Attending follow-up appointments allows medical specialists to monitor the treatment’s effectiveness and the healing process. It’s also an opportunity to address any concerns or complications that may have arisen post-treatment.
The harley street vascular
Groin, Vaginal and Vulvar varicose vein treatments
Our primary mission as Circulation Specialists is to help you achieve the healthiest circulation possible for your stage in life.
Whatever your lifestyle, genetic predisposition or individual health aspirations – Your Circulation is your Lifeline.
Understanding Groin, Vaginal, and Vulvar Varicose Veins
Varicose veins are commonly associated with the legs but can also develop in the groin, vaginal, and vulvar areas. These veins, characterised by their enlarged and swollen appearance, may appear blue or purple.
Their development is largely attributed to increased pressure in the veins of the pelvic area, which can be exacerbated by factors such as pregnancy, obesity, and standing for extended periods.
The veins in the body contain one-way valves to ensure blood flows towards the heart. When these valves weaken or are damaged, blood can accumulate in the veins, leading to varicosities. In the case of pregnancy, the growing uterus exerts additional pressure on the veins, further impeding blood flow and contributing to the formation of varicose veins in the pelvic area.
Approaches to Treatment
The management of varicose veins in these regions involves a comprehensive approach that includes both non-surgical and surgical treatments.
Treatment strategies are tailored to the person’s needs, considering the severity of symptoms, the presence of any underlying health issues, and whether the patient is pregnant.
Non-Surgical Treatments
Lifestyle Changes
Adopting certain lifestyle changes can alleviate symptoms associated with groin, vaginal, and vulvar varicose veins. These include:
- Maintaining a healthy weight: Excess weight can increase pressure on the pelvic veins, exacerbating varicose veins. A balanced diet and regular exercise can help manage weight and reduce symptoms.
- Elevating the hips: Elevating the hips above the heart level when resting or sleeping on the side, especially during pregnancy, can enhance venous return from the pelvic area to the heart, reducing pressure in the varicose veins.
- Wearing loose clothing: Tight clothing can restrict blood flow around the groin, thighs, and waist. Opting for loose-fitting clothes can prevent worsening of the varicose veins.
Surgical Treatments
Surgical treatments for groin, vaginal, and vulvar varicose veins are considered when non-surgical methods fail to alleviate symptoms or when the varicose veins are particularly severe.
- Direct Sclerotherapy of the Vulvar/ Vaginal Varices
Sclerotherapy involves the injection of a sclerosant solution directly into the symptomatic varicose veins, causing them to scar and forcing blood to reroute through healthier veins. The collapsed vein is eventually absorbed into local tissue and fades. This procedure may require multiple sessions for optimal results and is usually under ultrasound guidance. - Pelvic Vein Embolisation
In many patients, the groin, vulvar and vaginal varicose veins are caused by blood refluxing from varicose veins in the pelvis. In such cases, minimally invasive x-ray guided procedures to reduce the volume of the pelvic varicose vein reservoirs using glue or foam sclerosant, and stop the refluxing of vein blood through the pelvic floor may be required. This complements the direct sclerotherapy of the vulvar, vaginal and groin varicose veins.
Surgery is usually performed under short general anaesthesia as a day case procedure.
Post-Treatment Care
After undergoing treatment for groin, vaginal, and vulvar varicose veins, post-treatment care is needed for optimal recovery and to minimise the risk of complications.
Follow-Up Appointments
Continued Compression Therapy
The medical specialist may recommend continuing with compression therapy after treatment, especially after surgical interventions. Compression garments support the treated area, enhance circulation, and can help reduce swelling and discomfort.
Activity Modification
Patients are often advised to avoid strenuous activities and heavy lifting for a specified period after treatment. Gentle walking is encouraged to promote circulation without putting excessive pressure on the treated veins.
Pain Management
Some discomfort or pain may be experienced after surgical procedures. Over-the-counter pain relievers are usually sufficient to manage this, but it’s important to consult with a medical specialist for recommendations tailored to the treatment specifics.
you are covered
We are on the panel with most insurers in Singapore and with many international insurers; We also offer convenient options for self-paying patients.
