The dangers of pelvic varicose veins

Pelvic varicose veins is a common gynecological disease that women over 30 are more likely to suffer from. After suffering from pelvic varicose veins, patients will have symptoms of pain in the lumbar region and lower abdomen, and will also experience menstrual disorders, mostly prolonged menstruation. Because the pelvis is a very important body part for women, when pelvic varicose veins occur, people are very worried that there will be great harm. So, what are the dangers of pelvic varicose veins?

From an anatomical point of view, there are many pelvic veins distributed in a plexus-like manner. Each venous plexus is connected by mutual communicating branches, and the walls of the veins are weak. Most of them have no venous valve structure, and the blood flow is relatively slow, lacking the corresponding arterial pulsation to assist the return. The pelvic tissue structure is loose and lacks support, and is easily affected by factors such as increased abdominal pressure, resulting in poor venous return and the formation of this disease. The main pathological changes in the pelvis are uniform enlargement of the uterus, congestion and edema of the endometrium and subserosal veins, edema and enlargement of the cervix, and edema of the ovaries, which may sometimes appear cystic. The uterine vein and bilateral ovarian veins may be significantly tortuous and dilated.

The main clinical symptoms include pain in the lumbar and lower abdomen, which worsens before menstruation, as well as menstrual disorders, dark red menstrual flow, and prolonged menstruation.

Treatment

Conservative treatment

(1) For patients with mild symptoms, they should lie prone on their side with their legs bent, with the affected side on top, during their daily nap and at night, and do appropriate physical exercises. In severe cases, the chest-knee position should be added, twice a day, each time for 10 to 15 minutes. (2) Use of diuretics to reduce tissue edema can often alleviate premenstrual blood stasis symptoms. (3) Patients with uterine prolapse or obvious pelvic floor relaxation can use a pessary. (4) If symptoms worsen when standing, periodic rest can be taken to reduce pelvic venous congestion, or a sitting position can be changed to work.

Surgery

It is suitable for a small number of selected cases and should be treated with caution. The surgical methods include: (1) round ligament suspension and sacrosacral ligament shortening: suitable for hypertrophic, posterior uterus, younger patients who wish to retain the uterus and its appendages. This technique is rarely used. (2) Transverse fascial repair of broad ligament laceration: It is suitable for patients with severe pelvic congestion caused by fascial laceration at the bottom of the broad ligament who still want to have children. (3) Abdominal hysterectomy and salpingo-oophorectomy: Suitable for women over 40 years old or near menopause. Varicose uterine veins and ovarian veins should be removed as much as possible. (4) Nerve section: Occasionally, presacral nerve section or uterosacral ligament and cervical plexus section can be performed.

Prevention methods

Due to pelvic venous congestion and poor blood circulation, it can cause lower abdominal pain, excessive lochia, increased lochia, bladder irritation symptoms such as frequent urination and urgency, and hemorrhoids.

The methods for preventing and treating this disease include eliminating external and human factors, doing a good job of postpartum care, and strengthening the training of the abdominal muscles, pelvic floor muscles and lower limb muscles.

1. Pay attention to bed rest after delivery and avoid squatting, standing or sitting for long periods of time.

2. Keep bowel movements regular and eat more fresh vegetables and fruits. If constipation occurs, you should take a spoonful of honey in the morning and evening, and eat more foods and dietary recipes that treat constipation.

3. For those diagnosed with pelvic congestion, massage the lower abdomen, use your palms to make circular massage in the forward and reverse directions, and massage the coccyx up and down at the same time, twice a day, 10-15 times each time.

4. Do anal contraction exercises 5-6 times a day, contracting 10-20 times each time.

5. You can exercise in the knee-chest position, with your chest pressed against the bed, your hips raised, and your thighs at right angles to your calves. Do this twice a day, each time for about 15 minutes.

6. When resting in bed, it is best to lie on your side. Whenever possible, bed rest should be in the head-down, feet-up position.