Symptoms of pelvic congestion: three pains, two more and one less

Pelvic congestion often causes varicose veins in the cervix, vulva and other parts of the body. Patients will experience symptoms such as low back pain, pelvic pain, pain during sexual intercourse, increased leucorrhea and menstruation. Surgical treatment should be sought under the guidance of a doctor in a timely manner.

1. Clinical manifestations

1. Chronic lower abdominal pain, low back pain, sexual pain, heavy menstruation, and excessive leucorrhea

2. Easy to get tired, weak, and have poor sleep.

3. The cervix is ​​enlarged and purple-blue in color, the uterus is large and soft and tender, and the paracervical adnexa and posterior fornix are soft like sponges and painful to touch.

2. Causes

1. Anatomical factors

The characteristics of female pelvic circulation are mainly an increased number of veins and weak structure.

2. Internal and external factors

Internal and external forces have been shown to affect the flow rate of pelvic blood, thereby changing the pressure of local blood vessels, and veins are more susceptible to their influence.

(1) People who work standing or sitting for a long time or are accustomed to sleeping in a supine position are more likely to develop pelvic congestion syndrome.

(2) Constipation affects the venous return of the rectum, and the rectum, uterus, and vaginal veins are anastomosed with each other. Congestion of the hemorrhoidal plexus will inevitably cause congestion of the uterine and vaginal plexus, so habitual constipation can easily cause pelvic congestion.

(3) During pregnancy, the effects of large amounts of androgens and progesterone, coupled with the compression of the enlarged uterus on the veins around the uterus, can cause dilation of the veins around the uterus.

(4) When the uterus is retroverted, the ovarian plexus blood vessels bend along the sides of the sacral concave region as the uterus descends, increasing venous pressure and affecting venous return, causing the veins to become congested. If you have the habit of sleeping in the supine position, it may lead to pelvic congestion syndrome over time.

(5) Injury to the broad ligament fascia causes the veins, which are structurally weak and lack elasticity and lack an intrinsic vascular sheath, to lose support, forming varicose veins and causing the uterus to fall backward.

(6) Tubal ligation: The specific causes of this disease are not clear, and there is no clear evidence to prove the causal relationship with the surgery.

3. Physical factors

Due to physical factors, some patients have significantly weak vascular wall tissue, fewer elastic fibers, and poor elasticity, which makes them prone to venous blood congestion and varicose veins. Even if it is your first pregnancy, you may develop varicose veins in the lower limbs and/or pelvis and pelvic congestion syndrome if you do not usually stand or sit for long periods of time.