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What are they?
A varicosity is a vein which has become distended with blood and no longer functions as well as it was meant to in returning blood to the heart. Varicosities generally occur in the lower parts of the body, commonly in the legs. They can also occur in the vulva or in the rectal area. Varicosities of the rectal/anal area are called hemorrhoids.

What causes them?

In pregnancy, several factors contribute to the formation of varicose veins and hemorrhoids. Increased levels of estrogen causes elastic tissue found in the veins to be more fragile. High levels of progesterone cause relaxation of vein walls. The growth of the uterus creates higher pressure in the pelvis and legs which can impede blood return. Some women have a genetic tendency toward varicosities.

Timing and Symptoms
Varicosities are most likely to appear in the last half of pregnancy, especially in the third trimester. Hemorrhoids may not appear until after birth as they sometimes occur as a result of the pressure of the baby's head during birth. Varicosities in the legs and vulva may not be symptomatic at all or may cause deep aching in the affected areas. Superficial varicosities may appear as ropy looking areas on the surface of the leg. Hemorrhoids may cause itching, burning, and may bleed.
Prevention and relief
 
For hemorrhoids:
Avoid constipation.
Witch hazel compresses may be applied directly to the hemorrhoids.
Sitting in a tub of warm water may be soothing.
Some women find relief by side-lying, using lubricant on their finger to replace a protruding hemorrhoid. This can be followed by Kegal exercises
Other varicosities
Rest several times a day with the legs and buttocks elevated.
Do not stand for long periods.
Walk or swim daily.
Use maternity support hose -- put them on while still in bed, and wear them at all times when you are up and around.
Keep legs uncrossed when sitting.
Sleep with legs elevated, and rest several times per day on your left side.
Avoid tight, constrictive clothing.
Vulvar varicosities may be helped by applying physical support such wearing a foam rubber pad or several sanitary pads held in place with a sanitary belt. Some women find relief using bicycle shorts that fit snugly around the crotch area. There are other garments that have proven to be useful. One such garment can be found at www.fembrace.com 
Teas such as oatstraw, parsley or nettle are reputed to strengthen capillaries and improve elasticity of veins.
Danger signs
Warmth, redness, swelling, or tenderness over the vein or in the leg.
Fever or chills.
Leg pain when pressure is applied to the calf or swelling in one leg only.
 
 
 
 
 

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Updated
8/21/2008
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