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Is sclerotherapy safe during pregnancy?
While pregnant with my first child I've developed a large number of spider veins on my legs/thighs. Are spider veins more prevalent during pregnancy? Do they go away after delivery? Can I get sclerotherapy while I'm pregnant?
The information provided by medical professionals in the Q&A is for informational purposes only, and is not a substitute for individualized medical advice,
diagnosis or treatment by a qualified health care provider.
Answers

Replied on 9/13/2010

Replied on 11/16/2009
By: Laser Vein Center | Thomas Wright M.D. F.A.C.P. RVT
O'Fallon, MO
Sclerotherapy should be avoided during pregnancy. Spider veins may develop more rapidly during pregnancy and may subside some afterward though they usually will not disappear entirely. Wait until you and your baby are doing well and then see a phlebologist. Elastic support hose are a good idea during pregnancy to help keep up blood flowback to the heart from your legs.

Replied on 11/16/2009
By: Miller Vein | Jeffrey H. Miller, M.D.
Novi, MI
Sclerotherapy should be avoided during pregnancy and while breast feeding. Because of hormones released, veins relax during pregnancy which can cause varicose and spider veins which may or may not improve after pregnancy.

Replied on 11/14/2009
By: VeinCare Centers of Tennessee | Stephen F. Daugherty, M.D.,F.A.C.S.
Clarksville, TN
Sclerotherapy should be avoided during pregnancy and breast feeding. Spider veins may develop more rapidly during pregancy and may subside some afterward though they usually will not disappear entirely. Wait until you and your baby are doing well and then see a phlebologist. Elastic support hose are a good idea during pregancy to help keep up blood flowback to the heart from your legs.

Replied on 11/12/2009
By: Vein Centers for Excellence of Kansas City | Craig I. Schwartz, D.O., FACOS, FICS
Kansas City, MO
All vein problems are more prevalent during pregnancy. They may or may not diminish or reduce once you have delivered. Sclerotherapy can be done during pregnancy, but to take the safest course, it is typical to wait until after delivery to begin treatment. In the meantime I would recommend you wear a pair of medical grade compression stockings on a daily basis through the remainder of your pregnancy.

Replied on 11/12/2009
By: Makris MD Interventional Radiology Center | Angelo N. Makris, M.D.
Oak Brook, IL
You will develop spider veins during pregnancy that will likely not resolve after delivery. I would not suggest sclerotherapy while pregnant or breastfeeding. I would recommend thigh high compression hose while pregnant to help minimize the development of the varicosities.

Replied on 11/12/2009
By: VeinSolutions - Minneapolis | Christopher F. Roland, M.D., F.A.C.S. William R. Omlie, M.D., F.A.C.S. Timothy Jon Gavin, M.D., F.A.C.S. C. Phifer Nicholson, M.D., F.A.C.S. Howard L. Saylor III, M.D., F.A.C.S.
Edina, MN
Spider veins and varicose veins typically do get worse with pregnancy. The symptoms sometimes lessen after delivery. With spider veins specifically, they sometimes fade in appearance after delivery but rarely go away. We will not use sclerotherapy on a women that is currently pregnant, but you could certainly have the treatment soon after delivery.

Replied on 11/12/2009
By: Vein Center Houston | Mario O. Kapusta, M.D., RVS, RPVI, ABPh
Houston, TX
All of venous problems (Varicose, spider or reticular veins) become more prominent during pregnancy. Hormonal changes, blood volume increase, etc. are responsible. They improve but do not usually disappear after pregnancy. In general, sclerotherapy is contraindicated during pregnancy and lactation.

Replied on 11/11/2009
By: Heart and Vein Center | Rodolfo D. Farhy, MD
Royal Oak, MI
Spiders veins and varicose veins arevery common as a consequence of pregnancy. Some will fade away after delivery, however they will re-occur and probably worsen with subsequent pregnancies. Sclerotherapy is contraindicated during pregnancy.

Replied on 11/11/2009

Replied on 11/11/2009
By: The Vein Treatment Center of NJ | Dean H. Wasserman, MD, FACS, RVT, FACPh
Paramus, NJ
Sclerotherapy , like any other ELECTIVE procedure is avoided during pregnancy due to two reasons. Firstly, especially during a first pregnancy, yes, many veins will reverse after delivery - usually within a very short time in the range of 2-6 weeks. Secondly, because there is no adequate research that sclerotherapy is ENTIRELY safe , it is postponed until after delivery and even after breast-feeding for the same reasons. However, there are no medical reports of specific dangers of sclerotherapy during pregnancy, and in instances of unbearable pain from VULVAR and vaginal varicosities, sclerotherapy is the procedure of choice over even local anesthesia if interventional treatment is considered necessary. The development of varicose AND "spider" vein is common in the first trimester of pregnancy because of the effect of the dramatic increase of female hormones, and rarely worsen in later phase of gestation.The second and third trimesters are associated with leg EDEMA ( swelling ) and all pregnant women should be placed into KNEE-HIGH professionally supervised compression hose for this reason.

Replied on 11/11/2009

Replied on 11/11/2009
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