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Is there medicine that can treat varicose veins?

What is the best medicine for this varicose vein? Is sclerotherapy more appropriate to help eliminate the veins? Can the treatment be done for a person with no children yet? Would the veins come back after pregnancy if they were treated before?


Doctors Answers (6)

There is no pill or cream that has been shown effective in treating veins. The best treatment is a combination of closing off your deeper veins first, if they have disease, followed by sclerotherapy for your smaller veins. It is better to treat your veins before pregnancy, because they will only get worse and more symptomatic during the pregnancy.

The "best medicine" for varicose veins would be wearing maternity compression hose during your pregnancies, and also if you have an occupation which required prolonged standing (such as a teacher or nurse). Sclerotherapy is very effective for eliminating medium and small sized problem veins. The veins that are treated will close and be reabsorbed by the body over time. These veins will be gone and new veins will grow easily as needed and which will start out as normal veins. Pregnancies can cause the veins to enlarge due to an increase in the bodies circulating blood volume by 50%, circulating hormones which act to relax connective tissues, increasing obstruction to venous flow from the legs due to the increasing weight of the uterus over the large vein (vena cava); this then returns blood from the legs to the heart, and often a reduction in physical activities all contribute to venous congestion and even varicose vein forming in the legs due to pregnancy. To minimize the effects of a pregnancy on your leg veins and possibly avoid getting new varicose veins, consider wearing compression hose as soon as you find you are pregnant and wear them daily when out of bed. Continue to wear the hose 1-2 months following pregnancy as the fluid and hormone levels return to normal.

There is no medicine that will eliminate varicose veins. Sclerotherapy and/or ablation eliminates most unwanted veins. Treatment can be done at any time regardless of parity, but subsequent pregnancies often cause new veins to appear.

There are several sclerosants to treat varicose veins. Polidocanol and Sotradecol are the most common. It is safe to treat before having children and it may be advisable to do so. Varicose veins are not curable, but they can be well maintained with an appropriate long term plan.

There is no oral medicine to treat varicose veins. Taking a baby aspirin (81 mgs) daily can help reduce the chance of a superficial blood clot. Sclerotherapy is not advised for larger varicose veins because it can take many treatments, additional visits to release "trapped" blood and higher chance of pigmentation (straining of the skin over veins) As a board certified surgeon with many years vascular experience, I would remove the varicosities under local anesthetic, in my office with little down time. No hospital or surgery center needed. Cosmetically, the results are very nice. I recommend you be evaluated, including ultrasound, to see if the is an underlying cause, chronic venous insufficiency (CVI). This will get worse during pregnancy. I would recommend treating before pregnancy. If you have CVI, you MAY develop new vein problems in the future. With symptoms, most insurances cover these procedures.

In my opinion, there are no effective medicines. Sclerotherapy is best reserved for spider veins. Treatment depends on symptoms, not timing with pregnancy, but pregnancy usually is a factor in causation.

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