Varicose veins are dilated veins that can appear in the pelvic region, presenting a number of health risks.
Varicose veins are a common problem that mostly affects women. They appear mainly on the lower limbs (legs), but can also appear on other parts of the body, such as the pelvic region.
Vascular surgeon and angiologist at Venous Camila Helena explains that pelvic varicose veins are dilations of the veins in the pelvic region. They are usually associated with pelvic congestion syndrome, caused by reflux or obstruction of the gonadal or pelvic vessels. “They are more common in women, especially those of childbearing age,” she says.
Symptoms and risks of the condition
The main symptoms, according to the specialist, include:
- Chronic pelvic pain, which may worsen after long periods of standing or during menstruation;
- Feeling of heaviness or discomfort in the pelvic region;
- Pain during or after sexual intercourse (dyspareunia);
- Visible varicose veins in the genital region or legs.
Additionally, the condition may progress with changes in menstrual flow and the onset of urinary incontinence.
The specialist also warns that pelvic varicose veins can carry risks and complications. Warning signs include:
- Persistent and severe pelvic pain;
- Significant increase in the size and number of varicose veins in the pelvic region;
- Worsening of symptoms during menstruation or after long periods of standing;
- Symptoms that interfere with quality of life and daily activities.
“If left untreated, they can lead to complications such as deep vein thrombosis, thrombophlebitis, and varicorrhagia, which is bleeding from a burst varicose vein,” the doctor warns.
This generally occurs because more superficial and dilated veins tend to be more sensitive and can rupture. Furthermore, pelvic varicose veins can communicate with varicose veins of the lower extremities, being the cause of recurrence of varicose veins after treatment, adds Camila.
Treatment
Treatment of pelvic varicose veins can vary depending on the severity of the symptoms. Options include:
- Medicines: analgesics and anti-inflammatories, medicines to improve venous flow and reduce the feeling of heaviness, use of contraceptives or hormone replacement therapy and also antidepressants and anticonvulsants for better pain control;
- Sclerotherapy: use of sclerosants to close dilated veins;
- Embolization: minimally invasive procedure that blocks blood flow in affected veins;
- Surgery: In more severe cases, it may be necessary to remove or tie off the affected veins.
“Not all patients need surgery. This is because the choice of treatment depends on the severity of the symptoms and the response to less invasive approaches,” explains the professional.
Camila underlines the importance of contacting a venous disease specialist for a correct evaluation in case of suspicion of pelvic varicose veins. Diagnosis generally involves imaging tests such as ultrasound of the abdomen and pelvis, magnetic resonance imaging, tomography, or, in recent cases, when treatment is being considered, venous catheterization.
“Early diagnosis and adequate treatment can prevent complications and significantly improve the quality of life of patients,” concludes the doctor.
Source: Terra
Ben Stock is a lifestyle journalist and author at Gossipify. He writes about topics such as health, wellness, travel, food and home decor. He provides practical advice and inspiration to improve well-being, keeps readers up to date with latest lifestyle news and trends, known for his engaging writing style, in-depth analysis and unique perspectives.
