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Vulvar Varicose Veins in Pregnancy

Dilated vulvar venous plexus during pregnancy due to elevated pelvic venous pressure and hormonal changes.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Vulvar Varicose Veins in Pregnancy?

Vulvar varicose veins are dilated, tortuous superficial vulvar venous plexuses caused by elevated pelvic venous pressure and progesterone-mediated venous wall relaxation during pregnancy.

Most appear in the second trimester and resolve spontaneously within six weeks postpartum.

Severe disease may be associated with deep pelvic vein incompetence (pelvic congestion syndrome) or rarely thrombophlebitis and bleeding.

Symptoms

Bluish, dilated and tender vulvar swelling
Heaviness and discomfort, worsening with prolonged standing
Pain during walking, sitting and intercourse
Itching, burning and skin irritation
Tense engorgement late in pregnancy
Rare bleeding after spontaneous rupture or trauma

Risk Factors

Multiparity and advancing maternal age
Family history of venous insufficiency
Lower limb varicose veins or pelvic congestion syndrome
Prolonged standing occupation
Obesity and excess weight gain in pregnancy

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden enlargement, severe pain or skin discolouration (suspect thrombosis)
  • Active bleeding from vulvar varicosities
  • Persistent symptoms despite conservative management
  • Concern for delivery planning (mode of delivery)

Treatment Methods

01
Reassurance about benign course and postpartum resolution
02
Compression vulvar support garments and well-fitted graduated compression stockings
03
Side-lying rest, avoidance of prolonged standing, leg elevation and cool compresses
04
Adequate hydration and constipation prevention
05
Vaginal delivery is generally safe; caesarean reserved for obstetric indications
06
Postpartum referral to vascular surgery for persistent symptoms beyond six months (sclerotherapy, venous ablation)

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.