Vascular Surgeon Questions Varicose Veins

Do varicose veins go away on their own?

After my pregnancy, I noticed that I have varicose veins. Do these go away on their own, or should I consider laser treatment?

8 Answers

no
No
Varicose veins do not go away on their own, unfortunately.Laser treatments are only effective for very small veins, and not effective for the veins that typically arise after pregnancy.I recommend a vein evaluation by a specialist near you.
Jim
Varicose veins do not go away on their own. You can prevent them from getting worse by wearing compression stockings. If you have symptoms such as pain, swelling and heaviness you should see a vascular surgeon
Varicose veins typically do not reduce significantly on their own (exception being some due to pregnancy). Treatment indications are symptoms or signs, best discussed with a vascular
doctor. As well as the different treatment options (phlebectomy, Sclerotherapy, Laser, etc.), which depend on the location, depth, and size of the veins.
Not typically.
Varicose veins can sometimes seem to resolve after delivery. With pregnancy, the extra circulating blood volume in your veins, the changes in your hormones, and the usual weight gain, varicose veins may be more evident on your legs or in your vulvar area. These veins may "decompress" after delivery yielding a much less engorged look to your veins although if you intend to become pregnant again, they will likely reappear and seem worse. Sometimes the veins do not improve so much after delivery and this signals that there may be other reasons for them. If yours persist after delivery and they are present on your legs, consider seeing a vein specialist for a comprehensive examination and an ultrasound examination. These will help determine your best options for treatment which could include laser treatment, injection sclerotherapy, radiofrequency ablation, or foam/chemical ablation. Finding a vein specialist who is either board certified (ABVLM- American Board of Venous & Lymphatic Medicine) or a member of the AVLS (American Vein and Lymphatic Society) should improve your chances of having an expert opinion about all the options and an excellent recommendation for your best option. If your varicosities persist in your vulvar area after delivery, injection sclerotherapy may be your best (and only nonsurgical) option. Again, a vein expert is likely to be very helpful to you.

KathyLee Santangelo, MD
Generally, varicose veins do not go away on their own. You really need to be evaluated by a true vascular surgeon who can give all of your options to you.