What are the symptoms of vaginal varicose veins and vulval varicose veins?
In grade 1 of vulval varicose veins and associated vaginal varicose veins, the patient is unaware that they have varicose veins in the vagina and vulva. They only get found when investigated by a venous expert.
Patients with grade 1 vulval or vaginal varicose veins often present to a vein clinic with:
- leg varicose veins which when investigated with a duplex ultrasound scan are shown to arise from the pelvis, not the upper legs
- leg varicose veins that spread from the inner aspect of the upper thigh next to the vulva and classically run over the backs of the thighs
- discomfort or pain in the vulva or vagina, particularly when standing or after sexual intercourse
They can be very embarrassing, particularly if large, and more importantly they can cause considerable discomfort on standing. Less commonly, they can be so large that they can affect sexual intercourse or passing urine. Fortunately the treatment can be performed under local anaesthetic in 2 stages and the results when performed by specialist units are excellent.