Varicose Veins Treatment in Pregnancy: Diagnosis, Surgery & Recovery

Surgical Treatment for Varicose Veins:

Varicose veins during pregnancy may require surgery in extreme cases where conservative treatments have not provided sufficient relief or when complications arise.

• Endovenous laser therapy ablation (EVLA): This is a minimally invasive, ultrasound-guided procedure that involves the use of ultrasound images and laser fiber in order to kill the delicate lining of the veins. After a few days after the procedure, the body absorbs the dead tissues, shutting off the abnormal veins with very little or no discomfort.
• Vein ligation and stripping: This is a surgical procedure that is done to remove a damaged vein and prevent future complications like ulcers, clotting, etc. in the affected vein. During the surgery, two to three incisions, each ranging around 5 cm in diameter are made over the damaged veins, which are tied off or ligated. Normally, the recovery time in this procedure is longer than that of the minimally invasive techniques.
• Transilluminated powered phlebectomy: This is a vein removal procedure that makes use of a bright light, which is known as an endoscopic transilluminator to illuminate the vein. During the process, a number of incisions will be made on your leg and the surgeon will place the transilluminator underneath your skin so they are able to see the veins that need to be removed. As soon as the veins are identified, they will be cut and will be removed through the incisions using a suction device.

How to Prepare for Varicose Veins Surgery in Pregnancy?

The vascular surgeons will provide you with detailed instructions on how to prepare for the surgery. While the instructions can vary based on individual circumstances, some common tips you may receive include the following:

• Consult with your healthcare provider: It is necessary to have a thorough discussion with your healthcare provider about the treatment options available, the potential risks and benefits, and the timing of the procedure. They will consider your specific situation regarding the varicose veins and the pregnancy and guide you toward the most suitable treatment plan.
• Educate yourself: Take the time to learn about the varicose vein treatment options that are safe during pregnancy. Research the procedures, their potential outcomes, and any associated risks. Being well-informed helps you make informed decisions and have realistic expectations.
• Follow your healthcare provider’s instructions: Your healthcare provider will provide specific instructions to prepare for the procedure. It may include dietary restrictions, medication adjustments, or any necessary preoperative tests or evaluations. Follow these instructions carefully to ensure optimal preparation.
• Arrange for support: Depending on the type of treatment, you may need assistance during the procedure and in the immediate post-treatment period. Arrange for someone to accompany you to the appointment and help you with transportation and daily activities afterward if needed.
• Address any concerns or questions with the doctor: If you have any concerns, doubts, or questions about the procedure or its potential effects on you and your baby, discuss them with your healthcare provider. They are there to provide guidance and address your concerns.
• Prepare your home environment: If you anticipate needing some rest and recovery time after the treatment, prepare your home environment accordingly. Make sure you have a comfortable space to rest and elevate your legs, and consider any necessary arrangements for childcare or household responsibilities.
• Post-treatment care: Discuss with your doctor the post-treatment care instructions, including any recommended activities, medications, or follow-up appointments. Follow these instructions diligently to optimize your recovery and not affect the pregnancy.

Remember, the treatment options for varicose veins during pregnancy are generally limited, and non-invasive approaches are typically preferred. Your healthcare provider will guide you through the preparation process and ensure the safety of both you and your baby. It is very important to have open communication with your healthcare provider, follow their instructions, and share any relevant information about your health and pregnancy to ensure the best possible outcome.

What to Expect After Varicose Veins Treatment in Pregnancy?

Here are some general expectations after varicose vein treatment during pregnancy:

• Relief of symptoms: The primary goal of treatment is to alleviate the symptoms associated with varicose veins, such as pain, swelling, and discomfort. You can expect a reduction in these symptoms over time, although complete resolution may not occur until after pregnancy.
• Gradual improvement: It is important to note that the improvements in varicose veins may occur gradually. With non-invasive treatments like compression stockings, you may experience progressive relief as you consistently wear them. The timeline for improvement varies for each individual.
• Compliance with treatment recommendations: Your healthcare provider may provide specific post-treatment instructions, such as wearing compression stockings, elevating your legs, or following a prescribed exercise routine. It is crucial to adhere to these recommendations to optimize your recovery and achieve the desired outcomes.
• Follow-up appointments: Your healthcare provider may schedule follow-up appointments to monitor your progress and assess the results of the treatment. These appointments allow your healthcare provider to evaluate the effectiveness of the treatment and make any necessary adjustments to your care plan.
• Pregnancy-related considerations: It is important to remember that varicose veins may improve on their own after giving birth due to hormonal changes and the reduced pressure on the leg veins. However, if the varicose veins persist or worsen after pregnancy, you may need further evaluation and treatment options.
• Long-term management: Varicose veins are a chronic condition, and although treatments can provide temporary relief, they may require ongoing management. Your healthcare provider may provide guidance on long-term strategies to prevent or manage varicose veins, such as maintaining a healthy weight, regular exercise, and lifestyle modifications.

Remember that the specific outcomes and recovery process will vary depending on the individual and the treatment performed. It’s important to have open communication with your healthcare provider, follow their instructions, and report any concerns or changes in your condition during the post-treatment period.

What Are the Benefits of Varicose Veins Treatment in Pregnancy?

Varicose vein treatment during pregnancy can provide several benefits that can help improve your overall well-being and alleviate the discomfort associated with varicose veins.

Here are some benefits of varicose vein treatment during pregnancy:

• Symptom relief: The primary benefit of treatment is the relief of symptoms associated with varicose veins. These symptoms may include pain, swelling, aching, heaviness, and discomfort in the legs. By addressing the underlying venous insufficiency, treatment can help reduce these symptoms, improving your quality of life during pregnancy.
• Improved circulation: Varicose veins are often caused by poor circulation in the affected veins. By treating the varicose veins, blood flow and circulation can be improved, reducing swelling and promoting healthier circulation in the legs.
• Prevention of complications: In some cases, varicose veins can lead to complications such as skin changes, ulceration, or superficial thrombophlebitis. Treating varicose veins during pregnancy can help prevent or minimize the risk of these complications and also to avoid any chances of risk during pregnancy, reducing potential discomfort and improving your overall health.
• Enhanced comfort during daily activities: Varicose veins can make it challenging to perform daily activities, such as walking, standing, or sitting for extended periods. By reducing the symptoms and discomfort associated with varicose veins, treatment can help improve your comfort and mobility during pregnancy.
• Psychological well-being: Varicose veins can have a negative impact on body image and self-esteem. By addressing and treating varicose veins, you may experience improved psychological well-being, and feel more confident and comfortable in your own skin during pregnancy.

What Are the Risks and Complications Associated With Vricose Veins Treatment in Pregnancy?

Varicose vein treatment during pregnancy carries certain risks and potential complications, although the available treatment options are generally considered safe. It is important to discuss these risks with your healthcare provider before undergoing any treatment.

Here are some potential risks and complications associated with varicose vein treatment during pregnancy:

• Allergic reactions: Some treatment options, such as sclerotherapy, involve the use of chemical substances or solutions. While allergic reactions are rare, there is a small risk of developing an allergic response to these substances.
• Temporary worsening of symptoms: After certain treatments, you may experience temporary side effects such as pain, bruising, or inflammation around the treated veins. These symptoms typically resolve within a few weeks.
• Skin discoloration: In rare cases, treatment procedures may lead to skin discoloration or hyperpigmentation around the treated veins. This discoloration is usually temporary, but it may take several months to fade completely.
• Blood clots: Although rare, there is a small risk of developing blood clots (deep vein thrombosis) after varicose vein treatment. This risk is generally higher with more invasive procedures. Blood clots can potentially lead to more serious complications such as pulmonary embolism.
• Incomplete treatment or recurrence: Some non-invasive treatments for varicose veins may not completely eliminate the affected veins, and there is a possibility of recurrence or the development of new varicose veins in the future.

The risks and complications associated with varicose vein treatment during pregnancy are generally low. However, it is crucial to have a detailed discussion with your healthcare provider to understand the specific risks and benefits of the treatment options available to you. They will evaluate your individual situation, consider your medical history, and guide you toward the safest and most appropriate treatment plan.

What is the Recovery Process After Varicose Veins Treatment in pregnancy?

The recovery process after varicose vein treatment during pregnancy will depend on the specific treatment performed. Since invasive procedures are generally avoided during pregnancy, the focus is typically on non-invasive or conservative approaches.

Here are some general aspects of the recovery process after varicose vein treatment during pregnancy:

• Symptom relief: The recovery process often involves a gradual reduction in symptoms associated with varicose veins. Over time, you may experience relief from pain, swelling, and discomfort as the treatment takes effect. However, complete resolution of symptoms may take time and may not occur until after pregnancy.
• Follow-up appointments: Your healthcare provider may schedule follow-up appointments to monitor your progress and assess the effectiveness of the treatment. These appointments allow your healthcare provider to evaluate the outcomes and make any necessary adjustments to your care plan.
• Long-term management: Varicose veins are a chronic condition, and treatment during pregnancy may provide temporary relief. To maintain the benefits of treatment and manage varicose veins in the long term, your healthcare provider may recommend ongoing measures such as wearing compression stockings, engaging in regular exercise, and making lifestyle modifications.
• Return to normal activities: In most cases, non-invasive treatments such as wearing compression stockings or making lifestyle modifications do not require significant downtime. You can usually resume normal activities immediately after the treatment.
• Post-treatment care: Your healthcare provider may provide specific post-treatment care instructions, which could include wearing compression stockings, elevating your legs, or following any prescribed exercise routines. Adhering to these instructions is important for optimizing your recovery and achieving the best possible outcome.

The recovery process after varicose vein treatment during pregnancy may differ from that in non-pregnant individuals. Hormonal changes and the increased pressure on leg veins during pregnancy can impact the outcomes and timeline of recovery. Additionally, the specific recovery process will vary depending on the treatment performed and the individual’s response to it. It is essential to have open communication with your healthcare provider throughout the recovery process. They can provide personalized guidance, address any concerns or questions you may have, and monitor your progress to ensure the best possible recovery outcomes.

How Much Does Varicose Vein Surgical Treatment in Pregnancy Cost?

The cost of varicose veins treatment is not the same across the country there are several factors that influence the expense of this treatment, and the final cost can vary for each individual. Generally, the estimated cost ranges from Rs.63,000 to Rs. 84,000.

Is Varicose Vein Surgical treatment covered under health insurance?

Yes, the majority of insurance plans will pay for varicose vein procedures that are deemed as medically required care but not for cosmetic therapy. Insurance must pay for symptoms like leg pain from varicose veins (bulging leg veins). The majority of insurance companies cover varicose vein surgery. However, depending on a number of variables, such as the surgery’s need and other conditions, the scope of coverage may vary.