Vulval Varicose Veins

PELVIC SYMPTOMS: Patient primary complaints are pelvic. Symptoms can be pulling and stretching in the pelvis with prolonged standing.

LOWER LIMB SYMTOMS: Patient primary complaints are related to the lower extremity. Symptoms can vary from bilateral leg heaviness, fatigue, and throbbing in the legs.

There are some companies that sell “supports” for the vulval varicose veins – however such devices only provide some support and do not get to the root cause of the problem – pelvic vein reflux (or ovarian vein reflux). And few other patients either ignore it, or undergo treatments to just “pull the veins out” of the top of the thigh – or even inject them. This gets rid of the veins in the short term, but as it does not get rid of the cause of the veins, they come back very soon afterwards.

Additional imaging such as MRI with multiphase vascular imaging that better defines the origin of dilated veins is performed to assess the pelvic venous system apart from the duplex ultrasound scan.

Patient primary complaints are pelvic, we would recommend addressing pelvic pathology, and if the primary complaints are related to the lower extremity, then we would do a bottom-up approach. If there are both, we would recommend staged approach with initial pelvic venous treatment, followed by varicose vein treatment of the lower extremities.

Here at The Vein and foot clinic, we follow through a process of recognising the problem, identifying the exact cause and then treating it effectively, using the latest non-invasive diagnostic techniques and minimally invasive treatments.