Will vein reappear with a second pregnancy?

Endovenous Laser Ablation . 9 answers . 3 years ago

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?

ANSWERS FROM DOCTORS


3 years ago by General Vascular Surgery Group

Not usually related to the veins treated, new ones in other areas can occasionally develop but not always by any means.
Michael Ingegno MD

3 years ago by General Vascular Surgery Group (View Profile)

Not usually related to the veins treated, new ones in other areas can occasionally develop but not always by any means.
Michael Ingegno MD


3 years ago by Arizona Vein and Laser Institute & Cosmetic Surgery

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.

3 years ago by Arizona Vein and Laser Institute & Cosmetic Surgery (View Profile)

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.


3 years ago by Center for Venous Disease - Santa Fe

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.

3 years ago by Center for Venous Disease - Santa Fe (View Profile)

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.


3 years ago by Bella MD Laser Vein and Aesthetic Center

If treated completely they should not return but new ones could develop.

3 years ago by Bella MD Laser Vein and Aesthetic Center (View Profile)

If treated completely they should not return but new ones could develop.


3 years ago by Vein Specialties of St. Louis

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

3 years ago by Vein Specialties of St. Louis (View Profile)

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


3 years ago by Angelo N. Makris MD

This is possible. Your genetic makeup predisposes you to forming varicose veins.

3 years ago by Angelo N. Makris MD (View Profile)

This is possible. Your genetic makeup predisposes you to forming varicose veins.


3 years ago by VeinCare Centers of Tennessee

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

3 years ago by VeinCare Centers of Tennessee (View Profile)

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


3 years ago by Heart and Vein Center

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.
Dr Farhy

3 years ago by Heart and Vein Center (View Profile)

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.
Dr Farhy


3 years ago by Vanish Vein and Laser Center

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.

3 years ago by Vanish Vein and Laser Center (View Profile)

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.


Related Questions for Endovenous Laser Ablation

Endovenous Laser Ablation - 4 years ago
I had EVLT about 10 days ago , now I have a big knot on my inner thigh and when I touch it, it still hurts , I had a lot of pain the day after the surgery and I couldn't bend my leg. Is this normal?
See More
Endovenous Laser Ablation - 5 years ago
If I have had large vessels such as the saphenous closed, is there chance of circulatory problems later on?
See More
Endovenous Laser Ablation - 3 years ago
I am just over 2 weeks post EVLT and still have pain. As long as I take an anti-inflammatory the pain subsides. Visually the inner thigh looks good. How much longer will the pain last?
See More
Endovenous Laser Ablation - 4 years ago
Can you please detail some of the restrictions after EVLT?
See More
Endovenous Laser Ablation - 2 years ago
It has been a week since my EVLT procedure, and I am wondering if I should continue wearing the compression stocking?
See More
Endovenous Laser Ablation - 2 years ago
I had swelling in my left foot and my doctor confirmed that the valves in two of my veins were not working properly. I had these veins closed with endovenous laser ablation, but four weeks later I still have swelling in my foot that doesn't go away. Is this normal?
See More
Endovenous Laser Ablation - 1 year ago
I have burning pain at my incision site 3 weeks after endovenous laser ablation. It isn't constant, just when it is touched or rubbed. Could this be nerve damage or a hair follicle that is irritated from the incision?
See More
Endovenous Laser Ablation - 5 years ago
I am about two months into treatment for chronic venous insufficiency? I have had laser ablation and foam sclerotherapy with very little results. Can anything be done to treat lipodermatosclerosis after the veins are treated. I wear compression hose.
See More
Endovenous Laser Ablation - 4 years ago
I had EVLT done about three months ago..right after the EVLT procedure i started feeling weird sensations in my ankle and now the pain seems to get worse every day? Could this pain be associated with the procedure?
See More
Endovenous Laser Ablation - 4 years ago
Or does the treatment permanently remove them?
See More
Endovenous Laser Ablation - 5 years ago
I've heard that ELA can result in deep vein thrombosis. Is this true, and how common is this complication? Is there any way to prevent it?
See More
Endovenous Laser Ablation - 5 years ago
I've heard that endovenous laser treatments actually remove or destroy the saphenous vein in the leg. Is this true, and will I still get enough blood circulation to the legs if this large vessel is removed?
See More
Endovenous Laser Ablation - 3 years ago
I have sharp stabbing pains in my leg. It's very painful and the Motrin did not help. I was in tears! This went on for a couple of days. The pain is on my right leg and my left leg isn't painful at all. What could this be?
See More
Endovenous Laser Ablation - 2 years ago
I had my GSV ablation done 13 days ago and still have intense pain in a segment on the inner thigh just above the knee. Is this level of pain normal and, if so, for how long? I have to take Advil for relief, but my stomach is sensitive to NSAIDS.
See More
Endovenous Laser Ablation - 4 years ago
Does this procedure hurt?
See More
Endovenous Laser Ablation - 2 years ago
EVLT 5 days ago GSV. No serious pain yet. Compression stocking to come off tomorrow, but bruising seems excessive with dark patches and tenderness to touch. I was told to use heating pad, and now I'm reading not to do that. What should I do?
See More
Endovenous Laser Ablation - 4 years ago
It's been a year since my surgery and I still have bruising. Does that mean it's permanent?
See More
Need Help?
Get answers from experienced doctors
Ask Now

Most Active Doctors


,

,

Recently Asked Questions