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Early treatment options include medroxyprogesterone or nonsteroidal anti-inflammatory drugs (NSAIDs). [1] Surgery to block the varicose veins may also be done. [1] About 30% of women of reproductive age are affected. [6] It is believed to be the cause of about a third of chronic pelvic pain cases. [5]
Treatment involves elevation of the legs and pressure stockings to relieve swelling along with warm sitz baths to decrease pain. [40] There is a small amount of evidence that rutosides (a herbal remedy) may relieve symptoms of varicose veins in late pregnancy but it is not yet known if rutosides are safe to take in pregnancy. [24]
The distal veins are removed following the complete ablation of the proximal vein. This treatment is most commonly used for varicose veins off of the great saphenous vein, small saphenous vein, and pudendal veins. [60] Follow-up treatment to smaller branch varicose veins is often needed in the weeks or months after the initial procedure.
Another approach to treatment involves catheter-based embolisation, [7] often preceded by phlebography to visualise the vein on X-ray fluoroscopy. [3] [8] Ovarian vein coil embolisation is an effective and safe treatment for pelvic congestion syndrome and lower limb varices of pelvic origin.
Uterine Compression of IVC and Pelvic Veins. Displacement of PMI by Uterus. Uterine enlargement beyond 20 weeks' size can compress the inferior vena cava, which can markedly decrease the return of blood into the heart or preload. As a result, healthy pregnancy patients in a supine position or prolonged standing can experience symptoms of ...
Pregnancy: Pregnancy is a key factor contributing to the formation of varicose and spider veins. Changes in hormone levels are one of the most important reasons women are more likely to develop varicose veins during pregnancy. There is an increase in progesterone, which causes the veins to relax and potentially swell more easily. [6]
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