Vein diseases in women: causes, symptoms, treatment

Chronic venous insufficiency and varicose veins are widespread diseases: according to statistics, in developed countries a third person faces them. A special risk group includes the fair sex, to whom this pathology causes physical and psychological discomfort. In this article, we will see why vascular diseases occur in women, what are their signs and symptoms, what to do to treat and prevent this disease.

Varicose veins: causes of varicose veins in women

According to statistics, men are less likely to suffer from varicose veins than women, who have vascular diseases 1. 5 times more. What is the reason for the gender characteristic of this pathology?

Varicose veins in women
  • Features of the hormonal background. During the monthly cycle, the woman's hormonal base is subject to fluctuations and, during pregnancy, childbirth, lactation and menopause, these changes become even more significant. The proportion of female sex hormones (estrogen and progesterone) has a direct effect on the condition of the vascular walls and blood viscosity.
  • Hormone therapy. Hormone replacement therapy and the use of combined oral contraceptives lead to changes in hormone levels, thus causing a change in the proportion of estrogen and progesterone in the body.
  • Wearing high heels and tights. Uncomfortable shoes, tight underwear and jeans - all this causes a violation of blood flow in the lower limbs and in the small pelvis, leading to the development of varicose veins.

In addition to these exclusively female prerequisites for the development of pathology, varicose veins in women can be triggered by the following factors:

  • Genetically determined predisposition. According to statistics, there is a tendency to varicose veins in 60% of cases, if one parent suffers from this pathology.
  • Significant excess weight. Obesity is one of the factors for the appearance of varicose veins, as the lower limbs suffer increased pressure.
  • Excessive tension in the legs. Whether you are a running, jumping or weightlifting professional, there are favorable conditions for developing vein problems.
  • Excessive physical activity is the cause of varicose veins
  • Circulatory disorder caused by fixed posture. If you spend most of the day sitting or standing, this is a serious prerequisite for the development of venous disease.
  • Unbalanced diet. A diet low in fiber, vitamins and trace elements leads to disorders that affect blood vessel walls and blood composition. In addition, an unbalanced diet can cause constipation, which can also lead to changes in the veins - in particular, the varicose veins of the small pelvis.
  • Diseases of the endocrine and cardiovascular systems. Endocrine disorders cause changes in the hormonal picture, which, in turn, become prerequisites for the development of varicose veins. Cardiovascular diseases (in particular - hypertension) also cause the development of problems in the veins.

Varicose veins of the small pelvis in women

Pathological dilation of the pelvic vessels is a common problem faced by 15-25% of women of reproductive age. This disease is often confused with infectious and inflammatory processes located in Organs reproductive organs of the female genitourinary system. In connection with the wrong diagnosis, inadequate treatment is prescribed and the patient receives no relief. Consequently, the problem of diagnosis and adequate therapy for pelvic varices is an urgent problem in modern phlebology and gynecology.

The blood supply to the pelvic organs is due to the uterine and ovarian veins, as well as to the venous plexuses - uterovaginal, vesicovaginal, uviform, rectal plexus, etc. The cause of pelvic varices in women is a violation of blood flow in these vessels. It is usually caused by blood congestion, which can be caused by the following:

  • a sedentary lifestyle;
  • previous gynecological diseases;
  • hormonal imbalance (in particular, high levels of estrogen);
  • history of pregnancy and childbirth;
  • congenital and acquired connective tissue diseases (ie, lack of collagen).

Expert opinionThe main symptom of this venous disease in women is the presence of chronic pelvic pain syndrome. It is represented by pain in the lower abdominal region, with irradiation to the pubic, sacrum and perineum region.

Peak pain usually occurs in the second half of the menstrual cycle, supplemented by severe premenstrual syndrome and dysmenorrhea. Psychosomatic disorders can add to these symptoms.

Chronic pelvic disease syndrome in women

As noted above, the diagnosis of the pathology is difficult because the symptoms of this venous disease in women can be misinterpreted as signs of purely gynecological problems. Therefore, for the correct diagnosis, transvaginal ultrasound, Doppler ultrasound, phlebography and, in some cases, diagnostic laparoscopy will be necessary.

Conservative and surgical approaches are used to treat varicose veins in the small pelvis.

In the first case, the goal of therapy is to increase the tone of the venous walls, normalize the nature of the blood flow and the viscosity of the blood. To solve these problems, patients are prescribed venotonia, hirudotherapy, ultrasound and magnetotherapy sessions, in addition to exercise therapy exercises. If conservative therapy for this pelvic vessel disease is ineffective, surgical intervention is performed - sclerotherapy or embolization with veins in pregnant women.

Vein problems in pregnant women

Varicose veins are a problem for most pregnant women. It is due to the changes that occur in the body of the pregnant woman during pregnancy. During this period, there is a complete restructuring of the hormonal background, which is directly related to the state of the vessels. For example, the growth of estrogen leads to changes in the structure of the muscle layer of the venous walls and vasodilation.

Vein problems in pregnant women

In addition to the hormonal changes that accompany the period of pregnancy and birth of a baby, pregnancy and childbirth can cause the development of venous diseases in pregnant women and for other reasons. Firstly, it is an increase in body weight and a concomitant increase in the load on the lower extremities, as well as the excessive stress that women in labor experience during labor.

During pregnancy, there is an increase in the total volume of circulating blood, which occurs due to the increase in the plasma and erythrocyte content.

Venous disease in women: symptoms and signs

Depending on the stage of development, the varicose veins in the legs manifest themselves in different ways:

  • The initial stage of the pathological process is easy to go unnoticed, as its manifestations are usually minimal. Small spider veins appear on the legs, at night there is a slight sensation of discomfort, at the end of the day there may be a slight swelling. Even if the clinical picture described is not very worrying, as soon as you have these symptoms, it is recommended to consult a doctor.
  • If the disease is not detected early and treatment is not started in time, the vein problems in women will be exacerbated. The venous network becomes increasingly pronounced, characteristic knots and cords are clearly distinguishable under the skin, edema and a feeling of fullness in the lower extremities causes severe discomfort.
  • If the disease has not been treated or has been treated ineffectively, it will be neglected. The affected veins stand out strongly under the skin, there is constant edema, cramps occur at night, the skin in the leg region can change color and be covered by trophic ulcers.

Vein diseases in women: treatment

There are two main approaches to solving this problem: conservative and surgical. The first is usually used in the early stages of the development of the pathology, while the second is justified to combat the later stages of the disease.

Treatment of varicose veins in women

Conservative therapy includes taking medication, using external products, attending physiotherapy sessions, wearing compression stockings, correcting physical activity, daily routine, nutrition and drinking regime. In addition, you can use additional remedies to combat varicose veins - for example, Normaven® foot cream. Its regular application in the lower extremities helps to eliminate swelling, fatigue, weight and discomfort in the legs, the disappearance of night cramps and the decrease in the severity of the vascular pattern.

Due to its natural composition, the cream can also be used during pregnancy.

The surgery aims at the complete or partial removal of the varicose vein. Modern vascular surgery can offer the following types of operations:

  • Combined phlebectomy.
  • Laser coagulation.
  • RF coagulation.
  • Sclerotherapy.

When it comes to treating vein diseases in women aged 50 to 60 and older patients, surgery is usually not performed as it is stressful for the body.

17.11.2020