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Vulval Varicose Veins

What are Vulval Varicose Veins?

Vulval Varicose Veins are found on the Vulva and Vagina. They develop during pregnancy. Women may not have had any symptoms of reflux prior to getting pregnant and had no visible Varicose Veins and were therefore unaware that they had any problems. During pregnancy the veins in the pelvis dilate further causing Varicose Veins in the Vagina, Vulva and then they become visible Varicose Veins on the legs.

Out of embarrassment, women rarely mention Vulvar Veins but these veins can be treated.

Diagnosis of Vulval Varicose Veins

The diagnosis for Vulval Varicose Veins is the obvious Varicose Veins on the Vulva and Vagina. A Duplex Ultrasound Scan is required prior to treatment.

Furthermore, a new grading system for Vulval Varicose Veins was published by The whiteley Clinic in 2012 to help Medical Professionals to classify the severity of Vulval Varicose Veins.

Description Frequency seen at present
Grade 0 Normal – no varicosities nor venous reflux in vulva Usual
Grade 1 No visible varicosities in vulva, but ultrasound proven reflux in vulval veins usually with para-vulval varicose veins seen on inner thigh Common – 1 in 7 females presenting with leg varicose veins (1 in 5 of those post vaginal delivery)
Grade 2 Visible varicosities seen through mucosa of inner labia and lower vagina and ultrasound proven reflux in vulval veins. Uncommon
Grade 3 Isolated varicosities seen on standing through skin of outer labia majora without a distortion of the general anatomy of the area Very uncommon
Grade 4 Extensive varicosities of the labia, distorting skin and distorting the gross anatomy of the area on standing Rare
The Whiteley Clinic 2012
Treatment for Vulval Varicose veins
Treatment is available for Vulval Varicose Veins. If you have any of the symptoms then see a Medical Professional and get the required investigations and treatment required.

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