MODERN CONCEPTS OF THE INFLUENCE OF VARICOSE VEINS OF THE PELVIS (VRV) ON THE REPRODUCTIVE SYSTEM OF WOMEN (LITERATURE REVIEW)

Bogdasarov Azat Yuryevich, Davidyan Liana Yuryevna, Baev Dmitry Sergeevich

Pelvic varicose veins are a complex and multifaceted disorder characterized by pathological dilation of not only the ovarian veins but also the venous plexuses located in the pelvis. In obstetric practice, pelvic venous disease is diagnosed in nearly 40% of pregnant women. However, the rate of antenatal losses remains high and shows no signs of decreasing. Currently, the principles of individualizing perinatal prognosis in women with pelvic varicose veins have not yet been fully developed, complicating the prediction of fetoplacental insufficiency, hypoxic birth, and thromboembolic complications. Despite significant advances in diagnosing varicose veins, the problem of universal diagnostic criteria for the disease remains unresolved. The impact of varicose veins is not limited to childbirth itself, but also extends to the postpartum period and long-term consequences for the woman's health. The mechanisms underlying these complications are not fully understood.

Keywords:Varicose veins of the pelvis, pregnancy, childbirth, postpartum period.