Forgetfulness

Q:

I developed varicose veins in my pubic area during my pregnancies nearly 20 years ago. They disappeared afterward, but now they seem to be acting up again. I can’t see anything, but the area feels tender and swollen, and whenever I have my period, it aches. Why are they back and what can I do to keep them from getting worse?

A:

Varicose veins (varicosities) in the genitals are most common during pregnancy, but they can crop up in perimenopause due to hormonal fluctuations that occur at this stage. Like varicose veins in the legs, varicosities in the vulva, pelvis and buttocks are caused by valves in veins that don’t close properly. This allows blood to pool, leading to pressure, bulging and aching for the millions of women who suffer. And while sometimes the veins are visible, they can also be deeper in the pelvis, making them hard to see while doing a self-exam lying down since the blood needs gravity to pool.

Women who have genital varicose veins say the pain usually gets worse when there is increased blood flow to the area, like during menstruation, after sex and after standing for long periods. When you can, take breaks from standing and consider compression underwear (like Vulvar Varicosity Brief, Amazon.com), which uses pressure to improve circulation in the area and eased symptoms for 81% of participants in one study. If you’re not already exercising, try brisk walking to help with lower-body circulation. And if the veins do start to cause discomfort, get off your feet if possible and apply a cold compress.

If these symptoms continue to be bothersome, your healthcare provider can offer guidance about removal procedures, but the varicose veins usually disappear on their own once you stop menstruating.