Venous diseases in women: causes, symptoms, treatment

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

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 likely. What is the reason for the gender characteristic of this pathology?

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

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

  • Genetically determined predisposition. According to statistics, the tendency to varicose veins is observed in 60% of cases if one of the parents suffers from this pathology.
  • Significant excess weight. Obesity is one of the factors in the onset of varicose veins, as the lower limbs experience greater pressure.
  • Excessive stress on the legs. Whether you are a jogging, jumping or powerlifting professional, there are favorable conditions for the development of vein problems.
  • Excessive physical activity is the cause of varicose veins
  • Circulatory disturbance caused by a 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 the walls of blood vessels and the composition of the blood. Additionally, 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 provoke changes in the hormonal background, which in turn become prerequisites for the development of varicose veins. Cardiovascular pathologies (especially hypertension) also provoke the development of vein problems.

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 mistaken for infectious and inflammatory processes localized in the reproductive organs of the female genitourinary system. In connection with the wrong diagnosis, inappropriate treatment is prescribed, and the patient does not receive relief. Consequently, the problem of the diagnosis and adequate therapy of pelvic varicose veins is an urgent problem of modern phlebology and gynecology.

The blood supply to the pelvic organs is due to the uterine and ovarian veins, as well as the venous plexuses - utero-vaginal, vesico-vaginal, uviform, rectal, etc. The cause of pelvic varicose veins in women is the 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 disorders of the connective tissue (i. e. , 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 abdomen, which radiates to the area of ​​the pubis, sacrum and perineum.

Peak pain usually occurs in the second half of the menstrual cycle, complemented by severe PMS and dysmenorrhea. Psychosomatic disorders can join 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, to make the correct diagnosis, it will be necessary to conduct transvaginal ultrasound, Doppler ultrasound, phlebography and, in some cases, diagnostic laparoscopy.

Both conservative and surgical approaches are used for the treatment of 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 blood flow and blood viscosity. To solve these problems, patients are prescribed sessions of venotonics, hirudotherapy, ultrasound and magnetotherapy, as well as physical therapy exercises. If conservative therapy for this disease of the pelvic vessels is ineffective, then 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 expectant mother's body during gestation. 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 to vasodilation.

Vein problems in pregnant women

In addition to the hormonal changes that accompany the period of gestation and birth of a child, pregnancy and childbirth can provoke the development of venous diseases in pregnant women and for other reasons. First of all, this is an increase in body weight and a concomitant increase in the load on the lower limbs, as well as excessive stress that a woman in labor experiences during labor.

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

Vein disease in women: symptoms and signs

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

  • The initial stage of the pathological process is easy to miss, since its manifestations are usually minimal. Small spider veins appear on the legs, in the evening there is a slight feeling of discomfort, at the end of the day there may be a slight swelling. Although the clinical picture described does not cause much concern, as soon as these symptoms appear, it is advisable to consult a doctor.
  • If the disease is not detected early and treatment is not started on time, vein problems in women are exacerbated. The venous network becomes more and more pronounced, the characteristic knots and cords are clearly distinguishable under the skin, swelling and feeling of fullness in the lower limbs causes severe discomfort.
  • If the disease has not been cured or has been treated ineffectively, it is neglected. The affected veins stand out strongly under the skin, there is constant edema, cramps occur at night, the skin in the area of ​​the lower leg can change color and become covered with trophic ulcers.

Venous diseases in women: treatment

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

Treatment of varicose veins in women

Conservative therapy includes taking medication, using external products, participating in physiotherapy sessions, wearing compression stockings, correcting physical activity, daily routine, ldiet and diet. Also, you can use additional remedies to fight varicose veins, for example Normaven® Foot Cream. Its regular application to the lower limbs helps to eliminate swelling, fatigue, heaviness and discomfort in the legs, the disappearance of nocturnal cramps and a decrease in the severity of the vascular pattern.

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

Surgery is aimed at the complete or partial removal of varicose veins. Modern vascular surgery can offer the following types of operations:

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

When it comes to the treatment of venous diseases in women between the ages of 50 and 60 and in older patients, surgery is usually not done, as it is stressful for the body.

17.11.2020