Labial & Pelvic Veins

Women may develop varicose veins in and around the external genitalia such as the labia. These varicose veins can become enlarged and engorged during pregnancy and usually improve after birth and loss of excess weight. This may also be associated with enlarged pelvic veins known as pelvic congestion. High pressure and stretching of the veins in the pelvis may result in pelvic pain, burning, tenderness and/or dyspareunia (pain with intercourse). This pain is usually worse just before menstrual period and is exacerbated with prolonged standing.



To diagnose these conditions, a complete evaluation involves a detailed color Duplex ultrasound of the abdomen, pelvis, external genitalia, and legs. Sometimes additional imaging evaluation may be necessary such as CT or MR venograms. In some patient the primary initiating problem is reflux or reversal of flow in the veins in the pelvis including the vagina and labia.

Foam Sclerotherapy injections by ultrasound guidance to seal the veins in the pelvis and labial is a highly effective treatment and is performed at Ponte Vedra Vein Institute. Relief of symptoms is relative and may occur within hours or may take several weeks.

Pelvic Veins

The pelvic veins are a part of the deep venous system in the pelvis that help carry blood from the legs to the heart. The veins that drain the uterus and ovaries are also a part of this intricate network of our venous system. Sometimes when these veins do not work as well, one can experience leg swelling particularly on the left side. This condition is called “May-Thurner Syndrome”.

Iliac Vein Compression

May Thurner Syndrome also known as Iliac Vein Compression Syndrome is a condition that causes the iliac vein to narrow due to pressure from the iliac artery. This most commonly occurs on the left side but can also occur on the right side and can increase one’s risk of developing a deep vein thrombosis (DVT) or a blood clot. Iliac vein compression can be diagnosed by a simple exam and can be treated in an outpatient setting with excellent results.

If you have persistent left leg swelling and think you may have Iliac vein compression, please call our office for a free consultation with our vascular specialist.

All medical treatments are covered by insurance including Medicare.