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After my first child, I suffered from varicose veins. I didn't gain much weight during the pregnancy, but it was mostly due to hormones. After having EVLA and sclero treatment, I am afraid to have a second child. Will my varicose veins reappear?
Not usually related to the veins treated, new ones in other areas can occasionally develop but not always by any means.
Michael Ingegno MD
If you already had the treatment for varicose veins, the chances are
less for you to get larger varicose veins, though you can have some
new varicose veins during pregnancy.
It's possible. I would discuss with your doctor but don't let this ruin the joy of having another child. It can be treated. thx. James
James A. Heinz-M.A.H.A.
If treated completely they should not return but new ones could develop.
The veins you had treated should be gone if treated completely. However, varicose veins are usually an inherited condition with pregnancy hormones contributing to the problem. It is possible that you may develop other veins but if you wear a medical compression from the beginning of the pregnancy it can help reduce new veins. We usually recommend starting with 20 - 30 mmHg hose and moving up to 30 - 40 mmHg toward the end of the second trimester. These should be measured and fitted by an experienced fitter early in the day, especially if you experience leg swelling in pregnancy.
That said, you also may NOT develop other veins and shouldn't let this affect your decision to have another baby.
Hope this information helps.
Norman N. Bein MD FACS
This is possible. Your genetic makeup predisposes you to forming varicose veins.
Venous insufficiency is a chronic, progressive problem associated with vein walls which slowly stretch due most to the pressure of gravity on the blood in the veins. New varicose veins will form with time. You have some control over this process by maintaining normal body weight, avoiding prolonged sitting or standing, moderate exercise, routine daily use of support hose, and by getting significant venous problems treated before they become severe. Pregnancy will accelerate the development of venous insufficiency and varicose veins, but this rarely is a reason not to have another child. It generally is best to get significant problems treated before becoming pregnant again.
Stephen F. Daugherty, MD, FACS, RVT, RPhS
Your question is very good. Theoretically if your problem of reflux has been properly corrected you should not have recurrent varicose veins. I would strongly recommend to wear compression stockings as much as possible all along your pregnancy. You will benefit by elevating your legs as often as you can.
Best wishes for a healthy baby... and healthy legs.
The reason for varicose vein formation is valvular insufficiency. If you have had EVLT and sclerotherapy for the incompetent valves and varicose veins, hopefully you will not have a recurrence with another pregnancy. There is always the risk of new varicose veins forming during pregnancy from different veins developing incompetent valves.