Pelvic varicose veins

By having more blood and having very thin walls, these veins dilate and contain accumulated blood. When these varicose veins are located in the pelvis, in the area of ​​the ovaries and the uterus, the syndrome of pelvic congestion occurs. Pelvic varicose veins are often accompanied by varicose veins in the lower extremities and varicose veins in the external genitalia, especially in the labia majora of the vulva.

Causes of varicose veins in the uterus

The risk factor's of suffering from this syndrome are:

• Women between 30 and 50 years.
• Women who have had one or more pregnancies. These more dilated veins are usually damaged in pregnancies since during gestation the pressure and volume that the uterus exerts on the entire venous system makes it difficult for blood to return to the heart and therefore dilates them and favors damage to the venous valves. .
• The genetics that predisposes to venous insufficiency.
• Women with hormonal dysfunctions.

The incidence of this syndrome is not well determined since it is a difficult-to-diagnose syndrome due to the unspecific clinic it presents. Frequently, women who suffer from pelvic congestion syndrome have visited several doctors and even from different specialties because they have such unclear symptoms. These women usually have:

• pains in the pelvic area and lower abdomen, more intense 10-15 days before the rule.
• Urinary symptoms, such as a sensation of very frequent urination.
• painful rules
• pain in sexual intercourse
• Nonspecific sensation described as weight in the lower abdomen.

Diagnosis

After the suspicion of a syndrome of pelvic congestion can be done different types of tests imaging for diagnosis:

• Eco-Doppler which can be abdominal or transvaginal. With this technique, the veins in the lower abdomen are identified and the flow through them is studied. It is a test that does not involve radiation and does not require a previous preparation of the patient.
• If there are doubts about the diagnosis, a angio-CT or an MRI to assess abdominal vascularity

Treatment

If the initial diagnosis is confirmed, medical treatment can be done that may consist of a Venotonic drug or in some hormonal treatment.

If medical treatment is not enough interventional radiology treatment can be performed. Initially, a catheter is inserted through a vein in the groin and the catheter is brought into the veins of the pelvis. There they can be done two different techniques:

• Embolize with a foam that causes the veins to collapse and close
• Place some coils, which are metallic spirals covered with a special material that cause a thrombus to form on them and thus block the varicose vein.

The days after catheterization It is frequent that you can have pain that is noticeably improved with analgesics or even some fever that also improves with antipyretics. There are a number of that could help you in case you start to suffer them.