Vulvar varices are often not discussed or if mentioned some doctors don’t know who to refer to. Vulvar varices often develop after pregnancy and can worsen with each subsequent pregnancies. Patients are often embarrassed and don’t know if they can be treated.
Vulvar varices can be painful especially after standing. Some patients report itching, pain with intercourse, and hypersensitivity to pressure. For symptomatic patients, sclerotherapy with conscious sedation is the first line treatment.