Você já sentiu dor, inchaço ou uma sensação de peso na região íntima, especialmente no período menstrual ou ao final de um dia cansativo? Muita gente vive esse desconforto em silêncio, sem saber que pode ser algo mais comum (e tratável) do que parece: varizes na região íntima ou pélvica.
Além do desconforto físico, há o impacto emocional. Algumas mulheres evitam relações sexuais por vergonha ou dor, outras se sentem inseguras ao se olharem no espelho. E muitas nem sabem qual médico procurar. Então vamos esclarecer isso tudo, com carinho, responsabilidade e sem tabus.
O que são varizes na região íntima?
Assim como acontece nas pernas, varizes na região íntima são veias dilatadas e tortuosas que perderam sua função de conduzir bem o sangue de volta ao coração. Quando isso acontece, o sangue tende a se acumular na região, provocando sintomas que podem afetar o bem-estar e a qualidade de vida.
Essas veias dilatadas podem estar localizadas nos grandes lábios, ao redor da vagina, do útero ou dos ovários. Quando acometem órgãos internos da pelve, são conhecidas como varizes pélvicas.
Quais são os sintomas mais comuns?
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Sensação de peso ou pressão na região íntima
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Inchaço ou abaulamento local
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Dor, principalmente no final do dia ou durante o ciclo menstrual
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Desconforto nas relações sexuais ou após elas
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Dor no fundo da barriga
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Urgência urinária
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Em alguns casos, alterações no fluxo menstrual
Esses sintomas podem se manifestar de forma isolada ou combinada, variando de paciente para paciente. Por isso, a avaliação clínica é indispensável para um correto direcionamento.
Existe algum risco grave?
Na maioria dos casos, as varizes pélvicas e da região íntima não representam um risco direto à vida. No entanto, seus sintomas podem causar limitações significativas no dia a dia, prejudicando relações afetivas, autoestima e qualidade de vida. Por isso, mesmo sendo uma condição considerada benigna, o incômodo gerado deve ser valorizado e investigado.
Quando devo procurar um médico?
Se você apresenta algum dos sintomas mencionados, é importante procurar inicialmente um ginecologista. Caso ele suspeite de varizes pélvicas ou da região íntima, ele poderá solicitar exames e, se necessário, encaminhar ao cirurgião vascular, profissional especializado nas alterações das veias.
Vale lembrar que somente uma consulta presencial com exame clínico e, se indicado, exames complementares como ultrassonografia com Doppler ou venografia, podem confirmar o diagnóstico.
O que causa essas varizes?
As causas são semelhantes àquelas das varizes dos membros inferiores:
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Predisposição genética é o principal fator
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Gestações anteriores (especialmente múltiplas)
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Alterações hormonais
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Obesidade
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Longos períodos em pé ou sentada
Esses fatores interferem na circulação da pelve, favorecendo a dilatação das veias.
Como é feito o tratamento?
O tratamento depende da localização, da gravidade dos sintomas e da presença ou não de complicações.
1. Para varizes externas (visíveis nos grandes lábios ou ao redor da vulva):
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Pode-se utilizar escleroterapia com espuma, um procedimento realizado em consultório, que visa o fechamento das veias dilatadas.
2. Para varizes pélvicas (internas):
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Uma das abordagens é a embolização pélvica, um procedimento minimamente invasivo, realizado com auxílio de cateteres e contraste.
Nesse caso, o médico acessa a veia pela virilha com uma punção, introduz um cateter até a veia doente e realiza o bloqueio com pequenas molas e uma substância esclerosante. Em geral, o paciente retorna para casa no mesmo dia ou no seguinte.
Importante: O tipo de tratamento é definido exclusivamente após avaliação médica. Cada caso deve ser analisado individualmente. O que funciona para uma paciente pode não ser indicado para outra.
Compartilhe informação, compartilhe cuidado
Muitas mulheres convivem com esses sintomas achando que é “normal” ou “sem solução”. Compartilhe este conteúdo com quem pode se beneficiar. Quanto mais falamos sobre saúde com clareza e empatia, mais ajudamos quem precisa.
Se este conteúdo te ajudou, compartilhe com amigos e familiares. Informação salva vidas!
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