Varicose Veins during Pregnancy Part 3

Who develops varicose veins during pregnancy?

Varicose veins generally occur in most pregnant women, but there are some risk factors. If the female gains a lot of weight, is obese, stands for prolonged periods, or has had trauma to the leg, then varicose veins are more likely.
Varicose veins are also more common in women who take the birth control pill. Estrogen has been shown to weaken walls of the veins. Multiple pregnancies are also associated with varicose vein development. In most cases of multiple pregnancies, varicose veins generally get worse and most individuals become symptomatic.

What are symptoms of varicose veins during pregnancy?

The first and most obvious side effects is cosmesis. Varicose veins are not glamorous to look at. Secondly when varicose veins get very large they also cause feet to swell. A common complaint is tiredness and fatigue in the legs. Thirdly, as the various veins increase in size, they become hard and “rope like”. Often the varicose veins are tender to touch. Finally, if varicose veins are of long standing, most individuals will develop bluish or grayish discoloration around the ankles. This is chiefly due to the blood pigment leaking out of thin veins and into the tissues. At this stage in time, the color discoloration round the ankle is irreversible.

How does one make a diagnosis of varicose veins during pregnancy?

A simple physical examination is adequate. If the physician is competent, there should be no other studies indicated. When the varicose veins are extensive and surgical treatment is planned, the use of Doppler ultrasound may help reveal where the problem is. Ultrasound can also reveal presence of blood clots and leaky valves in the system. Ultrasound is a painless test and very effective in making a diagnosis of blood clots in the veins..

How does one treat varicose veins of the vulva?

There is absolutely no need to treat vulvar varicose veins during pregnancy. Once the baby has been delivered, almost all cases of vulvar varicosity subside with time. Any time a physician recommends treatment of vulvar varicosities means that he/she has only one concern in his mind- your money. After delivery, one must wait at least 6-12 weeks for the varicosities to disappear- and they do disappear. To further improve the varicose veins, lose weight, walk, and wear compression stockings. Surgery is never a choice for vulvar varicosities and even when undertaken the results are worse than the initial condition.