Many women suffer from varicose veins of the vulva or vagina and do not know what to do about them . Well hopefully this article useful for you who experience it .
Are varicose veins of the vagina and vulva ?

VARISES is a vein under the skin or mucous membranes ( mucosa ) that widened and curved / circular valve due to abnormalities in the veins . Varicose veins usually occur on the hands and feet , but can occur in some people in other places such as the stomach , rectum ( large intestine near the anus ) , vagina , scrotum , and vulva ( genital lips ) . Approximately 20-30 % of women have varicose veins , especially in pregnancy

Vaginal Varicose veins are bulging veins that look or feel in the vaginal wall bulging in the vagina itself.

vulvar varicose veins are veins that bulge through the skin of the vulva or " lips " of the vagina either skin or mucosa at the entrance to the vagina .
Sometimes varicose veins vagina / vulva can be very large , making the skin look very abnormal vulva . In general, varicose veins do not cause visible symptoms bulging veins just under the skin or mucosa . In vaginal varicose veins , varicose veins will be visible under the mucous membrane lining the vagina . In most patients with varicose veins , especially veins of the legs , the legs will feel heavy , tired and pain that increases when he stood or sat . Hives or skin becomes bluish discoloration is also a characteristic of varicose veins .
In the majority of pregnant women who experience vaginal varicose veins , normal delivery may be possible , except in very heavy vaginal varicose veins , your doctor may recommend a caesarean section . The doctor will be able to know when checking pelvic examination during pregnancy or childbirth . After childbirth , varicose veins will shrink naturally and often does not bother anymore . If the mother is pregnant again , in general, varicose veins will come back .
Vaginal bleeding due to varicose veins , usually occurs during delivery due to rupture of a blood vessel wall trauma / laceration road when the baby is born . Very rarely bleeding varices usually occurs shortly after childbirth



How many women who suffer from vaginal varicose veins ?
No one knows how many women suffer from vaginal / vulvar varicose veins because there has never been a study done to determine how many people are suffering .
But the facts are happening in the field is :
· Sayai rarely see the veins of the vagina or vulva in women who are not pregnant .
· This case is very rare in women with maternity SC - unless the woman has previously normal delivery before the SC or varicose veins during pregnancy has been detected , and this is the cause or the indications for SC .
· Almost all women with vaginal or vulvar varicose veins have previously been normal delivery / labor pervagina
· One in five women with varicose legs have some vaginal or vulvar varicose veins - although most are too small to see or do not cause problems
· Many women with vaginal or vulvar varicose veins do not have legs


What is the cause of vaginal and vulvar varicose veins ?
Almost all vaginal or vulvar varicose veins ( varicose veins ) derived from varicose veins in the pelvis . There are two ovaries in the pelvic ovarian Each name has a very long vein called the ovarian veins - there is one on the right and one on the left . Ovarian venous blood from the ovary should take back to the large vein that can be pumped back to the heart .
If the valve stops working within the blood vessels , the blood vessels around the ovaries become dross Besart - a condition called " ovarian varicocele " - or pelvic congestion syndrome .
There are two other veins in the pelvis can also - called internal iliac vein . located at the bottom of the pelvis and can cause the same problem . However , if the branches of the affected blood vessels , can cause hemorrhoids or varicose veins around the buttocks and anus .
Causes of vaginal and vulvar varicose veins is mainly due to the pressure of the uterus on the iliac and hypogastric veins . The large intestine is too full due to constipation is also an important factor in the onset of this problem .
Besides the increased hormones during pregnancy will make weakened blood vessel wall that causes enlargement . Usually if artifacts vaginal varicose veins during pregnancy , it will appear varicose veins in the legs as well .
In addition due to the condition of pregnancy , varicose veins in the vagina can also be caused by the consumption of corticosteroid drugs and disruption or abnormality in the blood vessels which makes it easy to appear weak so varicose veins .
Sitting in a standing position for long periods is another factor in its favor.
Varicose veins can result in serious and even fatal bleeding during delivery . Well if this occurs treatment should be done is to empty the uterus as soon as possible when bleeding occurs , because it can not be controlled . When doctors have found the varicose veins in the vagina of patients should be given an understanding of the danger of bleeding ,

What are the symptoms of vaginal or vulvar varicose veins ?
Symptoms associated with vaginal or vulvar varicose veins can be divided into two main groups :
Symptoms related to the blood vessels themselves
Associated symptoms of pelvic venous reflux ( pelvic venous congestion or pelvic congestion syndrome )
1 - Symptoms of varicose veins of the vulva or vagina
Varicose veins in the vagina or vulva can be very embarrassing . This makes a person very uncomfortable during intercourse . If large enough , they can actually be seen hanging so embarrassing when wearing a bikini or underwear models G string - and if very large may make it difficult to urinate and can inhibit sexual intercourse .

2 - Symptoms of pelvic veins and pelvic veins ( venous PLT pelvis / pelvic congestion syndrome ) .
Varicose veins in the female pelvis can push one pelvic structures causing symptoms . Depending on how big his veins can cause the following symptoms : sensation of pain in the pelvis , discomfort during intercourse " dyspareunia " .
There are several tests that are recommended, but only one that is currently the " Gold Standard " test - color duplex ultrasound transvaginal .
Some tests can be done to diagnose :
Transvaginal color duplex ultrasound
This is a standard test that shows blood flow in the veins in the pelvis , and does not require needles or x - ray . But only accurate when performed by highly experienced operators duplex
External color duplex ultrasound ( on the skin )
although it sounds much better do a " external " not a transvaginal scan scans , blood vessels are located too deep inside and can be detected at an angle of approximately
MRI - Magnetic Resonance Imaging
This test can show a large pelvic varicose veins and blood flow using the technique , could see some flow in the blood vessels . However , it is expensive and some patients may feel claustrophobic when done an MRI scanner .
Venogram ( x - ray of blood vessels with contrast injection )
venogram is important TREATMENT or varicose veins in the vagina and pelvis , but not a very good test to diagnose or investigate the circumstances of inii . However it should use X - ray ( radiation ) around the ovary, must use injection and so invasive and more expensive than duplex ultrasound
CT ( or CAT Scan - Computerized Axial Tomography )
CT has a lot of the same drawbacks as MRI - and this should not be done in patients with claustrophobia syndrome , and this examination using X-rays , which can lead to radiation of the pelvis and ovaries

precaution
Until now there is no special tool to prevent vaginal varicose veins during pregnancy . But if pregnant women diligently raised foot by placing it on a pillow when lying down or reading a book , little more can help blood flow . This method is proven to reduce the burden that must be supported by foot . Avoid the use of shoes , preferably with a maximum of 2 cm so that blood flow was blocked . Then during sleep , try not lie only in a position to avoid pressure on the veins in one place .

Influence on labor

Pregnant women who experience vaginal varicose veins , still can through normal delivery . However , if the veins in the vagina suffered severe , doctors usually recommend surgery to minimize the risk of rupture of the blood vessel wall errors due to trauma / laceration road when the baby is born . Vaginal varicose veins if not terdekteksi can cause slow bleeding that led to the death of the mother .
Vaginal varicose veins so INDICATIONS NOT FOR DELIVERY IN SC