Varices is not just Women Problem


To lead the way blood upward toward the heart valves have inside that prevent the blood from falling back down and help constrictor action of the muscles of the calf and thigh, acting pumping mode facilitate propulsion of the blood into the upper half of the body. So when there are circumstances that make this feature evacuation of blood veins of the legs and end pressure increase dilating and inflamed, which ends up producing varices.

Why varicose veins occur?

Varicose veins are usually a result of venous insufficiency, and it is this failure that causes symptoms such as a feeling of heaviness in the legs, pain or swelling of the feet and ankles.

Really varicose veins and / or spider veins (dilations of smaller caliber cups) are a sign of this disorder more global, which is caused by overfilling of the superficial veins of the skin, which just dilating.

In people with the worst of the thickness of these veins may be very noticeable, there is a risk of bursting and bleeding of the varicose vein. Eventually other possible consequences of venous insufficiency are night cramps, itching, hyperpigmentation of the skin, swelling of the ankles and continuous skin ulcers by poor blood flow in areas like ankles. It can also occur in the varicose vein thrombosis, in which case it appears as a hard cord, painful, hot and red.

Why not just a woman’s problem?

It is widely believed that varicose veins are primarily a women’s problem. However, there is recent evidence that the men and women affected by this issue can be very similar, although they are more women who go to the doctor for these problems.

Is estimated to affect venous insufficiency in the West around 30-35% of men and women, but the truth is that the amount of suffering some kind of alteration in the venous circulation, although not visible, is even greater and may reach half or more of the population.

There are several factors that facilitate the development of venous insufficiency and varicose veins in both men and women. These factors are particularly important age and heredity.

The strength of the vein walls and effectiveness of the valves in the veins, as well as muscular strength are qualities that are determined by age and by the constitution of the person and therefore by their genes.

Another common risk factor is exposure to heat, which favors sagging and loss of tone of the veins. This is the cause of venous insufficiency worse in summer.

What risk factors are predominant in men?

Standing circumstance is certainly another important risk for men regarding the condition of varicose veins. Standing for long periods increases the problem of venous stagnation. In fact, in a Scandinavian study was that the probability of having varices was higher in men whose professions were required to stand for a long time (dependent, commercial travelers, surgeons, teachers, etc..).

Other studies have also been associated with venous disorders work activities in which you are sitting (clerks, drivers, etc..) And of course, reflected until the time of seniority in these jobs.

According to most studies, there are many other factors that affect the incidence of venous reflux and disorders affecting differently on men and women. It seems demonstrated that obesity , for example, is a major risk factor for venous reflux disorders in men.

It has also been seen that diets low in fiber and constipation most often are associated with the condition of varicose veins in men than in women, and having inguinal hernia . Also, men with boxes sustained increase in abdominal pressure are at increased risk of venous insufficiency in the legs.

Remember also that many international studies mention the habit of many men of tension, pressure and cross your legs when sitting as a risk factor in almost exclusively male varices and in some males may therefore have a major role .

Finally there are also indications that varicose veins occur most often in smokers and those with less physical activity. No wonder therefore that venous disease is associated more with men at high cardiovascular risk, although varicose veins as such are not a risk factor for myocardial heart or brain , or men or women.

How are varicose veins diagnosed?

Varicose veins can be easily diagnosed by a disorder characteristic clearly visible in the surface and legs, in the form of violet spots or bumps or in the form of small networks or reddish purple (spider veins).

The aesthetic issue is what encourages many women to seek help from your doctor to resolve this issue, something that occurs less in men, these usually go to the doctor when they are producing venous disease symptoms are evident. Another reason is the very annoying symptoms determined based venous insufficiency.

To diagnose venous insufficiency causing varicose veins is necessary to perform a Doppler ultrasound of the venous system of the leg, but there are other tests such as plethysmography, or venography (this is invasive). With this type of procedure can estimate the effectiveness of different areas venous and perforator communicating branches, the degree of venous reflux, the state of the venous valves, etc..

How can I prevent varicose veins?

It is very important to try to prevent varicose veins in most people more prone to allergies, because when varicose veins are usually no longer possible to eliminate unless treatment is applied to it.

Here are some tips to reduce as much as possible the risk of venous insufficiency and varicose veins thus:

  • Avoid obesity and have regular physical activity. Walk every day for at least 30 minutes helps strengthen leg muscles and promotes venous return. Use proper shoes, not too high or too flat.
  • Avoid standing or sitting for long periods, without moving your legs and stretch or compress them with excessive force. It is good to continually perform leg exercises to stimulate the circulation and put them into high (above heart level when possible) if we anticipate that we will be a long time without walking.
  • Do not use belts or bands that compress preventing venous return and avoid constipation by eating a diet rich in fiber.
  • Try not to expose their legs to intense heat.
  • Wear socks or graduated compression stockings for varicose veins if the risk is high (obesity, prolonged standing, pregnancy, etc.)

How are varicose veins?

When it comes to treatment must differentiate between what is the overall treatment of chronic venous insufficiency and varicose veins to be.

The treatment of venous insufficiency is in principle conservative. While still not very pronounced symptoms it is essential to ensure that the disease does not progress. It is therefore important to undertake preventive measures and avoid factors such as consumption of oral contraceptives .

There are drugs that can alleviate partially phlebotonics symptoms of venous insufficiency, but they will not make varicose veins disappear.

The ultimate solution to venous insufficiency of the leg is surgery, which involves removing the main vein (saphenous), which collects blood from superficial venous throughout. When practicing the intervention decreases venous pressure in this area and significantly improve symptoms, also disappearing most of varicose veins.

Surgical therapy should be considered when there are very prominent varices and / or significant discomfort or if complications have arisen as varicorrhage (variceal bleeding), phlebitis (inflammation of a vein) or skin ulcers. Can also pose a request operation for issue from the patient or other aesthetics.

Furthermore there are cosmetic treatments of varicose veins and spider veins that without solving the underlying problem of venous insufficiency, can greatly improve the situation making them disappear. These treatments involve direct action on varicose veins with sclerotherapy or laser primarily, and usually get the complete disappearance of varices which impinges on, but unfortunately do not prevent new varicose veins may arise in other parts of the leg.

Dr. Alfonso Santiago Mari , a specialist in Hematology