Vulvar Varicosities are dilated painful veins in the vulvar region. Vulvar varices are the endpoint of increased pressure in the pelvic and ovarian veins. Although a relatively common occurrence during pregnancy, these veins typically decrease in size after delivery. During pregnancy, they are related to increased pelvic pressure as the uterus enlarges and the associated hormonal changes that occur. Occasionally, some women will have persistent vulvar veins that are not associated with pregnancy or arise under unknown circumstances. These will frequently cause with menses and intercourse.
At The North Shore Vein Center, our preferred method of treatment for this condition is the use of foam sclerotherapy. This may require from one to three treatments. Using a very small needle a sclerosing solution mixed with C02is placed into the vulvar vein. This is safe and effective treatment that is associated with minimal complications.
Most patients respond to this therapy alone. Rarely, patients may have a condition called Pelvic Congestive Syndrome. This is caused by faulty veins leading into the ovaries. For this, additional therapy may be required.After each treatment, we have our patients wear a pad with pantyhose compression stockings to provide compression to the treated area. The goal is to clot the vein with the sclerosing solution to cause gradual shrinkage and fibrosis of the vein. It is virtually painless and patients may return to daily activities immediately. As always, please feel free to contact us at (516) 869-8346 with any additional questions.