Small pelvic varicose veins: causes, symptoms, treatment

Varicose veins can be localized in different places, and one of them is the pelvic area. Typically, the pathology develops in women and is characterized by frequent aches and pains in the lower abdomen. In men, vein problems are also possible, but the disease affects the testicles, causing heaviness in the scrotum, pain and discomfort during sex. Since the structure of the pelvic organs in women and men is different, we will consider the travel characteristics of varicose veins separately in representatives of different sexes.

small pelvic varicose veins

Varicose veins in women

According to statistics, young women aged 20 to 45 are even prone to pelvic varicose veins or chronic pelvic pain syndrome. However, with age, the number of women suffering from this disease increases many times over. And if at the age of 17 years the pathology is diagnosed in 19% of women, then at the age of 45 their number increases to 80%.

What led to the increase in the number of patients with age? Regardless of the cases when the cause of varicose veins is a hereditary predisposition (a genetic feature of the structure of valves and blood vessels, which determines their tendency to stretch excessively), we will consider only what we have to face throughout life. .

First, it is an inactive lifestyle. Prolonged static stay in the same position, when you have to stand or sit for long periods of time, causes disruption in venous outflow and leads to chronic venous insufficiency and blood stasis in the lower body ducts. The valves in the dilated veins of the small pelvis stop closing tightly and a gap remains between them. In such vessels, clots begin to form, which can then turn into blood clots.

The second factor that increases the risk of developing small pelvic varicose veins is pregnancy. During that time, the amount of blood in the circulatory bed increases significantly, the uterus begins to squeeze the retroperitoneal canal, and the hormonal background changes. This leads to persistent varicose veins and further development of pathology.

Small pelvic varicose veins during pregnancy do not pose a direct danger, and childbirth with it passes without complications, so the disease is not treated. This expansion of the vulvar and perineum veins is observed in 30% of women. Immediately after childbirth, vessels often quickly return to normal without any intervention, and as a result, after the birth of a child, the disease persists in only 2-8% of women.

maternity bandages for small pelvic varicose veins

The third reason for the development of small pelvic varicose veins is the presence of gynecological diseases, the use of contraceptive drugs and hormone replacement therapy.

Fourth, a factor that is no less important is smoking. Keep in mind that smoking and the simultaneous use of hormonal contraceptives are not acceptable. They reinforce each other and there have been many tragic cases when young women who smoked who took hormonal contraceptive pills died of vascular thrombosis.

The fifth risk factor is overweight, as obesity increases the load on the vessels significantly.

In addition, the cause of the disease is considered to be environmental degradation, as gas pollution in the air in large cities increases the likelihood of developing vascular pathology.

But how to recognize the presence of varicose veins in the small pelvis? The main symptoms of this disease are:

  • aching pain in the lower abdomen, aggravated by weight lifting, general fatigue, hypothermia, and even after a long stay in one position;
  • painful sensation in the perineum during or after intercourse;
  • menstrual cycle violations;
  • an increase in the amount of whiteness;
  • clear venous patterns in the back of the thighs and buttocks.

In addition, the external genital organs can also be affected - pain, itching, thickening, nodes appear.

What to do if symptoms are encountered?

To avoid the development of complications in the presence of such symptoms, it is necessary to consult a doctor. The first specialist a woman should visit is a gynecologist. After the examination, she will prescribe tests and studies to exclude gynecological diseases. As a rule, this is an ultrasound examination of the abdominal organs (also on ultrasound you can see the presence of pathological ducts, winding and dilated).

phlebologists treat pelvic varicose veins

The patient was then referred to a phlebologist. To clarify the diagnosis, he or she can set up a duplex ultrasound scan on the vessel, which allows you to get detailed information about blood flow. In some cases, magnetic resonance imaging, computed tomography and laparoscopy are prescribed. Usually, this study is enough to make a final diagnosis and determine the stage of the disease.

There are three degrees of varicose veins in the small pelvis:

  • vein diameter not more than 5 mm, and the affected vessel is located on the upper edge of the left ovary;
  • vein diameter is from 5 to 10 mm, uterine canal and right ovary affected;
  • vein diameter more than 10 mm, pathology is expressed in both ovaries (same vessels dilated on the left and on the right), in the uterus. In the buttocks, thighs and groin area, there are enlarged veins and knots.


After completing the necessary diagnostics and based on the general condition of the patient and the severity of the disease, the doctor prescribes treatment. It involves different methods. First of all, you need to:

  • rejection of bad habits;
  • normalization of working and resting conditions, including combating hypodynamia (try to avoid prolonged static holding of the body in one position, as well as excessive physical exercise, lifting weights);
  • rejection of high heels, wear comfortable shoes;
  • wear compression tights and underwear to improve venous outflow.

The actual therapy for small pelvic varicose veins is usually complex. It includes restorative gymnastics, massage, diet, pharmacotherapy, folk methods, etc. So pharmacotherapy means taking:

  • phlebotropic drugs that improve blood circulation, relieve congestion and improve vascular tone, prevent the formation of blood clots;
  • non -steroidal anti -inflammatory drugs - for severe pain;
  • vitamins and antioxidants.

Dietary normalization, in particular, means the exclusion of salty, spicy and fried foods, canned foods, and seasonings from them. This must be done because salty foods contribute to fluid retention in the body and the formation of edema, which leads to high blood pressure. Fried and fatty foods are known to cause plaque and build up of excess weight, which adversely affects vascular health. It has been proven that weight loss of just 5 kg helps reduce blood pressure by 5 mm Hg. Art.

Also, with varicose veins, you should include in your diet as many vegetables, greens and fruits as possible. They contain a large amount of fiber, which prevents the formation of congestion in the intestine. In moderation, it is recommended to eat vegetable oils, for example, as a salad dressing.

Gymnastics for diseases

In the absence of contraindications (vascular thrombosis, acute disease, deep vein involvement in the process) and complications, the patient is prescribed special therapeutic exercises. The training is very easy.

  • "Bicycle". In the supine position, the legs are raised and begin to perform alternating pushing movements in the air.
  • "Birch". Also, lie on your back, legs raised vertically upwards and try to maintain this position.
  • "Scissors". Lying on your back, the legs raised up are crossed alternately.
  • Raise your legs. The feet are raised alternately first to the toes, and then to the heels. Can be done sitting or standing.
gymnastics with small pelvic varicose veins

If the patient has third degree small pelvic varicose veins and chronic venous insufficiency, then the doctor may recommend surgery. The operation is performed using modern surgical methods, characterized by low trauma, virtually painless and does not require prolonged rehabilitation.

Small pelvic varicose veins in men

In representatives of the stronger sex, the pathology most often occurs in the form of varicocele disease, which is characterized by the expansion of the testicular veins. Moreover, in most cases, the left testicle is affected. In this case, the scrotum increases in size, and the patient experiences excruciating pain. The disease is easily suspected on its own, because while examining the testicles, small characteristic nodules ("milk mushrooms") are felt. Varicocele causes pain during erections and sexual intercourse, in turn causing physical and psychological discomfort.

In addition, the disease can be a factor that triggers infertility in men. However, recent scientific studies deny a link between varicocele and male infertility, and only the most advanced cases are dangerous. Surgery for varicocele is rarely used. Like small pelvic varicose veins in women, its therapy consists of doing therapeutic exercises and taking special medications.