy.

Causes:

1. Hormonal imbalance: progesterone, produced in large quantities during pregnancy, not only reduces the tone of the uterus, but also relaxes the pelvic veins, which become congested.

2. Mechanical pressure of the enlarging uterus on large venous vessels - the inferior vena cava and iliac vein. As a result of compression, blood stagnates in the veins and expands. A similar picture occurs with obesity.

3. Insufficiency of the valves of the ovarian veins, leading to increased pressure in the pelvic veins.

4. Chronic diseases of the genital organs.

5. Taking oral contraceptives.

6. There may be a hereditary predisposition to the disease.

Symptoms of cervical varicose veins

Symptoms of cervical varicose veins are nonspecific; they can masquerade as various diseases of the genital organs. The main symptom is dull, aching pain in the lower abdomen, which can spread to the lower back and sacral region. The pain intensifies during menstruation, after sexual intercourse, physical activity, and prolonged forced sitting or standing. If varicose veins of the cervix are combined with varicose veins of the vagina and labia majora, then a feeling of heaviness and fullness in the perineum is added. One of the signs may be severe premenstrual syndrome.

Diagnostics

The doctor may suspect the disease based on the patient’s complaints and examination of the vagina and cervix. Their mucous membrane becomes swollen, thickened, and bluish in color. With severe varicose veins, the veins are visible in the form of nodules. The basis of diagnosis is intravaginal ultrasound. To study blood flow in the pelvis, an X-ray method using contrast is used - transuterine venography. It shows productive results in women with pelvic varicose veins during pregnancy. In this case, it is possible to establish a stage that depends on the diameter of the dilated vessels. In unclear cases, laparoscopic examination is possible.

Treatment of cervical varicose veins

Treatment of early stages of the disease is usually conservative. It includes the correct organization of work and rest regimes with limitation of physical and static loads. In addition, you need a diet high in vegetable oil, vegetables, fruits, and abstinence from smoking and alcohol, which have a negative effect on vascular function. After all, smoking and varicose veins are companions throughout life. It is useful to perform exercises in a lying position, such as “bicycle”, “birch tree”, etc. A contrast shower aimed at the perineal area and breathing exercises have a good effect on emptying the veins. Be sure to wear therapeutic compression tights. During pregnancy, delivery at term by cesarean section is indicated to avoid massive bleeding.

Among the medications used are venoactive drugs: Detralex, Phlebodia-600, Antistax, etc.

In case of advanced stages of cervical varicose veins and the ineffectiveness of conservative therapy, surgical treatment methods are used: laser therapy, ligation or embolization of the external genital or ovarian veins, sclerosis of dilated veins, etc. The choice of method depends on many factors.

Complications of the disease:

· thrombophlebitis of the veins of the uterine cervix;

· rupture of veins and bleeding;

· inflammation of the genital organs;

· infertility.

Varicose veins of the cervix and other genital organs cause a lot of inconvenience to a woman, and later stages can lead to serious complications. Therefore, early consultation with a gynecologist is necessary if any discomfort occurs. Individually selected treatment tactics will eliminate the disease or significantly alleviate the condition.

Treatment of retrochorial hematoma

Today it is very difficult to overestimate the relevance of the social and medical problem of miscarriage in the context of a sharp increase in mortality and a decrease in the birth rate.

Consequences of tubal ligation

Tubal ligation is a surgical method of contraception. And it is an almost irreversible, reliable method of preventing unwanted pregnancy for women.

Tubal ligation in women

This is a surgical procedure, otherwise called medical sterilization. During this operation, the tubes are blocked, cut or tied. The operation is considered one of the most effective, guaranteeing 99% absence of pregnancy. Only for a few people it can occur when there is still a passage for sperm to enter, as well as due to an incorrectly performed operation.

Suture on the uterus after cesarean

Caesarean section is one of the ways to give birth to a child; it consists in the fact that various soft tissues are cut through surgical intervention (which are then connected with sutures) and the child is removed from the mother’s abdomen. For this method, there are several types of skin and uterine incisions.

This pathological process is often associated with diseases of the reproductive system. However, this opinion is wrong. What are varicose veins of the uterus? What factors provoke this disease? What are the main treatment methods in modern medical practice? The answers are further in the article.

What are varicose uterus

The process that results in modification of veins. This disrupts blood flow in one organ or another.

The length and width of the vessels, the morphological structure of their walls change, and peculiar nodes are formed.

Thus, varicose veins of the uterus imply changes in the veins that are located in this organ.

Consequently, this disease is not a disease of the reproductive system, but belongs to the group of vascular pathologies.

It occurs quite often, but is difficult to diagnose. Symptoms are mild or even completely absent.

Often diagnosed with the onset of pregnancy. At this time, the woman undergoes a thorough examination.

Causes and mechanism of development

The reasons are often:

• negative changes in a woman’s hormonal levels;
• pathologies of the endocrine system, which in turn provokes hormonal imbalance;
• low level of physical activity;
• too high level of physical activity;
• overweight;
• smoking and other bad habits;
• abortions;
• frequent pregnancies;
• diseases of the reproductive system that have not been treated for a long time;
• large fruit;
• hereditary predisposition to vascular diseases;
• increased venous pressure;
• tendency to thrombosis;
• taking birth control pills;
• long-term wearing of tight shapewear.

Often the triggering factor is pregnancy. It combines several reasons at once.

Symptoms

Despite the difficult diagnosis of this disease, the following symptoms of varicose veins in the uterus can be identified:

1. Drawing painful spasms in the lower abdomen. Sometimes there is pain in the lumbar region.
2. Menstrual irregularities. Shortening or, conversely, a significant increase.
3. Increased sensitivity inside the vagina.
4. Pregnant women often confuse varicose veins of the uterus with the onset of premature labor. Because bursting sensations appear.
5. Painful urination, but only if there are no diseases of the excretory system.

Varicose veins of the uterus are a dangerous disease for women. Negative manifestations especially increase during pregnancy and childbirth.

In the process of pushing, the risk of rupture of blood vessels significantly increases. It is also worth noting that this disease is accompanied by mild symptoms. This greatly complicates diagnosis and diagnosis.

Dangers during pregnancy

As mentioned above, varicose veins of the uterus are often diagnosed during pregnancy and every woman should know how dangerous this disease is.

To reduce the risk of complications during pregnancy, it is very important to diagnose this disease in a timely manner. If existing varicose veins were not noticed by the doctor in the first weeks of pregnancy.

Subsequently, serious problems with bearing a child may occur.

The danger of varicose veins of the uterus during pregnancy:

1. A significant increase in the risk of blood clots, which entails a threat to the life of the woman and child.
2. The development of placental insufficiency, which entails the formation of hypoxia in the fetus and intrauterine malformations.
3. Increased likelihood of internal bleeding and uterine rupture.

When a diagnosis of varicose veins of the uterus is made, pregnant women are recommended to have a cesarean section.

During natural childbirth, the risk of rupture and deformation of the birth canal, bleeding and obstruction is significantly increased.

Diagnostics

Diagnosing varicose veins in a woman’s uterus is difficult due to the lack of specific symptoms. A doctor cannot make a diagnosis based on a visual examination alone.

Therefore, even if there is a slight suspicion of the presence of this disease, the patient is prescribed an additional comprehensive examination. Which includes:

• MRI of the pelvic organs;
• laparoscopic examination;
• phlebography of vessels of the pelvic organs;
• selective ovariography;
• Dopplerometry;
• Ultrasound examination of the pelvic organs.

Ultrasound is performed in 2 ways:

1. Transvaginally, i.e. using a special sensor that is inserted into the woman’s vagina;
2. Transabdominal, i.e. using a sensor through the woman's abdominal wall.

The transvaginal ultrasound diagnostic method is considered the most accurate.

Therapy methods

After establishing the diagnosis and determining the degree of its severity, the doctor prescribes appropriate treatment. Today, there are 3 main methods of treating varicose veins of the uterus:

1. Conservative therapy;
2. drug treatment;
3. surgical intervention.

Conservative treatment involves the use of special compression garments and performing certain physical exercises.

Conservative treatment also includes proper and balanced nutrition and drinking regime.

This also includes various types of lymphatic drainage massage, contrast showers and hardening.

An excellent option for physical activity for varicose veins of the uterus is swimming.

When prescribing drug treatment, the following drugs are usually used:

• Pentoxifylline (its action is an antiplatelet agent);
• Phlebodia and other venotonic drugs;
• Diclofenac as an anti-inflammatory agent.

In severe cases of the disease, surgical treatment is prescribed. In this case, modified and pathological vessels are removed surgically.

For uterine varicose veins, laparoscopy is more often used, which does not involve full body incisions. Removal is done through small punctures.

Treatment of varicose veins of the uterus can also be carried out using folk remedies. Dandelion, horse chestnut and kombucha have proven themselves well.

However, this method of treatment is also prescribed exclusively by a doctor.

Under no circumstances should you self-medicate, even using traditional medicine. This can only complicate the course of the disease.

Untreated varicose veins of the uterus can cause the following complications:

1. Changes in the menstrual cycle;
2. placental insufficiency during pregnancy;
3. an increase in the area of ​​varicose veins and its spread to the ovaries;
4. increased likelihood of developing thrombosis;
5. thrombophlebitis.

Prevention

In order to minimize the risk of developing varicose veins in the uterus. It is necessary to follow the rules of a healthy lifestyle:

1. Adhere to a correct and balanced diet of proteins, fats and carbohydrates;
2. to live an active lifestyle;
3. regularly engage in sports and physical activity;
4. regularly visit a doctor for preventive examinations;
5. drink enough water;
6. additionally take multivitamin and mineral supplements.

Varicose veins in a woman's uterus are becoming an increasingly common disease every year.

This is due to a decrease in physical activity, deterioration of nutrition, and negative environmental influences.

This in turn provokes disruptions in the hormonal system.

However, despite the difficult diagnosis of varicose veins of the uterus, most cases are successfully treated. This disease poses the greatest danger to pregnant women. But timely treatment significantly reduces the risk of complications.

Useful video: Varicose veins of the uterus

The hormone progesterone, which directly affects the elasticity of blood vessels, is the reason why varicose veins occur much more often in women than in men.

Varicose veins of the uterus are a violation of the blood supply to the organ due to vasodilation and insufficiency of the venous valves. Pathology of blood circulation manifests itself in stagnation of blood in the vessels, leading to their expansion, thinning, lengthening, and the appearance of nodes.

Causes of varicose veins of the uterus

The disease occurs in women of any age; it is less often diagnosed in young girls. The basis of varicose veins of the uterus is a hormonal imbalance.

It occurs during pregnancy, with long-term use of oral contraceptives, and after an abortion. In addition, there are increased risk factors associated with the anatomical features of a woman’s body.

Why varicose veins occur on the uterus - reasons:

• Frequent constipation - intra-abdominal pressure is increased, which increases blood flow in the pelvic organs;
• Congenital insufficiency of venous tone - modification of blood vessels due to impaired blood flow;
• Genetic predisposition to thinning of the walls of blood vessels, leading to their deformation;
• Endometriosis, uterine flexion, history of long-term inflammatory processes of the reproductive system;
• Anorgasmia, the use of interrupted sexual intercourse for contraception - the absence of orgasm and the subsequent contraction of the uterus does not make it possible to drive blood upward from the vessels of a crowded venous system, it stretches the veins;
• Physical activity - due to weight, blood flow to the abdominal organs increases.

In many cases, varicose veins occur not only in the uterus, but also in the vessels of other parts of the reproductive system, in the extremities.

Symptoms of varicose veins of the uterus

The disease does not have specific manifestations characteristic only of this pathology. At first, varicose veins are asymptomatic; later, their symptoms are difficult to distinguish from other disorders of the genitourinary system.

How varicose veins of the uterus manifest themselves - symptoms:

• Aching pain in the lower abdomen, radiating to the lower back, intensifying after exercise;
• Scanty menstrual flow, increase in cycle duration to one and a half to two months and duration of menstruation;
• Intermenstrual bleeding;
• Expressed PMS;
• Increased sensitivity of the vagina, felt during sexual intercourse;
• Feeling of fullness in the perineal area;
• Unpleasant sensations and pain when urinating against the background of complete health of the urinary system.

During a gynecological examination, the doctor pays attention to the cyanosis of the mucous membrane of the vagina and cervix, and the appearance in advanced cases of convex nodules on dilated veins.

What are the dangers of varicose veins in the venous system of the uterus?

The appearance of signs of varicose veins is difficult to miss, but only a doctor can distinguish them from other diseases. Timely contact with a gynecologist increases the chances of a favorable outcome. If dangerous manifestations are ignored, complications arise:

• Thrombophlebitis of the veins of the uterus, cervix;
• Ovarian vein thrombosis;
• Infertility;
• Inflammatory processes;
• Difficulty conceiving and bearing a child.

If varicose veins are complicated by a rupture of a vessel in the uterus or in the periuterine tissue, the resulting bleeding in almost a third of cases leads to death. It is very dangerous for a blood clot to rupture and block the pulmonary artery. Thromboembolism of this vessel (PE) can result in sudden death.

If varicose veins of the uterus occur during pregnancy

While expecting a child, the concentration of progesterone in a woman’s body, which is responsible for maintaining pregnancy, increases significantly. While taking care to prevent the appearance of uterine tone, progesterone simultaneously reduces vascular tone. This circumstance provokes dilation of the veins and disruption of the outflow of venous blood.

An additional factor in the appearance of varicose veins during pregnancy is compression of the uterine veins by the growing fetus. Since the unborn baby is actively moving in the later stages, it periodically creates mechanical pressure on the vessels, which disrupts blood flow.

If a woman is healthy, her condition will most likely be fully restored after childbirth. The addition of aggravating factors significantly complicates bearing a child and complicates the birth process. Possible complications:

• Thrombophlebitis;
• Placental insufficiency, which impairs fetal nutrition and respiration;
• Risk of bleeding during childbirth.

With the development of complicated varicose veins of the uterus in a pregnant woman, delivery takes place through a cesarean section.

Diagnostic procedures

The most informative diagnostic method is intravaginal ultrasound with Doppler ultrasound. To adequately assess the condition of the blood vessels, a special probe is inserted into the uterus.

Additionally, a blood test for coagulability (coagulogram) and biochemical analysis are performed. With an increased concentration of platelets, the risk of circulatory pathologies increases. Additional diagnostic methods:

• CT (computed tomography);
• Duplex scanning;
• Laparoscopy;
• Phlebography with contrast agent.

Phlebography, or hyperuterine contrast radiography, is performed by a phlebologist. A diagnostic examination allows you to assess the condition of the venous system and establish the stage of varicose veins. This diagnostic method is not used during pregnancy.

How to treat varicose veins of the uterus?

Treatment tactics include therapeutic and surgical methods. The patient is advised to give up bad habits, limit exercise, and fill the diet with foods rich in vitamin E. It is advisable to wear compression tights to maintain muscle and vascular tone. For a similar purpose, they take a contrast shower.

It is very useful to do therapeutic exercises, including Kegel exercises to relax and concentrate the pelvic floor muscles. The patient is recommended to take long walks, walk up stairs, and exercises with raising the legs upward. It is mandatory to prescribe medications from various pharmacological groups.

Varicose veins of the uterus - complex drug treatment:

Venotonics (Detralex, Troxevasin).

They strengthen the walls of blood vessels and are taken to prevent swelling and relapses.

Angioprotectors (Glivenol, Proven).

They improve blood microcirculation, strengthen blood vessels, and reduce the permeability of vascular walls.

Enzymes.

Simulate metabolic processes.

Antiplatelet agents.

Hemostatics.

Taken for bleeding.

Blood viscosity.

Drugs to reduce blood viscosity (Thrombo ACC, Heparin, Cardiomagnyl).

NSAIDs (Indomethacin, Diclofenac).

Relieves pain.

If drug therapy is ineffective, surgical treatment is used. Basic methods:

Phlebectomy.

Removal of areas of varicose veins.

Sclerotherapy.

Gluing the vessel with a sclerosing agent.

Laser coagulation.

Exposure of clogged veins to a laser beam.

Radio wave coagulation.

Cleansing blood vessels using radio waves of a certain frequency.

In case of an advanced process, a radical operation is performed - hysterectomy in combination with ovariotomy (removal of the uterus and appendages). To stop the development of pathology at an early stage, it is important to closely monitor your health and consult a doctor in a timely manner.

Varicose veins of the uterus during pregnancy are a rare and dangerous disease that threatens the formation of the fetus. Pressure on the pelvic area caused by a growing baby causes blood to stagnate. If the elasticity of blood vessels is reduced or there is a genetic predisposition, then there is a high probability of developing varicose veins of the uterus. The disease requires timely diagnosis and treatment.

Causes of uterine varicose veins during pregnancy

Varicose veins of the uterus during pregnancy are difficult to diagnose due to their asymptomatic course. Development occurs gradually, but conception and gestation become the factors that provoke the rapid formation of pathology.

The vascular network of veins in the pelvic area consists of many arteries of different sizes that intertwine with each other. The diagnosis of uterine varicose veins during pregnancy indicates thinning of the veins and loss of elasticity, as a result of which blood circulation is impaired and vascular nodules are formed.

Risk factors for pathology include:

• venous malformations from birth;
• hormonal changes in connection with conception;
• hereditary factor;
• excessive pressure of the uterus and active growth of the baby in the womb;
• the appearance of an additional circle of blood circulation;
• increased blood volume;
• a sedentary lifestyle creates stagnation;
• infectious diseases of a chronic nature.

In most cases, all of the above factors together influence the formation of varicose veins in a pregnant woman. Increasing weight puts pressure on the pelvic area, hormonal levels undergo significant changes, progesterone provokes fluid retention in the body, and a tendency to varicose veins creates all the prerequisites for the disease.

Why are varicose veins of the uterus dangerous during pregnancy?

Varicose veins in the uterus that are not detected in the first months of pregnancy threaten the development of complications in the last trimester and during labor. Often, when diagnosing such a pathology, delivery by cesarean section is recommended.

The formation of varicose veins is dangerous for both the fetus and the mother in labor:

1. The accumulation and stagnation of blood in the veins leads to the formation of blood clots, which is a direct threat to the life of a woman and her child.
2. Opening of internal bleeding when blood accumulates in the ovaries and subsequent rupture.
3. Placental insufficiency is dangerous for the baby inside the womb due to the fact that impaired blood circulation reduces respiratory function, promotes the formation of hypoxia, leads to a lack of nutrients and the development of birth defects.

If the pathology is minor, natural birth is allowed, but more often I recommend a planned cesarean section. In this case, the consequences of independent labor may be reflected in the form of deformation of the birth canal and obstruction of patency. The likelihood of rupture of blood vessels during contractions and the transition of the uterus to tone increases significantly.

Treatment of varicose veins of the uterus during pregnancy

Treatment of the disease during pregnancy is only symptomatic. In the last stages, it is necessary to go into labor in order to avoid complications during labor and to prevent disturbances in the mother-placenta-fetus circulatory system. Treatment activities are carried out under the supervision of a gynecologist and phlebologist.

Conservative therapy involves relieving symptoms and strengthening the walls of blood vessels in the uterine bloodstream by taking medications:

• venotonics (detralex, phlebodia, diosmin) have a positive effect on the tone and permeability of veins, and also normalize the blood supply to blood vessels;
• antiplatelet agents (pentoxifylline, trental, chimes) prevent the formation of blood clots;
• NSAIDs (movalis, rheumoxicam) reduce blood clotting and thin it.

To improve tissue nutrition, vitamin complexes are prescribed, and a diet with plenty of fiber is recommended.

If the last stage pathology is diagnosed in the 3rd trimester, then surgical intervention is used to resection the veins and restore normal blood flow. After the birth of the child, with severe varicose veins and bleeding, complete removal of the uterus is possible.

Prevention of the disease involves the use of therapeutic exercises to strengthen the muscle frame and restore blood flow. For this purpose, regular exercise in the pool is best suited, since swimming reduces pain in the pelvic area.

Bad habits, alcohol and smoking, weaken the permeability of blood arteries, so you need to give them up. Vegetables and fruits should be included in your daily diet to strengthen the venous walls, as well as to prevent constipation, since hard feces can lead to bleeding.

In general, the prognosis for varicose veins during pregnancy is positive. The entire 9-month gestation period must be carried out under the supervision of doctors in order to provide emergency medical care in a timely manner.

Varicose veins of the pelvis: during pregnancy, after and before

Dreaming of a healthy and beautiful baby and planning their first pregnancy, young women often try to find out what “is written in her blood.” It is better to find out all this from the mother, especially since the upcoming pregnancy itself is an exciting moment. Daughters repeat their mother in many ways, especially when it comes to women’s problems, and they have them not because thoughts are material, but because everything is inherent at the gene level, against which, as we know, there are no weapons. So it is with varicose veins. And it doesn’t matter which ones. The female body can also be haunted by varicose veins of the uterus, which is no better, since it is not always noticeable and not very accessible.

All pelvic organs are susceptible to varicose veins, and given that in women this place is occupied by the reproductive organs, the frequent occurrence of such pathological conditions becomes understandable. Vessels leading to the pelvic organs come from below, that is, from the lower extremities and, branching, collect blood from the labia, vagina, perineum, vulva, uterus and appendages. A venous vessel can expand in any area, or rather, where it receives additional load.

For the development of varicose veins, except heredity, significantly affects hormonal status, which not only changes during each menstrual cycle, but also undergoes a complete restructuring during pregnancy and menopause.

During pregnancy, the hormone begins to actively function progesterone, which promotes the retention and accumulation of fluid in tissues and increases the BCC (circulating blood volume). BCC, in turn, will create additional pressure on the walls of blood vessels.

During menopause, in addition to hormonal effects, gynecological history and associated chronic diseases play a significant role in the formation of pathological processes.

Pregnancy - happiness and sorrow

Pregnancy reveals many hidden pathologies, including varicose veins of the small pelvis, and with each pregnancy the situation will worsen. During pregnancy, the volume of circulating blood increases, which is natural, since there is a need to feed the uterus with it, which increases in size. The formation and activity of the placenta requires a full supply of oxygen and nutrients, which will be used for the growth and development of the fetus. The enlarging uterus begins to look for a place in the small pelvis at the expense of other organs, oppressing them and squeezing the vessels.

Due to the activation of hormonal levels, a large amount of female sex hormones enters the blood, which lead to relaxation of the walls of the venous vessels, which entails a pathological expansion of the veins. In such a situation, the valves located in the veins do not provide complete blood flow, since they cannot completely close the lumen of the dilated vessel. The blood remains and stagnates, where excess blood pressure on the walls of blood vessels will lead to an increase in the permeability of the latter.

In addition, the pregnant uterus not only takes blood, it also gives it away, and the outflow from it during pregnancy increases almost 20 times. Considering that the venous vessels of the main reproductive organ are also equipped with valves, which, due to circumstances or congenital characteristics, are not able to ensure complete closure of the venous vessel, the blood stagnates and the veins dilate. This is how varicose veins of the uterine vessels develop, where the causes of uterine varicose veins can be presented as follows:

1. Congenital structural anomalies valve apparatus of the venous vessels of the uterus;
2. Genetic predisposition;
3. Hormonal changes characteristic of pregnancy;
4. Increased blood flow in the uterus;
5. Chronic inflammatory diseases;
6. Artificial termination of pregnancy, miscarriages and childbirth in the anamnesis;
7. Congestion in the venous vessels of the ovaries.

Due to the fact that the uterus belongs to the pelvic organs, we can add the prerequisites for the occurrence of varicose veins, which are characteristic of the entire pelvis:

The culprit for the development of varicose veins during pregnancy in the groin, which will stick out in dark blue unattractive nodes and create terrible discomfort for the woman, is often the pregnant uterus. It overfills the iliac veins, which leads to varicose veins, which spread to the labia majora, vagina, perineum, vulva and intestines. The above factors in this situation will also have a negative impact and cause the occurrence of varicose veins of the small pelvis.

Visible and invisible varicose veins

Symptoms of pelvic varicose veins may be bright when the veins of the external genitalia dilate, but this indicates congestion in the entire pelvic area. Dilated vessels and nodes in them in such cases are well identified visually. However, the expansion of internal veins is more dangerous to health and poses a greater threat to the course of pregnancy and the postpartum period. Vaginal varicose veins threaten to rupture the veins when straining and/or during defecation, which will lead to bleeding and development.

Due to the paucity of the clinical picture of congestion in the pelvis, the first diagnostic tool for the disease is an ultrasound examination of the pelvic organs using a vaginal sensor. This is how you can detect dilated veins and nodes in the uterus, ovaries, vulva, vagina and other places inaccessible to the eye, the only manifestation of which may be pain in the lower part belly.

Probably the most striking symptoms accompany pregnancy:

1. “Stars” and knots leading to deformation of one or two lips;
2. Dry skin, pigment spots at the site of the lesion;
3. Excruciating itching and soreness;
4. Loss of performance, decreased mood.

However, if venous congestion in the pelvis is limited, as a rule, to gentle treatment (elastic bandages, stockings, therapeutic gymnast), especially since during pregnancy even minimally invasive methods are not indicated, then vulvar varicose veins require immediate measures that extremely It is advisable to take before pregnancy. This is due to the fact that untreated vulvar varicose veins, can cause extensive hemorrhages, due to rupture of a venous vessel. Varicose veins of the vulva are subject to radiofrequency and or radical treatment. During the period of gestation, this is impossible, so they try to limit themselves to prescribing exercise therapy and, only as a last resort, venotonic drugs with minimal side effects can be recommended.

Threat to normal pregnancy

Varicose veins of the lower extremities are very often combined with vaginal varicose veins, which indicates the presence of congestion in the pelvis and the involvement of other organs of the female reproductive system in general and the uterus in particular in the pathological process. Damage to the vessels of the uterus can have negative consequences and pose a threat to the fetus and normal gestation, therefore varicose veins during pregnancy acquire a special status, where the venous vessels of the lower extremities play a leading role. After all, it is with them that everything begins, and the small pelvis is already involved in the process.

It seems incredible to say that varicose veins can interfere with pregnancy and cause infertility, but, nevertheless, it is true. In addition, dilation of the veins before or during pregnancy often creates an obstacle to normal implantation of the embryo and disrupts the correct formation of the placenta.

Myths about varicose veins

There are legends and myths about any common and chronic disease among the people, and varicose veins are no exception. More like a rule. Some assurances mislead the phlebologist’s patients, with which they come to the doctor, where they try to make suggestions to the treatment regimen and diversify it. Or, having successfully dealt with a relapse through laser coagulation or phlebectomy, they begin to believe that varicose veins are a thing of the past and now everything is possible. Myths and refutations:

Myth #1: Varicose veins are a disease that only affects the legs.

The statement that vessels located above the heart do not undergo expansion has no basis. Varicose veins can be present in any venous vessels. Of course, the veins of the shoulder girdle are less susceptible to this pathological process, due to their truly high location and significant motor activity (without noticing it, we constantly use our arms). And, as a rule, if varicose veins have reached the arms, then they have “settled” in the legs and pelvis for a long time.

Myth No. 2: varicose veins can be cured at once

They say that “someone, somewhere, somehow” cured varicose veins with a medicine, surgical method or folk remedy. The phrase " cure varicose veins“can be used only in one case: varicose veins cannot be cured, it can be prevented without forgetting about it for a day, or stopped, but also remembering about it all the time. With varicose veins you need to constantly wage an irreconcilable struggle and then it retreats. For a while…. But as soon as a person allows himself to relax, a recurrence of varicose veins will be right there.