Varicose veins 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. Special risk groups include fair sex, which causes this pathology to cause physical and psychological discomfort. In this article we will look at why vascular disease occurs in women, what are their signs and symptoms, what should be done to treat and prevent this disease.

Varicose veins: causes of varicose veins in women

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

Varicose veins in women
  • Hormone background features. During the monthly cycle, a woman’s hormonal background fluctuates, and during pregnancy, childbirth, breastfeeding and menopause, these changes become more pronounced. The ratio of female sex hormones (estrogen and progesterone) has a direct effect on the condition of the vascular wall and blood viscosity.
  • Hormone therapy. Hormone replacement therapy and the use of combination contraceptive pills cause changes in hormone levels, resulting in changes in the ratio of estrogen and progesterone in the body.
  • Wear high heels and tight pants. Uncomfortable shoes, tight panties and jeans - all this provokes a violation of blood flow in the lower limbs and small pelvis, which leads to the development of varicose veins.

In addition, exclusively for women, a prerequisite for the development of pathology, varicose veins in women can be triggered by the following factors:

  • Genetically determined tendencies. According to statistics, the predisposition to varicose veins is observed in 60% of cases if one of the parents suffers from this pathology.
  • Significant overweight. Obesity is one of the factors at the onset of varicose veins, as the lower limbs experience increased stress.
  • Excessive pressure on the legs. Whether you are a jogging, jumping, or power lifting professional, there are good conditions for developing varicose veins.
  • Excessive physical activity is the cause of varicose veins
  • Circulatory disorders caused by permanent posture. If you spend most of the day sitting or standing, this is a serious prerequisite for the development of venous disease.
  • An unbalanced diet. A diet low in fiber, vitamins and trace elements causes disorders that affect the walls of blood vessels and blood composition. In addition, an unbalanced diet can cause constipation, which can also cause changes in the veins - in particular, pelvic varicose veins.
  • Diseases of the endocrine and cardiovascular systems. Endocrine disorders cause changes in the hormonal background, which in turn becomes a prerequisite for the development of varicose veins. Cardiovascular pathology (especially hypertension) also provokes the development of problems with the veins.

Small pelvic varicose veins in women

Pathological dilatation of the pelvic tract is a common problem faced by 15-25% of women of reproductive age. The disease is often mistaken for an infectious and inflammatory process localized in the reproductive organs of the female genitourinary system. In connection with incorrect diagnosis, inappropriate treatment is prescribed and the patient does not get relief. As a result, the problem of adequate diagnosis and therapy of pelvic varicose veins is a pressing problem of modern phlebology and gynecology.

Blood supply to the pelvic organs is caused by the veins of the uterus and ovaries, as well as the venous plexus - uterovaginal, vesicovaginal, uviform, rectal plexus, etc. The cause of pelvic varicose veins in women is a violation of blood flow in these ducts. Usually caused by blood congestion, which can be caused by the following:

  • inactive lifestyle;
  • previous gynecological diseases;
  • hormonal imbalances (in particular, high estrogen levels);
  • history of pregnancy and childbirth;
  • congenital and connective tissue disorders (i. e. , collagen deficiency).

Expert opinion The 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, radiating to the pubis, sacrum and perineum.

Peak pain usually occurs in the second half of the menstrual cycle, accompanied by severe premenstrual syndrome and menstruation. Psychosomatic disorders can accompany these symptoms.

Chronic Pelvic Disease Syndrome in Women

As mentioned above, the pathological diagnosis is complicated by the fact that the symptoms of this venous disease in women can be misinterpreted as a mere sign of gynecological problems. Therefore, to make a correct diagnosis, transvaginal ultrasound, Doppler ultrasound, phlebography, and in some cases, diagnostic laparoscopy should be performed.

For the treatment of varicose veins in the small pelvis, conservative and surgical approaches are used.

In the first case, the purpose of therapy is to improve the tone of the venous wall, normalize the nature of blood flow and blood viscosity. To overcome this problem, patients were given venotonic sessions, hirudotherapy, ultrasound and magnetotherapy, as well as exercise therapy exercises. If conservative therapy for pelvic tract disease is ineffective, surgery 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 caused by changes that occur in the body of the pregnant mother during pregnancy. During this period, there is a restructuring of the hormonal background that is directly related to the state of the vessel. For example, estrogen growth leads to changes in the structure of the venous wall muscle layer and vasodilation.

Vein Problems in Pregnant Women

In addition to the hormonal changes that accompany pregnancy and childbirth, pregnancy and childbirth can provoke the development of venous disease in pregnant women and for other reasons. First of all, this is weight gain and the corresponding increase in load on the lower legs, as well as the excessive stress experienced by a woman during the labor process during childbirth.

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

Vein disease in women: symptoms and signs

Depending on the stage of development, varicose veins in the legs are manifested in different ways:

  • The early stages of the pathological process are easy to miss, as their manifestations are usually minimal. Small spider veins appear on the legs, in the evening there is a slight discomfort, at the end of the day there may be a slight swelling. Although the clinical picture described does not cause concern, once you experience these symptoms, it is recommended to see a doctor.
  • If the disease cannot be detected early and treatment is not started in a timely manner, the vein problem in women worsens. The venous network becomes clearer, special knots and ligaments can be distinguished under the skin, swelling and a feeling of fullness in the lower part of the foot cause serious discomfort.
  • If the disease has not been treated or treated effectively, it will be ignored. Affected veins protrude strongly under the skin, there is persistent edema, cramps occur at night, the skin in the lower leg area can change color and be covered with trophic ulcers.

Vein Disease 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 pathological development, while the second is allowed to combat later stages of the disease.

Treatment of varicose veins in women

Conservative therapy includes taking medication, using external products, attending physiotherapy sessions, wearing compression socks, correcting physical activity, daily routines, diet and nutrition. In addition, you can use additional medications to fight varicose veins - for example, Normaven® Foot Cream. Regular application to the lower part of the foot helps to relieve swelling, fatigue, heaviness and discomfort in the legs, loss of night cramps and decreased severity of vascular patterns.

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

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

  • Combined phlebectomy.
  • Laser freezing.
  • RF freezing.
  • Sclerotherapy.

When it comes to the treatment of venous disease in women aged 50-60 years and in elderly patients, surgery is usually not performed, as this puts pressure on the body.

17.11.2020