Genital Veins

Vulvar veins may become varicose as a result of inhibited valves and backflow of blood in both deep and superficial veins located in the female pelvis or thighs. These veins may be affected by pregnancy, or can also appear as the result of abnormal blood clotting termed deep vein thrombosis.

This is a common cause of chronic pelvic pain, infertility, and pain during intercourse, as well as the obvious cosmetic issue.

Pelvic venous insufficiency is often misdiagnosed, or overlooked by physicians unaware of the clinical presentation.

Because these veins are so deep in the pelvis, advanced imaging is required to make the diagnosis, but can be accomplished in a noninvasive and painless manner. Dr. Greuner will assist you in deciding whether this is a path you should pursue for abnormal genital veins.

The most highly recommended treatment for mild to moderate enlarged vulvar veins is sclerotherapy of the branch vessel end areas, although depending on the size and branch location, endovenous or other ablation methods may be used. Treatment is only started once suspicion of an underlying problem is alleviated. If left untreated, these veins may become increasingly disfiguring and painful. They may also grow susceptible to frequent bleeding and may require the regular wearing of compression garments.

The prenatal cradle v2 supporter (we might need to put tm here ) is an apparatus designed for treatment of vulvar veins that are varicose throughout pregnancy or following sclerotherapy procedures.

Scrotal varicose veins commonly appear as “a bag of worms” affecting a complicated vein network termed the “pampiniform plexus” which surrounds the testicles. Although these enlarged veins are not usually associated with specific symptoms, they may result in male infertility if left untreated since they cause elevated scrotal temperatures that can lower sperm counts and effectiveness. Typically sclerotherapy or minimally invasive surgical repair is used.