Varicose veins during pregnancy in the groin treatment. Treatment of varicose veins in the groin in pregnant women and what to do in case of illness. Severe forms of inguinal varicose veins can lead to

Varicose veins are usually associated with a serious disruption of their functioning. Discomfort is caused by severe disruption of blood flow. Pregnant women encounter this problem in the groin quite often. They experience constant problems with their well-being, so they strive to eliminate it using accessible and safe methods and means.

It is not worth treating the pathology on your own; it is better to contact a specialist who will build a treatment system based on the cause of the disease and the level of its development.

The pregnancy period is one of the most important factors leading to significant changes in a woman’s body. Against the background of such changes, dangerous varicose veins in the groin arise and develop during pregnancy.

The essence of this pathology is that the body experiences a certain pathological strong dilation of the vessels of the veins passing through the external organs of the genital area. A pathology of this kind causes serious concern to all mothers, and there is also discomfort in the organs and throughout the perineum.

There are several reasons for the appearance and development of such a phenomenon as varicose veins in the groin of pregnant women. There are several main ones:

Knowing the main causes of pathology, you can significantly reduce the likelihood of the occurrence and development of pathology. In this way, you can protect yourself from a large number of problems associated with treatment and discomfort.

Symptoms of inguinal varicose veins

In terms of its external characteristics, varicose veins during pregnancy in the groin are similar to a similar pathology of the legs. Among the main signs of this pathology are:

• A large number of stars in the groin area. In special cases, nodules may form from them;
• Deformation of organs based on swollen vessels;
• The pathology is manifested by dry skin and discoloration;
• There is constant discomfort in the perineum and unpleasant itching.

As soon as the first signs of varicose veins in the vagina are noticed, you should immediately tell your gynecologist about them. The specialist will definitely conduct examinations, on the basis of which treatment will then be prescribed.

First of all, blood is taken for analysis to determine the number of platelets, and a detailed medical coagulogram is performed. In some situations, the doctor prescribes an ultrasound of the genitals, pelvis and hips. With the information received, the woman is referred to an experienced surgeon who works with blood vessels.

Treatment Basics

Such a serious pathology as varicose veins in the groin area is not just certain lack of a special cosmetic plan, but a real, quite serious disease that tends to result in various complications.

If the problem is not treated, a pregnant woman may face problems such as dangerous thrombophlevititis, bleeding and trophic ulcers. To eliminate the problem, pregnant women are often prescribed effective conservative treatment, they will need to change their general lifestyle, and they will also have to reconsider their daily diet.

Change of life activity

Treatment can be different - surgical and conservative - it all depends on the form of the pathology and the degree of its development. Along with the prescribed therapy, it is important to take special poses at every opportunity that significantly alleviate varicose veins and the unpleasant condition associated with this pathology. As a rule, this is a special position lying and sitting, in which you just need to slightly raise your legs.

Important! Pregnant women definitely need to move a lot. Only through physical activity can the functioning of vascular valves be enhanced. The ideal option would be to visit the pool.

Nutrition

Nutrition needs to be regulated to normalize intestinal function. It is necessary to completely exclude salty, fried and smoked foods from the diet. It is very important to closely monitor your weight. If the increase exceeds 300 grams per week, you should arrange fasting days for yourself from time to time.

Special underwear

An equally common method of combating varicose veins is wearing special compression underwear. Such clothing effectively reduces blood pressure and can quickly eliminate itching of the labia. There are several rules that apply to wearing:

• You need to wear it every day;
• The products are put on in the morning, in a lying position;
• Linen must be washed daily.

The size and type of underwear should be chosen by a specialist, since it is important to find a compromise solution. Products should support blood vessels in a normal position, and not constrain them.

Drug therapy

In more severe cases, the doctor may prescribe special venotonic drugs, as well as general local use. Modern industrial enterprises produce such drugs in a huge range.

There are special gels and ointments, among which are troxerutin, heparin and products based on gingo biloba. These are preparations for special external use. At the same time, they may be prescribed medications that belong to the category of venotonics, that is, diosmin, as well as hesperidin. All of these are quite serious drugs that should be used strictly as prescribed by a doctor.

Surgical intervention

In most cases, varicose veins in the groin go away on their own immediately after childbirth. If this does not happen, surgery may be required. Modern vascular surgeons offer classical phlebectomy, that is, removal of the affected veins. Laser and radiofrequency techniques for removing veins whose functioning is severely impaired are no less common.

Preventive measures

To completely prevent this pathology, you should first of all purchase the most comfortable shoes. With incorrectly selected shoes, the load on the legs on the vessels will be distributed unevenly.

Reasonable physical activity is very important. If a woman is forced to stand or sit a lot because of work, it is imperative to take short breaks of a couple of minutes. Minor movements effectively accelerate the blood, preventing its stagnation.

Hot baths should be stopped during this period, as this can cause serious harm. general condition. Preference should be given to contrasting baths. It is worth watching your sleep, the position should be on your side, you can put a small pillow under your feet. Experts recommend a preventive massage performed with light movements.

Important! Even preventive measures also need to be agreed with your doctor. It will help you eat more healthily, maintain a daily routine, and take care of your mood.

Summing up

If pregnant women encounter a similar problem, be sure to follow all the specialist’s recommendations. With severe varicose veins, the expectant mother is sent to hospital treatment. This is necessary to conduct additional examination, as well as to select the method of the most appropriate birth control.

Treatment in a hospital is also necessary for the reason that compression garments are not worn in recent weeks. This is dangerous, and with such a pathology, bed rest is indicated during the prenatal period, which can only be provided in hospital conditions.

If a woman has severely developed varicose veins, a caesarean section may be prescribed. The reason is that there is a risk of bleeding, which can develop due to the rupture of veins in the vagina during the process of postpartum.

Complications from varicose veins in the groin are quite serious consequences that can put your life at risk expectant mother and baby. Pregnant women must follow all the recommendations of their doctor, take care of their health and the full development of their child.

Varicose veins in the groin during pregnancy are a common pathology that is characterized by stretching and damage to the veins of the external genitalia. This condition causes inconvenience and anxiety to expectant mothers.

Typically, the disease appears during pregnancy or begins to actively progress. On this basis, many people have a question about what constitutes inguinal varicose veins during pregnancy and how to treat them.

- This swelling of the saphenous veins, which acquire a bluish tint. In parallel, nodes can form. In this condition, the valve apparatus is destroyed. Blood cannot circulate normally. Due to stagnation of blood, the veins begin to experience pressure.

The moment the pressure becomes too high, blood begins to be pushed out. Its excess begins to stretch the veins. With slight stretching, venous networks begin to appear on the skin. If the vessels are visible through the dermis, it means they are weakened. The thicker the veins, the darker their shade. Next, nodules appear that are very clearly visible.

An illness during pregnancy may initially cause discomfort in a woman without showing any external signs.

Characteristic symptoms

Varicose veins manifest as:

• burning sensation in the perineum;
• painful sensations;
• swelling of the labia.

Most often, this discomfort occurs in the evening.. Usually when a woman has spent a long period of time in one position.

What does the disease look like?

Externally, varicose veins in the groin in women have symptoms very similar to those of varicose veins of the extremities. The main symptoms of varicose veins in the groin are:

• the appearance of spider veins and nodes;
• increase in size and disruption of the structure of veins;
• deformation of the labia;
• change in skin tone;
• dryness of the dermis of the affected skin;
• itching, discomfort and burning sensation.

Nodules begin to appear only gradually. Initially they look like small bulges. Soft to the touch. After a certain period of time, such nodules expand under the influence of protruding veins.

Painful sensations in the groin cause a lot of discomfort. It becomes painful and difficult to move. Pain appears even during sleep. Most often, expectant mothers are forced to completely abandon sexual intercourse.

Important! Women with this disease should choose the most comfortable underwear, since slight friction of the underwear against the affected organs causes complete discomfort.

What to do during pregnancy?

If the disease appeared during pregnancy, then first of all it is necessary to adhere to preventive measures. Varicose veins in the groin during pregnancy pose a certain danger to the expectant mother.

During this period, the expectant mother should avoid prolonged standing or sitting.. It is important to rest as much as possible and lie on your side. This significantly reduces the pressure on the pelvic veins. Thanks to this, blood circulation is improved.

It is recommended to raise your legs as often as possible while sitting. Gravity helps the blood return. Also it is important to actively engage in physical activity. It will help improve blood circulation.

What to do if the first signs of varicose veins appear in the groin during pregnancy? The first step is to contact a specialist to obtain the necessary recommendations.. Self-detection of the disease will not be enough.

He will perform the necessary examination and give all the advice to prevent the progression of the disease. In order to confirm the correct diagnosis, a duplex scan or ultrasound examination may be prescribed. Only after such measures can the necessary course of treatment be prescribed.

What complications can there be?

If you do not pay attention to the symptoms of the disease in a timely manner or receive improper treatment, the patient may experience some complications. Varicose veins and childbirth are an issue that worries absolutely every mother. Unpleasant consequences can be:

• danger of bleeding if a vein is damaged during childbirth;
• fetoplacental insufficiency;
• inflammatory processes caused by thrombophlebitis;

It should be noted that a diagnosed disease may not always cause complications of this nature. With proper and careful monitoring of the dynamics of the disease and timely prenatal hospitalization, they will help to assess all the risks and choose the most suitable method for the birth of a child.

In severe cases, to eliminate the possibility of vein rupture, experts recommend replacing natural childbirth with a cesarean section. Not all cases of varicose veins in the groin are an indication for surgical delivery.

How to treat?

During pregnancy, the veins in the groin expand significantly. But such an unpleasant symptom most often goes away on its own after childbirth. Certain treatment methods help to avoid many exacerbations and eliminate the symptoms that appear.

Most effective method The treatment for stretched veins during this period is sclerotherapy. The action consists of injecting a special medication into the diseased vein. As a result of its action, the condition returns to normal. All injections are carried out only in the clinic. The frequency of sessions depends on the severity of the disease.

To increase the tone of the veins, the following drugs can be prescribed:

• Diosmin;
• Hesperedin.

Gels and creams that are developed based on ginkgo biloba extract can also be prescribed.

It is forbidden to select medications yourself, as this increases the risk of complications.. Treatment should only be carried out by a specialist under whose supervision the pregnant woman is. The patient may have hypersensitivity to individual components in the composition, and irritation of the mucous membrane may occur.

Conservative treatment of the disease involves changing your lifestyle and diet. The patient should move around quite a lot. During movement, the functioning of the muscular-venous valves improves and the outflow of blood increases. It is important to visit the pool several times a week. You should definitely eliminate from your diet:

• roast;
• smoked;
• fat;
• salty.

It is imperative to pay attention to your weight. It is also worth wearing compression garments, as they help reduce pressure in the veins of the pelvis, genitals and legs. When choosing stockings, you should seek help from a specialist. It is important to follow all the principles of wearing such underwear:

• use underwear daily;
• put on immediately after waking up, without getting out of bed;
• wash every day.

Prevention

It is not difficult to prevent the development of varicose veins in the groin due to varicose veins. To do this, you must adhere to preventive measures:

Conclusion

From the above, we can summarize that there are many reasons why varicose veins occur in the groin during pregnancy. You should consult a doctor when the first symptoms appear. In this case, complications can be avoided. Self-medication is prohibited, as this can lead to undesirable consequences.

Varicose veins during pregnancy in the groin are observed in 25-29% of women. This common occurrence is due to changes that occur in the body during gestation. Varicose veins appear in the form of spider veins, meshwork, which shine through thin skin without rising above its level. As the disease progresses, varicose nodes may form.

The main causes of varicose veins in pregnant women can be divided into endogenous and exogenous:

• hereditary venous insufficiency;
• physical inactivity;
• prolonged forced posture;
• wearing high heels;
• excess weight;
• hormonal disbalance;
• some chronic diseases and pathologies of organs (heart, liver, spleen, etc.);
• changes due to age;
• poor posture and flat feet;
• taking certain types of medications (oral contraceptives, steroids);
• increased intracranial pressure, which causes:
• constipation;
• pregnancy, etc.

In women, the state of the venous system is determined by the morphological and physiological characteristics of the body. Thus, some scientists suggest that a special gene, which is inherited and linked to gender, is responsible for the pathology of veins in women’s bodies. It determines the ratio of collagen and elastin in the walls of veins.

In addition, if hemodynamics in the deep veins are disrupted, blood is discharged into the saphenous veins. The subcutaneous tissue structure in women has characteristic differences. Well-developed subcutaneous tissue divides the tissue into sectors by connective tissue bridges. In women with loose subcutaneous tissue, as a rule, the veins are thin-walled and tortuous. “Jumpers” put pressure on the thinned walls, further preventing the outflow of blood.

The state of the muscular layer of the venous wall in women is also influenced by the amount of sex hormones.

With a decrease in estrogen levels caused by pregnancy, hormonal imbalances, and menopause, so-called “corpus luteum” hormones appear, which relax the muscles of the venous wall.

According to statistics, it was in women who experienced a failure menstrual cycle, varicose veins occur in 70% of cases during pregnancy.
During pregnancy, an increased risk of developing venous pathology is associated with:

• mechanical pressure – fetal enlargement puts pressure on the inferior vena cava and impedes blood flow;
• impaired circulation - during pregnancy, the volume of blood increases and its outflow from the heart increases, which creates additional stress on the veins of the small pelvis;
• an increase in progesterone levels affects the tone of muscle tissue in the walls of the veins, significantly relaxing them;
• impaired hemostasis is accompanied by an increase in blood clotting and an increase in its viscosity, which leads to thrombus formation.

Exogenous factors aggravate the course of the pathological process in a woman. Physical activity associated with features labor activity, hypothermia, habit of crossing legs, etc.

Dilated veins in the groin can be localized on the pubis, labia, and inguinal folds. Varicose veins with such localization bring discomfort to a woman during pregnancy.

Symptoms of varicose veins are almost the same for any location. They are presented:
In the initial stage, the symptoms of the pathology appear as follows:

• a feeling of heaviness and fullness in the groin area;
• a feeling of tingling or numbness when sitting for long periods of time;
• swelling, itching, burning.

As the disease progresses, the manifestation of symptoms increases:

• “stars” or an interweaving of thin capillaries in the form of a mesh appear;
• dilated veins appear, tortuous and deformed;
• the color of adjacent tissues changes;
• the pain is felt radiating uzh aya in the lumbosacral region or leg;
• inflamed areas with hyperemic skin are visible;
• During palpation, dense thrombosed nodes are felt along the vein;
• the skin in the groin becomes dry and feels tight;
• discomfort does not go away after rest.

Symptoms depend on the nature and stage of varicose veins. If the process escalates, varicose veins can lead to serious complications. Symptoms increase, pain is felt not only after physical activity, but also in a calm state.

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There is an itching and burning sensation inside the damaged vein. Due to insufficient blood supply, skin nutrition is disrupted, melatonin is deposited in damaged cells, staining the epidermis in a dark color, and sometimes there is a visual enlargement and deformation of the labia.
Varicose veins in the groin are usually detected by a gynecologist during examination. However, treatment is prescribed by a vascular therapist. To further clarify the diagnosis, the results of a blood test and ultrasound are required. The study is carried out as follows:

• transabdominal;
• transvaginally.

In the first case, ultrasound waves pass through the anterior abdominal wall, and in the second, ultrasound occurs when a special transducer - sensor is inserted into the vagina.

This type of research is safe even early stages pregnancy and has greater diagnostic capabilities compared to the transabdominal method.

After detailed analysis of the results, additional research may be required:

• computed tomography or MRI;
• dopplerography;
• laparoscopy.

These methods are not used during pregnancy, so the disease is so dangerous during this period that the woman’s condition imposes certain restrictions on diagnostic procedures and the use of therapeutic methods.

Based on the results of a set of studies, the doctor develops a treatment strategy taking into account all the features of the condition and associated pathologies.

Treatment of varicose veins in the groin area

During pregnancy, surgical methods and taking many groups of medications are contraindicated. Therefore, treatment of varicose veins is difficult. First of all, a woman should reconsider her lifestyle. She needs:

• eat properly and balanced;
• avoid constipation;
• lead an active lifestyle - walk in the fresh air, exercise according to a physical therapy program specially developed by a doctor. Water aerobics, yoga, and dancing have proven themselves to be excellent. There are now many programs designed for expectant mothers;
• Be sure to use special compression hosiery for pregnant women. It helps maintain the venous wall, distribute pressure in the pelvic organs, legs and abdominal cavity;
• correctly alternate physical activity and rest;
• avoid stress.

In some cases, taking medications cannot be avoided. The doctor should prescribe the most gentle treatment for the woman and develop an individual treatment regimen for varicose veins in the groin.
The pharmaceutical industry produces a large number of ointments, creams and gels for the treatment of varicose veins.

In the initial stage of the disease, they act effectively and can both relieve the symptoms of varicose veins and prevent further development of the disease. During gestation, you can use products based on natural ingredients. Depending on the active substance included in the drug, they are divided into several groups:

• heparin derivatives, which have an antithrombotic effect, relieve inflammation of the vascular wall, and normalize vascular permeability. Many ointments contain substances that promote deep penetration of heparin into tissues, have an analgesic effect and stimulate local blood circulation. This group includes Heparin ointment, Dolobene, Hepatrombin. Lyoton1000, Thrombophobe, Trombless. Venolife and others. These drugs prevent platelet aggregation, reducing the risk of blood clots. Heparin promotes the resorption of existing blood clots. Creams and gels relieve swelling, restore the vascular wall, increase the tone of the veins and relieve the manifestations of varicose veins - itching, pain and a feeling of fullness, discomfort.
• External products based on herbal components (horse chestnut, ginkgo biloba, red grape leaves, sweet clover, etc.) - Venitan, Venen, Troxevasin, Antistax, Escin, Venastat, Ginkor, Doctor Theiss gel, Reparil-gel, etc. Preparations strengthen venous walls, relieve pain and swelling, improve blood supply to tissues, and have anticoagulant properties.
• Medicines based on non-steroidal synthetic substances include: Dichloren. Voltaren-gel, Diclofenac, Fastum-gel, etc. They relieve inflammation and prevent the formation of edema, repair blood vessels, and improve blood flow.

External use should be used in accordance with the instructions for the drug and as prescribed by a doctor. Even some external medications are prohibited for use in various phases of gestation.

Varicose veins in the groin are not a contraindication to natural delivery. Only in exceptional cases can a doctor recommend a caesarean section.

Most often, foci of varicose veins are localized in the area of ​​the lower extremities, because they are the ones who are exposed to heavy functional load every day, but it happens that varicose veins also affect the pelvic organs. Thus, inguinal varicose veins often occur during pregnancy.

Causes of the problem

Varicose veins in pregnant women in the groinbecomes a consequence:

• Hormonal changes in the body of the expectant mother. Gestation is accompanied by increased production of progesterone, a hormone that causes degeneration of connective tissue fibers. This is what leads to the loss of elasticity in the veins.
• Enlargement of the uterus in size. The organ puts increased pressure on the pelvic veins, and blood flow is disrupted.
• An increase in the volume of blood circulating in the body. The fluid puts pressure on the vascular walls, which, in turn, cannot cope with the increased load, and become deformed, lengthened, and stretched.
• Excess body weight and, as a result, increased pressure on the venous walls.

How the disease develops

Varicose veins in the groin during pregnancy go through several successive stages of development. So, first, the saphenous veins undergo pathological changes - they are deprived of the supporting layer of muscles. Typically, typical symptoms of inguinal varicose veins during pregnancy “make themselves known” closer to the 20th week. Thus, superficial veins become visually noticeable to the naked eye, the labia swell, and large varicose nodes are visible on them. Patients may experience periodic pain in the intimate area that radiates to the lower back and legs.