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Varicose Veins and Pregnancy: When to Consult a Doctor

Pregnancy is a rollercoaster of emotions and physical changes. While you’re busy picking out cute onesies and debating baby names, your body is working overtime to support your growing little one. But sometimes, this incredible journey comes with unexpected passengers – like varicose veins. These twisted, bulging veins can be more than just a cosmetic concern. So, when should you trade your pregnancy pillow for a doctor’s appointment? Let’s dive in and find out!

The Prevalence of Varicose Veins in Pregnancy

Varicose veins are a common occurrence during pregnancy, affecting approximately 40% of pregnant women. This high prevalence underscores the importance of understanding this condition and its implications for maternal health.

Physiological Factors Contributing to Varicose Veins in Pregnancy

Several pregnancy-related physiological changes contribute to the development of varicose veins:

  1. Increased Blood Volume: During pregnancy, a woman’s blood volume increases by 20-40%. This substantial increase is necessary to support fetal growth and development but puts additional pressure on the venous system, particularly in the lower extremities.
  2. Hormonal Changes: Pregnancy hormones, especially progesterone, play a significant role in the development of varicose veins. Medical literature indicates that progesterone causes relaxation of vein walls, which can lead to venous dilation and reduced valve efficiency.
  3. Uterine Enlargement: As pregnancy progresses, the growing uterus exerts pressure on the inferior vena cava, the large vein responsible for returning blood from the lower body to the heart. Research has shown that this pressure can inhibit venous return.  This increases the pressure in the leg veins and can cause the stretching and bulging associated with varicose veins.
  4. Weight Gain: The natural weight gain associated with pregnancy adds additional pressure on the veins returning the blood back to the heart.

Indications for Medical Consultation

While varicose veins during pregnancy are often benign, certain symptoms warrant medical evaluation:

  1. Persistent swelling: There are several ways to deal with swelling during pregnancy that can improve the resolution of varicosities which your provider can suggest.
  2. Pain: Persistent or significant pain in the legs should be assessed by a healthcare provider.
  3. Skin Changes: Any redness, discoloration, or hardening of the skin around varicose veins may suggest advanced venous insufficiency.
  4. Warmth or Tenderness: Veins that are warm to the touch or tender may indicate inflammation or potential clot.
  5. Bleeding: Any bleeding from varicose veins requires immediate medical attention.
  6. Ulceration: The development of ulcers or sores near the ankles could be a sign of severe chronic venous insufficiency.

It’s important to note that these symptoms could indicate complications such as superficial thrombophlebitis or deep vein thrombosis, which require prompt medical attention.

Postpartum Expectations

For many women, varicose veins improve significantly after giving birth. Studies suggest that up to 40% of women will see some significant remnants of their varicosities even after 3 months postpartum.

If varicose veins persist beyond this period, consultation with a vascular specialist may be advisable. Modern treatments for persistent varicose veins are minimally invasive and highly effective, with options including sclerotherapy, endovenous laser treatment, radiofrequency ablation and several others.

Taking the Next Step

Pregnancy-related varicose veins, while common, should not be dismissed as they can be a sign of deep vein issue.  Timely medical consultation when necessary can ensure optimal maternal health and comfort both during and after pregnancy.

At Colorado Skin & Vein, we specialize in the management of pregnancy-related vascular issues. Our team of experienced, board-certified specialists offers comprehensive evaluations and personalized treatment plans. 

To schedule a free consultation with our experts, please contact Colorado Skin & Vein at 303.683.3235. Let us help you navigate this aspect of your pregnancy and postpartum journey with confidence and expert care.

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