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.