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Pelvic varices can cause pain after sex

Pelvic varices can cause pain after sex

Pelvic varices are dilated, tortuous, and insufficient veins appearing in the pelvic region. They occur mainly around the female organs: uterus, fallopian tubes and ovaries.

Pelvic varices, as well as all varicose veins, make it difficult to return blood flow to the heart and can cause abdominal discomfort (especially during the menstrual period). weight that worsens on hot days or when the woman is very still standing, chronic abdominal pains, increased menstrual bleeding, stronger cramps and discomfort during or after intercourse.

This is a new topic in the medical field and only now has been more publicized. About 30% of women may have some manifestation of pelvic varicose veins and often the diagnosis is not made because of ignorance or even because the patients find this discomfort normal and do not report during the medical appointment.

How to recognize pelvic varices?

In addition to the above symptoms, women with pelvic varices may have varicose veins in the vagina, buttocks or even lower limbs and have already undergone more than one surgical treatment in the lower limbs with rapid recurrence of varicose veins. The most typical symptom, however, is pain after sexual intercourse.

If the patient experiences any or many of these symptoms, it is important to tell your doctor, who may, if appropriate, request an endovaginal ultrasound to examine the varicose veins

What are the causes of pelvic varicose veins?

Pelvic varicose veins can appear for two main reasons. The first is the family tendency, which leads to the weakening of the walls and venous valves, in this case of the ovarian veins and the internal iliac veins, just as it happens in the varicose veins of the lower limbs. The most common cause of triggering these varicose veins is pregnancy. The more gestations, the more possibility of pelvic varicose veins appear.

However, there are other more rare causes, which are compressions or venous obstructions. Some people are born with an anatomical variation: a renal vein on the left side is compressed by an artery in the intestine (upper mesenteric), making it difficult for blood to pass, leading to local congestion and repercussions on the ovarian veins. It looks like a female varicocele.

The other anatomical cause is called Cockett's Syndrome or May-Thurner Syndrome, a compression of the left common iliac vein by the right common iliac artery (these are veins that carry blood from the legs to the heart ). This compression in some people can hinder the passage of blood from the lower limbs and pelvic region to the heart and cause varicose veins and even thrombosis.

Can we treat pelvic varices?

When we suspect these abnormalities, we use a Doppler colored cranial and iliac veins and possibly an angiotomography, which can give more details.

In most cases the treatment is clinical through medication in the most symptomatic periods and hormones such as progesterone. This hormone leads to decreased ovulation and vascularization of the pelvic organs, thereby reducing the amount of blood within the pelvic veins.

In some cases, surgical treatment is required. Currently, this surgery is performed by the endovascular method, that is, we pass an apparatus inside the vessel that is capable of dilating the obstructed vessels, or placing a small spring (stent) inside the vessel or even occluding varices by means of medications or devices to solve the problem. They are non invasive procedures and of great resolution. After the surgical treatment the improvement is very great.


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