Vulvar Varicosities and Treatment

February 5, 2017

Vulvar Varicosities

 

What are Vulvar Varicosities?

Vulvar Varicosities are dilatations of the veins in the vulvar or perineal region and most often occur during the 2nd pregnancy and after the 5th month. The cause of vulvar varicosities is typically an increase in the volume of blood volume in the body during pregnancy, increased weight, pressure from the baby, and hormones released during pregnancy which weaken the valves in the veins. Vulvar varices can be quite symptomatic and during pregnancy many conservative treatments can be used.

 

 

Conservative treatments include

  • Cool compresses may ease the pain and reduce swelling.
  • Compression support garments designed for vulvar varices, may help you feel better
  • Changing positions – Avoid standing for long periods of time. Sit in a chair and elevate your legs.
  • Elevate hips by using a rolled towel or pillow.
  • Swimming – The water helps lift the baby and improves the blood flow from your pelvis.

 After Pregnancy

Veins can persist post pregnancy and cause pain, dyspareunia, itching and sometimes bleeding.

Vulvar varicosities can be associated with pelvic congestive syndrome and the symptoms include heaviness, discomfort in the pelvic region, feeling of fullness or pressure, and swelling and discomfort of the vulva.

Treatment

Regardless of the origin, all of these veins can be treated by a vein specialist with foam sclerotherapy. Usually only one treatment is needed. The foam clots up the varicosities and veins subside over 1-2 months. It is important to follow-up with your doctor after your treatments.

 

Injecting foam sclerotherapy directly in to vulvar varicosity