Vulvar Varicosities: Causes, Symptoms & Solutions
What Are Vulvar Varicosities?
Vulvar varicosities, also known as vaginal varicose veins, are enlarged, swollen veins that appear on the outer genital area—commonly during pregnancy. While they may look concerning, these veins are generally not dangerous but can cause discomfort, swelling, or itching.
They often go unnoticed or unreported because many women feel uncomfortable discussing them. However, with the right awareness and care, vulvar varicosities can be managed effectively. Lifestyle modifications such as avoiding prolonged standing, wearing supportive maternity garments, elevating the pelvis when resting, and gentle exercise can help relieve symptoms. In some cases, medical evaluation is recommended to rule out complications and to explore minimally invasive treatments that improve comfort and prevent progression. Open communication with healthcare providers can greatly reduce anxiety and help women feel supported.
Causes of Vulvar Varicosities in Pregnancy
Vulvar varicosities are most common during the third trimester of pregnancy due to:
- Increased blood volume during pregnanc
- Hormonal changes (especially progesterone, which relaxes vein walls)
- Pressure from the growing uterus on pelvic veins
- Genetic predisposition or existing varicose veins
This condition may also occur in non-pregnant women due to pelvic congestion syndrome, but it is most prevalent in pregnancy.
Symptoms of Vulvar Varicosities
Look for the following signs and symptoms:
- Bulging, bluish or purplish veins around the vulva
- Swelling or puffiness in the vaginal area
- Itching, burning, or throbbing discomfort
- Feeling of pressure or fullness in the pelvic area
- Pain when standing, walking, or during intercourse
Some women may notice blood blister-like spots, also referred to as angiokeratoma vulvar varicosities blood blisters.
Are Vulvar Varicosities Permanent?
In most cases, vulvar varicosities go away after childbirth, typically within a few weeks postpartum. However, in women with multiple pregnancies or vein-related conditions, they may recur or persist.
Vulvar Varicosities Treatment Options
Treatment depends on severity. Mild cases can often be managed with self-care, while more persistent conditions may need medical intervention.
🔹 Self-Care Tips (especially during pregnancy):
- Wear compression garments designed for vulvar support
- Avoid standing or sitting for long periods
- Use pillows to elevate hips while sleeping
- Avoid heavy lifting or high-impact workouts
- Cold compresses may relieve pain and inflammation
🔹 Medical Treatment:
If symptoms persist after pregnancy or become painful:
- Sclerotherapy – a minimally invasive injection treatment to shrink the affected veins
- Laser therapy or phlebectomy (for non-pregnant patients)
Always consult a gynecologist or vein specialist for proper evaluation and diagnosis.
Vulvar Varicosities & Hemorrhoids – Is There a Connection?
Yes. Vulvar varicosities and hemorrhoids are both forms of varicose veins that can occur during pregnancy due to similar causes—hormonal changes, increased pressure, and blood flow. Managing one can often help relieve or prevent the other.
Get Expert Treatment for Vulvar Varicosities in Pune
If you’re experiencing discomfort or symptoms of vulvar varicosities, don’t ignore them. Karishma Vein Clinic in Pune offers advanced diagnostic services and safe, non-surgical treatment options for varicose conditions in women.
From sclerotherapy to laser-based solutions, our team is here to support you throughout your pregnancy and beyond.
FAQs About Vulvar Varicosities -
Vulvar varicosities are enlarged, swollen veins that appear on the vulva (external female genitalia), commonly seen during pregnancy. These veins are similar to varicose veins in the legs and develop due to increased pressure from the growing uterus and hormonal changes.
Vulvar varicosities often appear as twisted, bulging, or lumpy veins around the vaginal and vulvar area. They can resemble angiokeratoma, a benign skin condition, or even blood blisters in rare cases. For visual understanding, you can refer to vulvar varicosities images online or consult a vein specialist.
In most cases, vulvar varicosities in pregnancy are not dangerous. While they may cause discomfort, swelling, or itching, they usually subside postpartum. However, in rare cases, complications like blood blisters or clotting can occur, and medical attention is advised.
Vulvar varicosities affect about 4–10% of pregnant women, particularly in the third trimester. Women with a family history of varicose veins or multiple pregnancies are at a higher risk.
Most vulvar varicosities resolve naturally after childbirth. However, supportive treatment options include:
- Wearing compression garments
- Elevating hips with pillows
- Gentle exercises
- Avoiding heavy lifting
In persistent cases, sclerotherapy or laser treatment may be considered after delivery.
Treatment for vulvar varicosities in pregnancy includes conservative approaches like:
- Wearing maternity support underwear
- Minimizing prolonged standing or sitting
- Resting with legs elevated
- Cold compresses to reduce swelling
Severe or persistent cases may require medical procedures like sclerotherapy after birth.
Visible veins in the vulvar region can be due to increased blood flow, especially during pregnancy, hormonal changes, or pressure from prolonged standing. These veins may turn into vulvar varicosities when they become swollen and enlarged.
In most cases, yes. Vulvar varicosities in pregnancy often resolve on their own a few weeks after childbirth. However, in some women, they may persist and require medical evaluation.