7, 12, 2022

Uterine Artery Embolization (UFE) vs. Hysterectomy

2022-10-24T15:33:14-07:00

Benefits of UFE Over Hysterectomy

UFE is a minimally invasive procedure that is effective for treating uterine fibroids and is considered an alternative to uterine fibroid surgery removal. UFE is typically performed as an outpatient procedure, which means that most women go home the same day for recovery.

UFE has several benefits over hysterectomy. Besides involving only a small nick in the groin or wrist for catheter insertion, the uterus is preserved. There is no scar with UFE. For a UFE, conscious sedation is used, unlike for a hysterectomy, where the woman receives general anesthesia. The recovery time for UFE is generally within 2 weeks, which is significantly faster than the usual 6-week recovery time after hysterectomy.

Women who have a hysterectomy that remove both the uterus and ovaries usually just get estrogen replacement therapy (ERT) alone. But women who have only the ovaries removed need both estrogen and progestin because estrogen alone can increase the risk of cancer in the uterus.

The recovery time for UFE is generally within 2 weeks, which is significantly faster than the usual 6-week recovery time after hysterectomy.

The idea of having your entire uterus removed is psychologically daunting for women as some women may still want the option to carry a child, do not want to undergo a general surgery and/or feel like removing the uterus takes away part of their identity as a female.

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

 

Our accredited center is also a nationally known teaching site and center of excellence. 

 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

 

Uterine Artery Embolization (UFE) vs. Hysterectomy2022-10-24T15:33:14-07:00

26, 10, 2022

Venous insufficiency and leg ulcers

2022-09-19T19:22:14-07:00

Chronic venous insufficiency and leg ulcers

 

What is chronic venous insufficiency?

Chronic venous insufficiency (CVI) is an inflammatory condition caused by long standing, untreated venous reflux disease.  Commonly, venous reflux disease causes a collection of symptoms such as leg swelling, heaviness, fatigue and varicose veins. But, over time, when blood is no longer circulating properly in the leg veins, skin changes can also appear. When skin changes appear, this is termed, chronic venous insufficiency (CVI). Venous stasis is another term used for this condition.   Chronic inflammation from CVI causes the skin around the ankles to darken, become dry, itchy, and firm. In severe cases, the skin can start to break down and ulcerate. The ulcer (wound) occurs in the inner or outer ankle and is also referred to as a stasis ulcer or venous ulcer.

Venous stasis skin changes associated with venous insufficiency include:

  • Darkening of the skin along the ankles
  • Itching and dry skin around the ankles (venous eczema)
  • Development of wounds around the ankles, called venous leg ulcers

HOW IS CVI TREATED?

The treatment of CVI cannot reverse the skin changes but it can prevent it from worsening and ulceration. In our experience, treatment of underlying venous reflux reduces the inflammatory changes and the skin may become less itchy and dry, but the permanent skin discoloration does not disappear. Treatment involves correction of the underlying venous reflux.

HOW ARE LEG ULCERS TREATED?

Venous leg ulcers, depending on the severity, can be healed with a combination of correction of the underlying venous reflux, wound care clinic referral, and compression therapy. A detailed ultrasound will determine what specific treatment is needed depending on where the underlying reflux lies (for example, in the saphenous veins, perforator veins and tributaries). Deep vein reflux is also present in many individuals with ulcers.

 

“Bringing Experts Together for Unparalleled Vein and Vascular Care”

 

La Jolla Vein & Vascular (formerly La Jolla Vein Care) is committed to bringing experts together for unparalleled vein and vascular care. 

 

Nisha Bunke, MD, Sarah Lucas, MD, and Elliot DeYoung, MD are specialists who combine their experience and expertise to offer world-class vascular care. 

 

Our accredited center is also a nationally known teaching site and center of excellence. 

 

For more information on treatments and to book a consultation, please give our office a call at 858-550-0330. 

 

For a deeper dive into vein and vascular care, please check out our Youtube Channel at this link.

 

For more information on varicose veins and eliminating underlying venous insufficiency, check this link out full of resources. 

 

Venous insufficiency and leg ulcers2022-09-19T19:22:14-07:00

9, 6, 2022

Testing and Diagnosis of Pelvic Varicose Veins

2022-05-12T14:28:54-07:00

Testing and Diagnosis of Pelvic Varicose Veins

 

How are Pelvic Varicose Veins Diagnosed?

From the list shared previously regarding the common symptoms and signs associated with pelvic congestion syndrome, you can tell most are either common or can be easily misdiagnosed. For example, if you are having recurring back pain, you could easily get some pain relievers thinking that to be the problem. 

 

Medically, doctors may need to run a number of tests before diagnosing the condition. This is a result of the various associative symptoms. Moreover, since there’s such a vast array of symptoms, healthcare providers need to rule out other possible underlying causes for the symptoms. 

 

Some of the procedures you can expect when getting vulvar varicose veins include; 

 

A laparoscopy: This is a relatively small and minimally invasive surgical procedure where the doctor inserts a small camera inside the pelvis for a clearer and objective look. 

 

A computed tomography (CT) scan

 

A Magnetic Resonance Imaging Scan (MRI)

 

An ultrasound tests 

 

A venogram exam

 

In most cases, the healthcare provider will opt for the ultrasound examination. Besides being simple, non-intrusive, and quick, an ultrasound exam can detect varicosities and assess the blood flow. 

 

Seeing a doctor can prove beneficial, even when you are exhibiting some or none of the apparent symptoms. This is largely because some women with developing labial varicosities show little to no symptoms other than swollen veins. 

 

The other importance of seeing a doctor whenever you start exhibiting these signs is to get ahead of any underlying health conditions. Pelvic congestion syndrome is often the sign of other health issues, especially regarding the body’s circulatory system. For instance, through an examination, pelvic varicose veins could help identify varicose veins in other parts of the body. 

 

Are Vulvar Varicosities Permanent?

Pelvic congestion syndrome is rarely a permanent condition. Most of the symptoms will likely disappear within six to eight weeks of giving birth. 

 

However, if you have previously developed labial varicosities during a previous pregnancy, chances are high the condition will come back during the next pregnancy. In these cases, the recurring pelvic congestion syndrome will be more painful with every subsequent pregnancy. 

 

Even when the varicosities disappear on their own, it’s still vital to speak with your doctor. This will help kick in preventative measures to ensure the condition doesn’t recur. 

 

Are Labial Varicose Veins Treatable?

 

So, you’ve noticed a few worrying signs, gone to the doctor, had tests run, and the results are out; you have pelvic congestion syndrome. What next?

 

Well, the treatment approach largely depends on whether you are pregnant or not. If you are pregnant, the best cause of action is alleviating the pain and discomfort and eliminating the symptoms. The treatment option for pregnant women is aimed at alleviating any pain and accompanying symptoms. To achieve this, the healthcare provider may use various medications, including; 

 

Nonsteroidal anti-inflammatory drugs (NSAIDs)

Chronic pain relief medication such as gapapentin and amitriptyline

 

In other cases, the faulty veins can be targeted, isolated, then closed off through minimally invasive procedures. Once these nonfunctional veins are closed, the body will naturally redirect venous blood to the healthier veins. Subsequently, the pelvic venous drainage will improve over time, taking away most, if not all, of the symptoms. 

 

However, before these procedures are performed, your doctor may put you in an observation period lasting between six to twelve months. Since most varicosities disappear after eight weeks, the doctors may choose to give your body a chance to repair itself. FOrtunately, you can still receive pain medication to alleviate any pain during this observation window. You can also use various anecdotal remedies include; 

 

Avoid standing or sitting for too long

 

Avoid wearing uncomfortable shoes, such as high heels, which put more pressure on your lower body and back

 

Change positions regularly 

 

Drink a lot of water

 

Elevate your legs periodically to improve blood circulation 

 

Applying heat or ice on the painful areas

 

Wearing supportive underwear when pregnant-such as compression and support stockings while labial varicose veins are not usually dangerous, may lead to poor circulation in the lower parts of your body. This could then lead to blood pooling, which can cause deep vein thrombosis. 

 

When these blood clots are in the deeper veins, they can break loose and move to other parts of the body. These cases, while rare, can lead to life-threatening complications. 

 

Some of the signs of blood clot development include increased pain in the affected region, redness, swelling, and hardening. If you experience any of these, you should notify your healthcare provider as soon as possible. 

 

Labial Varicose Veins

 

Unlike varicose veins, spider veins are harmless. Most people seek treatment for cosmetic reasons. However, treatment will also alleviate the mild yet persistent discomfort this condition sometimes causes.

 So, if this is you and you’ve been experiencing pain, please give our office a call at 858-550-0330. 

 

For more information please check out our Youtube Channel at this link. 

 

Testing and Diagnosis of Pelvic Varicose Veins2022-05-12T14:28:54-07:00

23, 5, 2020

Nutritional tips for varicose veins

2020-09-18T19:02:32-07:00

Varicose veins are bulging, purplish-colored veins that occur when the one-way valves, which are responsible for regulating the constant flow of blood, become weak, especially in the lower limbs. Although many consider them a simple aesthetic problem, they can be a sign of circulation disorders, fluid retention, and inflammatory diseases. Fortunately, this condition can be significantly improved by making better nutritional choices before it becomes chronic.

In a diet to prevent varicose veins, it is suggested to increase the intake of some foods that promote blood flow. Similarly, the aim is to control total calorie consumption, since lowering the body mass index is a determining factor both in avoiding varicose veins and in reducing them.

Another objective is to help control the body’s inflammatory processes, whose alteration may trigger this condition. Additionally, this allows decreasing the pressure on the legs, which controls symptoms, such as heaviness and pain. So, what you need to do nutritionally speaking?

Increase Omega-3 consumption. Due to their ability to cleanse the arteries, these fatty acids are ideal for reactivating circulation, lowering cholesterol, and preventing possible blockages. These healthy fats control excess inflammation and help maintain good cardiovascular health. Choose oily fish, nuts, and seeds.

Eat more fiber. Fiber-rich foods are allies in lowering cholesterol levels and optimizing circulation. They also reduce constipation so that there are no difficulties due to the pressure produced by the difficulties in defecating. Choose fruits, vegetables, whole grains, legumes, nuts, and seeds.

Consume more folic acid. Foods containing folic acid help reduce homocysteine, an element that causes injury to the artery walls. They also prevent the appearance of thrombi, a chronic disorder that affects varicose veins and cardiovascular disease. Choose spinach, asparagus, cabbage, beef liver, whole grains, and nuts.

Increase the dose of vitamin E. This well-known antioxidant is essential in preventing varicose veins because it promotes the breakdown of lipids in the blood and optimizes circulation. Choose fruits, avocado, and olive oil.

Include diuretic ingredients. These can stimulate the elimination of retained fluids to decrease the overload of the legs. Therefore, their inclusion in the diet promotes the relief of varicose veins and prevents other diseases associated with poor circulation. Choose pineapple, artichoke, lemon, cucumber, blueberries, and parsley.

Limit salt consumption. Maintaining a sodium-rich diet is one of the factors that increase the risk of varicose veins, producing edema and high blood pressure. Because of this, it is essential to limit its intake and seek healthy alternatives. Choose healthy spices like oregano, thyme, garlic, and turmeric.

Consume healthier drinks. Healthy drinks complement the effects of the diet to prevent varicose veins. Adequate fluid assimilation helps balance inflammatory processes and promotes proper blood flow by regulating fluids in the tissues. Choose plain water and healthy smoothies or juices.

Nutritional tips for varicose veins2020-09-18T19:02:32-07:00
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