Varicose veins in women

According to statistics, up to 20% of the population suffer from varicose veins of the lower extremities, while the disease manifests itself in women 2 times more often. It has been shown that women have additional predisposing factors that contribute to a decrease in vascular tone (pregnancy, taking estrogen-progestagen contraceptives, imbalance of sex hormones).The types of treatment for leg veins in men and women do not differ, however, the frequency of postoperative relapses in women is higher due to the additional influence of hormones (estrogenic and progesterone effects).

Venous leg diseases should be treated by a phlebologist who deals with this particular pathology. Various methods of treating varicose veins are not radical, as they are not aimed at eliminating the main pathogenetic cause - the failure of the venous valve apparatus. Surgical and conservative treatment delays the progression of the disease for long periods. The relapse rate is high and reaches 10 to 50% 5 years after surgery.

Treatment of varicose veins should be comprehensive. There are three groups of methods to eliminate varicose veins:

  1. phlebosclerosis
  2. surgical,
  3. are conservative.

Each type of treatment has its advantages and disadvantages, a certain relapse rate. The choice of method is conditional, as the phlebologist often has to combine all three methods to obtain the most favorable result.

General manifestations characteristic of men and women

Symptoms of varicose veins begin with the appearance of functional disorders such as a feeling of heaviness in the legs, swelling of the ankle joints at the end of the working day. Spider veins first form on the skin of the legs.

Varicose veins are one of the first symptoms of varicose veins in the legs.

The main signs of the disease - the association of varicose veins, appear several years after the onset of the disease.

If left untreated at this stage, symptoms such as cramps in the calf muscles, itchy skin on the legs occur.

Signs of trophic disorders: skin pigmentation in the lower third of the leg, cyanosis, sclerotic changes of the subcutaneous tissue, eczema, against which a trophic ulcer is formed.

Typical symptoms of varicose veins in women

  • Painful symptoms appear cyclically, intensify before menstruation, which are associated with a change in the level of sex hormones;
  • during pregnancy, the signs of varicose veins that arose after childbirth may disappear;
  • in the second half of the menstrual cycle, due to the action of progesterone, the diameter of varicose veins increases, so the symptoms of swelling and heaviness in the legs are more pronounced;
  • the signs of varicose veins are exacerbated during hormone therapy.

Now let's talk about therapy methods.

Vascular spiders

Treatments for phlebosclerosis

Radiofrequency ablation and intravenous laser coagulation

Venous ablation with radiofrequency

The method is based on the introduction under ultrasound control of a special disposable catheter into the lumen of the dilated vein.

The catheter is equipped with a special electrode, the working part of which heats up to 120 degrees under the influence of radiofrequency radiation. Advancement of the catheter along the vein leads to adhesion or "sealing" of the vascular wall. The obliterated veins are deactivated by the circulatory system of the legs.

Intravenous laser coagulation

The operative technique consists in the puncture of the affected vein and the insertion of a laser light guide in its lumen under ultrasound guidance. Under the action of laser radiation, the proteins of the vascular wall are coagulated, as a result of which the vein collapses and after a while is covered with connective tissue.

Radio frequency ablation (RFA) and intravenous laser obliteration (EVLO) are relatively new treatments for varicose veins in the legs. Despite the differences in the technique of execution, they have common characteristics.

Advantages and disadvantages of RFA and EVLO

Do not require hospitalization High price
Execution speed (30 minutes to 1 hour) Up to 10% relapse rate
Painless Inability to perform the procedure with some anatomical features of the veins (severe vascular tortuosity)
Blood
Performed under local anesthesia
No postoperative scar (aesthetically desirable for women)
Short-term rehabilitation

RFA or EVLO is chosen by women who wish to treat varicose veins on an outpatient basis with minimal limitation of physical activity in the postoperative period and maintaining the aesthetic appearance of the legs.

Phlebosclerotherapy

Types of treatment

A special drug is injected into the lumen of the affected vein segment, which has a sclerosing ("sticking") effect on the vascular wall. The sclerosing agent can be used in liquid form or as a foam. Foam sclerotherapy should be preferred due to the greater contact area of ​​the substance with the venous wall.

Advantages and disadvantages of phlebosclerotherapy:

No postoperative scar Possible long-term skin pigmentation at the puncture site (up to 2 years)
On an outpatient basis In rare cases, postoperative venous inflammation (phlebitis)
The operation is performed without anesthesia Swelling and redness of the tissues within 2 days of the procedure
Handling is practically painless (slight burning sensation at the sting site) Allergic reaction in case of intolerance to the individual drug
In 20% of cases, spider veins appear on the legs. Relapse rate up to 50%

The recurrence of varicose veins after sclerotherapy depends on the lumen of the affected vessel: the wider the lumen, the greater the risk of recanalization in it. Sclerotherapy is chosen in the treatment of recurrent varicose veins after surgical phlebectomy.

Surgical phlebectomy

Surgery is a more radical way to eliminate varicose veins. The principles of surgical treatment consist in eliminating the pathological discharge of blood from the depth into the superficial veins of the legs and removing the dilated vessels themselves. Stages of combined phlebectomy:

  1. Intersection and ligation of the mouth of the great saphenous vein (incision in the groin area) or of the small saphenous vein (incision in the popliteal fossa);
  2. Removal of the trunks of varicose veins. It is performed using a special metal probe that pulls the vein into the skin incision.

Advantages and disadvantages

Radical Hospitalization for 5 to 7 days
Ability to perform surgery at any stage of the disease Scar on the legs
Spinal or general anesthesia Injury to surrounding tissue when the vein is pulled Possible complications: bleeding, wound infection Relapse rate up to 20%

It is preferable to treat operatively with the type of trunk injury, when varicose deformity of the large or small saphenous veins manifests itself to a considerable extent. And also when there are signs of trophic disorders of soft tissues and symptoms of decompensation of venous insufficiency.

Miniflebectomy

Miniflebectomy is a separate variant of surgical intervention, in which it is possible to treat varicose veins of the legs in the initial stages. It is most often used in the presence of individual varicose veins on the legs. A skin puncture is performed on the pathological formation and with the help of a hook the vein is pulled and crossed. The operation does not require general anesthesia or stitches on the skin.

It is necessary to start treating varicose veins on the legs with the use of drugs and compression therapy.Prescribing drugs that improve blood circulation and wearing medical compression stockings are the main conditions that determine the outcome of any leg vein surgery.

It is necessary to treat varicose veins on the legs with phlebotonic and antiplatelet drugs for a long time in a continuous mode or in the form of repeated courses.

Drug therapy

Medicines relieve the symptoms of venous insufficiency, are used as preoperative preparation and postoperative rehabilitation.

Compression therapy

Elastic compression of the legs is the main treatment method when surgery is contraindicated. As a means of compression, you can use elastic bandages and special medical knitwear - stockings, knee-highs, tights. Medical products are highly durable, maintain the original compression level for a long time, are comfortable to wear, which is important for women.

There are 4 classes of elastic mesh, depending on the degree of compression. It is recommended to treat varicose veins using class 2 products in the absence of disease progression for up to 6 months and with further use with physical effort or with prolonged stay on the legs. If there are signs of damage to the valves of the deep veins or severe symptoms of impaired lymphatic outflow, class 3 knitting is prescribed until the progression of varicose veins stops.

The healing effect of compression stockings is due to:

  • from a decrease in the volume of the vein, which leads to less blood discharge in the varicose vessels;
  • an increase in the absorption of tissue fluid into the bloodstream, as a result of which the signs of swelling and symptoms of heaviness in the legs disappear;
  • improves blood flow by preventing blood clots.

How to treat varicose veins in women

The correct answer to the question of how to treat varicose veins on the legs in women is the possibility of a high-quality and fulfilling life. After all, it is no secret to anyone that ignoring medical measures and consultations with a doctor leads to disastrous consequences: disability, the appearance of trophic ulcers, thrombosis, and the worst option is death.

The clinical picture of varicose veins

As medical statistics show, the cause of varicose veins is hereditary factor, therefore, knowing the problem of your relatives, it is necessary to prevent the disease from a young age.

In addition, doctors identify the causes of varicose veins in women:

  • hormonal imbalance;
  • unhealthy diet, excessive consumption of fatty foods;
  • high cholesterol;
  • restructuring of the body during menopause;
  • staying in the same position for a long time at work or at home;
  • strong physical activity;
  • Passive lifestyle, minimal physical activity.

Each of the listed factors affects the normal functioning of the blood in the lower limbs, provoking the development of the disease.

It is important to remember that the causes of varicose veins in women are often the compression of clothing, high heels and tight underwear.

Unfortunately, not all women give due importance to symptoms early in the disease. Symptoms of varicose veins are attributed to leg fatigue, heat, uncomfortable shoes, squeezing of pants. It is early diagnosis that allows you to choose an effective treatment and quickly save a woman from the problem.

A woman may experience the following signs of varicose veins:

  • feet, in the evening the lower parts of the legs begin to swell, while swelling can appear on both legs and on one;
  • an incredible burning sensation in the calf part of the leg;
  • a dense network of blood vessels may form on the skin;
  • skin pigmentation occurs, spider veins appear in the lower leg;
  • cramps may occur at night;
  • the veins rise to the surface of the muscle and any contact causes pain.

The appearance of this disease may be accompanied by a change in the structure of the skin, it will be more dense, and abrasions and bruises often appear even from a minor blow.

A woman can diagnose varicose veins in the legs at an early stage, it is her attention to her body that will allow starting treatment on time and avoiding serious complications.

Modern treatment methods

Choosing a method of treatment, the doctor will first of all focus on the cause that caused the varicose veins. It is the elimination of pathological changes that will cure the disease.

Varicose veins on the legs in women can be treated in several ways:

  1. Surgery.
  2. Drug therapy.

Drug therapy includes a wide range of drugs that help cope with the disease at various stages of its course. The simplest and most effective way is to use ointments. Many of the presented ointments can eliminate several symptoms at once, including pain.

Medicines are selected individually only by the attending physician, but are necessarily included in the following groups:

  • Phlebotonics. Medicines are great for treating swelling and preventing nocturnal seizures.
  • Analgesics. They are used in cases of severe pain syndrome.
  • Preparations based on aspirin. They help thin the blood by preventing blood clots from returning.
  • Vitamin complexes containing vitamin E.

If a surgical method is required to treat varicose veins of the legs, your doctor can offer several options for surgery:

  1. Phlebectomy. The operation is performed on a diseased limb, a deformed vein from varicose veins is surgically removed.
  2. Intravenous laser coagulation. This is an innovative method that allows you to clear varicose veins. Laser treatment is gaining more and more popularity as it is less traumatic.
  3. Use of radiofrequencies for coagulation. Such an operation is performed in an outpatient setting, the patient does not even need hospitalization.
  4. Sclerotherapy. This method allows you to glue damaged veins together using special substances that are injected inside.

Women's compression stockings are also important in treatment. It is used as an adjunct and as a prophylaxis. There are many benefits to wearing compression garments and healing is faster.

Among the main advantages of such underwear, doctors call the following:

  • reducing stress on inflamed vessels;
  • normalization of blood circulation in the limb;
  • by minimizing the risk of blood clots;
  • complete safety and no side effects.

Compression garments and elastic bandages are only allowed during the day, the legs should rest at night.

What does traditional medicine offer?

Traditional medicine has many recipes that help to cope with the disease. But it is worth remembering that any recipe should be used in complex therapy and only after consultation with the doctor. Self-medication can be fatal or cause more serious complications.

There are such folk recipes for the treatment of varicose veins:

  • Butter and Garlic Ointment can be used as a compress to relieve swelling and pain. Chopped garlic is mixed with oil and applied to the thigh, left overnight.
  • Nettle tincture can be used to relieve inflammation from within. 2 tablespoons of chopped nettle are poured with a glass of boiling water and insist. It is necessary to drink the resulting product in 50 ml for 2 weeks.
  • Pour the ground nutmeg with a glass of boiling water and add a tablespoon of honey. All this must be drunk before meals in one hour.
  • Horse chestnut tincture is a good choice. To prepare it you will need 50 grams of crushed chestnuts and 250 ml of vodka. You need to insist on the remedy for 14 days, constantly mixing it.

It is important to remember that self-medication or the use of only folk recipes can end fatally or lead to more serious complications.

Complications that can occur if left untreated

Why are varicose veins on the legs dangerous in women? What are the consequences of improper treatment?

This disease is not a cosmetic problem and therefore requires immediate and professional treatment.

Experts identify the following possible complications and consequences:

  1. Any delay in treatment may cause bleeding, thrombosis or partial vein obstruction.
  2. Ignoring medical attention can cause the development of a trophic ulcer, thrombophlebitis.
  3. If blood does not circulate systematically in the vein, venous insufficiency may develop.
  4. About 1% of all patients have a disability or death.

With varicose veins of the lower limbs, treatment must be comprehensive, regular and professional. It is worth remembering that life and health always depend on the patient himself.

Do you know all about how to properly treat varicose veins in women?

Varicose veins in women

Varicose veins - a disease of the veins of the lower extremities, in which the expansion of the saphenous veins develops in people who have not previously suffered from thrombosis. The causes of the onset of the disease have not yet been established, and therefore the conservative treatment of varicose veins is aimed not at the complete eradication of the disease, but at the elimination of its symptoms.

Even with the help of radical surgery, it is not always possible to achieve complete healing.

However, varicose vein therapy is necessary, as it tends to progress and develop further complications: thrombophlebitis, trophic ulcers, bleeding.

Causes and symptoms

According to statistics,varicose veins are diagnosed in women 4 times more oftenthan in men. Since pregnancy is a traditional risk factor for the development of varicose veins. Varicose veins during pregnancy are caused by the influence of a combination of factors on the woman's body:

  • increase in circulating blood volume;
  • changes in hormone levels, ie, an increase in progesterone levels;
  • an increase in the volume of the uterus, which compresses the retroperitoneal veins;
  • increased intra-abdominal pressure during labor.

Varicose veins during pregnancy develop as early as the first months, showing clinical symptoms in the mid-second and early third trimester.

The second unfavorable factor that causes the disease is an increase in body mass in women during menopause, also due to the influence of hormones.Female hormones - estrogen, progesterone reduce venous tone.

The third cause of varicose veins in women. Thelifestyleis ​​of no small importance for the onset and development of the disease. According to statistics, the frequency of varicose veins in women with sedentary work is observed in 37%. Among the people forced to stand for a long time (teachers, cooks, hairdressers, sellers) - in 63%. For comparison, in men, these figures are three times lower.

The influence of heredity on the development of the disease has not been fully studied, however, relatives with this disease have been identified in 25% of patients.

Signs of varicose veins of the legs in women

The onset of varicose veins can proceed in several ways:

  1. The appearance of subcutaneous varicose veins.
  2. The appearance of varices - venous nodes that shine through the surface of the skin, which appear in the form of snakes.

In addition, the first signs of varicose veins are not accompanied by other symptoms,pronounced manifestations of the disease develop after several years.

Symptoms of varicose veins in women:

Causes and symptoms
  1. After 3 - 5 years- "tired legs" syndrome: feeling of heaviness, buzzing, fullness in the legs, especially in the evening after a hard day. After resting in an upright position with legs raised, the symptoms of the disease disappear on their own.
  2. After 5 - 10 years- trophic disorders: darkening, thinning of the skin, ulceration.
  3. After 10 - 15 years- persistent edema, most often located in the lower leg region, which does not rise above the knee. Spread of thigh edema indicates thrombosis.

During pregnancy, the symptoms of varicose veins develop much faster. As the gestation period increases and the uterus grows, there is a feeling of pain and heaviness in the legs, which turns into edema of the lower leg.

How to treat varicose veins in women?

Effective treatment of varicose veins of the legs should solve the following tasks:

  • elimination of varicose syndrome;
  • elimination of the symptoms of the disease;
  • relapse prevention.

The first problem is solved by phlebosclerosis therapy or surgery.

Conservative therapy is aimed at eliminating the symptoms of varicose veins (drug treatment + compression) and prevention (physiotherapy exercises, elastic compression).

In the early stages of the disease, treatment is only conservative:

  1. Drug therapy in tablets - phleboprotectors and anticoagulants (as prescribed by a doctor).
  2. Local application of venotonic ointments and gels.
  3. Elastic compression.
  4. Physiotherapy and gymnastics.
  5. Healthy lifestyle and proper nutrition.

CompressionConservative therapy is mandatoryin all stages of varicose veins, with its help it is possible to eliminate stagnation of blood, as well as to recreate favorable conditions for vascular microcirculation. Depending on the degree of varicose veins, meshes withoptimum pressureare selected. In the initial stages of the disease, 1st class compression is used, with varicose veins with the syndrome of "tired legs" - 2nd class, with complicated course - 3rd class.

Medication

Pharmacological treatment

The treatment of varicose veins on the legs in women is carried outcycles of 2-3 months twice a year. With varicose veins, phleboprotective drugs are used, which eliminate the manifestations of the disease, increase the tone of the veins, improve vascular microcirculation and prevent the formation of an inflammatory process in the vascular wall.

In phlebological practice, flavonoid-based medicines(substances contained in plant organisms) - derivatives of rutin, diosmin and hesperidin are successfully used.

Topical ointments and gels are used to relieve symptoms quickly.

Pharmacological treatment does not cure the sick, but slows the progression of the disease.

Home care

Many women are interested in how to treat varicose veins in women at home? Therapeutic exercises, herbal medicine and some recommendations on a healthy lifestyle for patients with varicose veins will help relieve the symptoms of the disease and prevent its further development.

Healing exercises

Simple exercises for varicose veins should be performed every morning and evening:

  1. Lying on your back, raise your legs vertically, leaning them against the wall at a 90 ° angle. Hold them in this position for 3 minutes, breathe slowly with your chest and not your stomach.
  2. In the supine position, ride a bike, 3-5 minutes.
  3. Standing, lift with two feet on toes 1 cm from the floor and step down. Perform 30 times in two approaches.
  4. While standing, alternately lift one heel off the floor, then the other, at an angle of no more than 45 degrees. Start with 15 minutes a day, extending up to 30 minutes.

Take time to walk every day, at least 30 minutes. It is useful to go to the pool once a week for swimming.

Healing exercises