Pregnancy is a time of incredible change for a woman’s body. As the body adapts to support the growing baby, women may experience various discomforts and conditions. One such condition is vulvar varicosities. While it can be alarming to notice, vulvar varicosities are relatively common during pregnancy, and with the right care and management, they can be well-managed.
As pelvic health physiotherapists, we aim to help you understand vulvar varicosities, how they relate to pregnancy, and what steps you can take to alleviate symptoms and promote healing.
What Are Vulvar Varicosities?
Vulvar varicosities refer to swollen, enlarged veins that develop in the vulva area (the external genitalia). They are similar to varicose veins that occur in the legs, though they specifically affect the veins around the vulva and perineum. These veins become distended due to increased pressure and changes in blood flow during pregnancy.
While the condition can cause discomfort, it is generally not harmful to the mother or baby. However, understanding the causes and symptoms of vulvar varicosities can help you manage them effectively.
Causes of Vulvar Varicosities in Pregnancy
During pregnancy, several factors contribute to the development of vulvar varicosities:
Increased Blood Volume:Pregnancy increases the total blood volume in a woman’s body, which can strain veins and lead to the development of varicosities.
Hormonal Changes:Elevated levels of progesterone during pregnancy relax the walls of blood vessels, which can cause veins to expand and become more prone to bulging.
Increased Pressure on the Pelvic Veins:As the baby grows, the uterus places increasing pressure on the veins that return blood from the legs and pelvis to the heart. This can cause blood to pool in the veins of the vulva and perineum.
Genetic Predisposition:Some women may be more genetically predisposed to developing varicose veins, which can make them more susceptible to vulvar varicosities during pregnancy.
Multiple Pregnancies:Women who have had multiple pregnancies are more likely to experience vulvar varicosities due to the cumulative strain on the veins.
Symptoms of Vulvar Varicosities
The most obvious symptom of vulvar varicosities is the appearance of enlarged, swollen veins around the vulva. However, other symptoms may include:
Pain or Heaviness: The area may feel heavy, painful, or throbbing, especially after prolonged standing or activity.
Swelling: In addition to the visible veins, you may experience general swelling in the genital area or perineum.
Itching or Burning Sensation: Some women report a sensation of itching or a burning feeling around the affected veins.
Discomfort During Intercourse: Vulvar varicosities can make sexual activity uncomfortable due to the swollen veins.
Worsening Symptoms at the End of the Day: Symptoms are often worse as the day progresses due to increased pressure on the veins from standing or activity.
Managing Vulvar Varicosities in Pregnancy
While vulvar varicosities can be uncomfortable, the good news is that there are several strategies for managing and alleviating symptoms:
Avoid Prolonged Standing:Standing for long periods increases pressure on the veins. Take frequent breaks to rest and elevate your feet.
Wear Compression Garments:Wearing supportive compression garments, such as V2 Support or SRC Shorts, can significantly reduce swelling in the lower body and improve circulation. These garments are designed specifically for pregnant women and offer support to the pelvic region, helping to manage vulvar varicosities. They provide gentle compression that promotes blood flow and reduces the heaviness or discomfort often associated with varicosities.
Elevate Your Pelvis:Elevating your hips and pelvic area while resting or sleeping can help reduce blood pooling in the vulva area. Lying on your left side can also improve blood flow and reduce pressure on the pelvic veins.
Gentle Exercise:Regular, low-impact exercises like walking or swimming can improve circulation and reduce swelling. Be sure to avoid high-impact activities or any movement that causes discomfort in the pelvic region.
Cold Compresses:Applying a cold compress to the vulvar area can help reduce swelling and ease pain or discomfort. Be sure to use a cloth or towel to protect your skin from direct contact with ice.
Pelvic Floor Physiotherapy:Pelvic health physiotherapists can provide specific exercises to improve circulation and support the pelvic floor muscles. These exercises may help reduce the pressure on the veins and promote overall pelvic health.
Good Posture:Maintain good posture throughout the day to help distribute weight evenly and avoid added strain on the pelvic region.
While vulvar varicosities are typically not dangerous, it’s important to speak to your healthcare provider if you experience severe pain, significant swelling, or if the varicosities are interfering with your daily life. In rare cases, complications such as blood clots can occur, so it’s important to get medical advice if you have any concerns.
Vulvar varicosities are a common and usually harmless condition during pregnancy. By understanding the causes, recognising the symptoms, and implementing effective management strategies, you can alleviate discomfort and support your body as it adapts to pregnancy.
If you’re experiencing vulvar varicosities or any other pelvic health concerns during pregnancy, a consultation with a pelvic health physiotherapist can provide you with tailored advice and support. With the right approach, you can manage symptoms and enjoy a more comfortable pregnancy.
Book a consultation today to learn more about how we can support your pregnancy and postpartum recovery.
Comments