Varicose veins of the pelvis in women

Modern medicine hardly pays attention to varicose veins of the small pelvis. You only started talking about this problem in the 80s of the last century. In this regard, it is difficult to diagnose pathology today. Many specialists of the Soviet school do not understand the treatment of varicose veins of the pelvis in women. Therefore, vascular disease continues to progress and cause serious changes in the reproductive system.

What are pelvic varicose veins?

When it comes to pelvic varicose veins, many people remember hemorrhoids. However, when the issue affects the female population, the problem takes on a global dimension. Intestinal vessels are not necessarily affected by pelvic varicose veins in women. Therefore, the absence of hemorrhoids is not a guarantee that the patient will not have iliac varicose veins.

The first mention of pelvic varicose veins in women was not made until 1975. At first, surgical methods were used for treatment that were not justified.

Pelvic varicose veins are an unnatural stretch of blood vessels. Veins lose their elasticity for some reason. You are still taking in the correct volume of blood, but you can no longer push it back. As a result, the biological fluid in the vessels stagnates. The walls are stretched, thinned, damaged. The disease progresses throughout life and does not manifest itself immediately. Therefore, pelvic varicose veins most often appear in women closer to 30-40 years of age. The danger of varicose veins is that stagnant processes develop in extensive vessels. This increases the risk of blood clots. In addition, varicose veins in the pelvis significantly affect the quality of life of women and cause other health problems.

Causes of varicose veins of the small pelvis

Since women's awareness of varicose veins in the pelvis has been increasing for a relatively short time, the problem has not yet been fully clarified. Doctors cannot tell the exact cause of the disease. There are various hypotheses regarding the occurrence of pathology, but none of them have gained acceptance so far.

The causes of varicose veins in the pelvis can be:

  • Hereditary disposition.Observations show that the family members studied had cases of vascular disease at a young age.
  • Wrong way of life.Vascular diseases result from malnutrition, smoking, alcohol abuse, and a sedentary lifestyle.
  • connective tissue dysplasia. A decrease in collagen and other components of the connective tissue leads to a stretching of the blood vessels.

According to statistics, up to 35% of healthy people suffer from connective tissue dysplasia and develop vascular diseases in old age. About 70% of them are female. At the same time, experts still have not learned how to anticipate such changes and effectively prevent varicose veins of the pelvis.

Risk factors

Pelvic varicose veins are more common in women who:

Varicose veins of the pelvis in a woman
  • have bad habits;
  • are sedentary;
  • spend a lot of time sitting;
  • do not live an intimate life;
  • are overweight;
  • suffer from varicose veins of the lower extremities;
  • have given birth at least once;
  • underwent abdominal surgery.

Varicose veins of the pelvis: symptoms in women

Not all patients with pelvic varicose veins have symptoms. Many women have not been aware of their illness for many years and suddenly find out about it. Some have clinical manifestations but associate them with other conditions. Also, due to the difficult diagnosis and neglect of this pathology, doctors often make mistakes in diagnosis. For example, a woman complains of abdominal pain and the doctor detects inflammation of the limbs, but in reality the symptom is caused by varicose veins.

Disease symptoms:

  • Pain in the lower abdominal segment that radiates to the sacrum or leg;
  • discomfort during intercourse;
  • A feeling of heaviness in the small pelvis during menstrual bleeding;
  • swelling of the lower abdomen;
  • varicose veins of the external genital organs, lower extremities;
  • increase in platelets.

If a woman is at risk and shows the classic symptoms of pelvic varicose veins, this injury must be ruled out. To do this, clinics use laboratory, instrument and hardware diagnostic methods.

Varicose veins of the pelvis during pregnancy

Varicose veins of the pelvis cannot lead to pregnancy in women because the blood flow to the pelvis is impaired. If the disease affects the sex glands, then their work changes. However, in most cases, varicose veins do not interfere with conception, but can cause problems during pregnancy.

During pregnancy, special attention should be paid to patients with pelvic varicose veins. During pregnancy, various problems with the blood supply to the placenta are possible, which lead to irreversible consequences for the development of the fetus. With an increased level of platelets in the blood, women need an injection of diluting drugs to avoid complications during pregnancy.

Clinical diagnostic methods

The doctor may suspect varicose veins of the pelvis in a woman during the first examination. The gynecologist compares the symptoms, assesses the risk factors and performs a two-manual examination. When palpating, the patient develops painful sensations in the pelvic area. If there are varicose veins on the external genitals or the internal area of the thigh, the problem is likely to be in the pelvis as well. To confirm the pathology in clinics, hardware and instrument techniques are used:

  • Ultrasound.When examining the small pelvis, specialists often do not pay attention to the vessels. However, the latest ultrasound scans can help you spot veins. With varicose veins, they are twisted and dilated, and also have an unnatural location.
  • Doppler sonography of blood vessels.Diagnostics assess the condition of the vascular and venous system of the pelvic organs. With varicose veins, there is a decreased systolic velocity in the iliac veins of the ovary and the uterus.
  • Laparoscopy.With the help of an optical system, surgeons examine the inside of the abdominal wall, the surface of the uterus and the limbs.
  • Tomography.Computer or magnetic examinations with a contrast agent allow you to examine the position of the veins in detail and see the zones of their expansion.

Laboratory tests can also be used. For differential diagnosis, the doctor prescribes additional examinations based on the results obtained.

Treatment of pelvic varicose veins in women

In the absence of pronounced changes in the veins, patients are prescribed drug treatment. Venotonics, anticoagulants are used, vitamin therapy is recommended. Usually one to four courses take place during the year. With varicose veins of the pelvis, it is important to improve the quality of life and relieve the patient of painful symptoms.

Treatment of vascular diseases is necessarily complemented by lifestyle correction. It is important to lower the level of cholesterol in the body to reduce the risk of cardiovascular disease. It is recommended to lead an active lifestyle, exercise, eat right, and give up bad habits.

During pregnancy it is recommended to visit a phlebologist regularly. If necessary, the doctor will prescribe unscheduled examinations. During pregnancy in the second half of the pregnancy period, drugs can be used to maintain the tone of the veins, but only as directed by a doctor. Medicines that are prescribed during pregnancy are first examined for their expected benefits and possible risks.

Treatment in the clinic

If there are no results after outpatient treatment, hospitalization can be recommended. Correction of varicose veins of the small pelvis in clinics is carried out surgically. In modern surgery, minimally invasive techniques are used - sclerotherapy, laser coagulation and others. If necessary, an open operation is assigned.

There is no single treatment regimen for small pelvic varicose veins.An individual approach is chosen for each woman. In the course of treatment, the scheme can be changed based on the assessment of the results obtained.


Pelvic varicose veins should be prevented from an early age. It is a mistake to believe that this pathology occurs in middle-aged women and does not threaten young girls. Varicose veins begin to develop many years before the disease appears. Therefore, prevention of vascular disease is necessary for everyone.


  • leads a healthy lifestyle;
  • stick to proper nutrition;
  • eliminates bad habits;
  • maintains a normal body weight;
  • undergo regular medical exams or paid check-up diagnostic programs offered by many medical centers.

If you suspect pelvic varicose veins, you should contact your gynecologist and phlebologist.