05.07.13 Dr. Garth Rosenberg Varicose Veins

Vein Treatment Between Pregnancies Increases Success

Pregnancy increases the risk of developing varicose veins, as the levels of estrogen and progesterone become elevated. Women with varicose veins prior to pregnancy typically notice that these same veins become much larger and more symptomatic as the pregnancy progresses. Some develop severe throbbing, pain, and even open sores or infections around these large clusters of veins.

leg infectionA patient in our Fredrick, Maryland office has been experiencing the effects of varicose veins during pregnancy. Last year, she had mildly symptomatic veins in her left leg, but was advised by her family doctor to wait until she’s done having children before treatment. Now five months pregnant with twins, she is experiencing severe pain, throbbing, and sores in that leg.

As vein specialists, we know that evaluation and treatment of varicose veins between pregnancies is wiser and leads to much better outcomes. Since we cannot offer treatment at this time, we advised that she use medical grade high quality support hose for the remainder of her pregnancy. Once she delivers, we will evaluate her leg with duplex ultrasound. It is likely that she will benefit from the Venefit Procedure (VNUS Closure) to seal the incompetent saphenous vein leading to the lower leg varicose veins. She may also need micro-phlebectomy, as her venous condition is rather advanced. These procedures are done in the office under local anesthesia and are generally covered by health insurance. Patients can return to normal activity immediately.

Seeking evaluation and treatment between pregnancies instead of waiting until all pregnancies are completed allows better treatment outcomes and less overall risk to the patient. If you find yourself pregnant with varicose veins, wear support hose as much as possible to reduce the elevated pressure in the veins and ease the aching and throbbing. An experienced vascular surgeon with a strong background in venous disease is your best option for successful treatment.

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