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What varicose vein treatments work best for men?

I am a male in my late 40s and I have varicose veins on my legs. I know varicose veins are more common in women, but I would like to learn more about treatment options. Are varicose vein treatments as effective on men as they are on women? What procedures work best for men?


Doctors Answers (5)

The majority of varicose vein problems and treatments are the same for men and women. The major exception is that some women develop varicose veins in the lower extremities arising from varicose veins or obstruction of veins in the pelvis. Most of these are treated with ultrasound guided or X-ray guided sclerotherapy. Properly chosen and properly performed procedures work quite well in both sexes.

There is no difference in success rates between men and women. They tend to be more common in women, but increases in both sexes as we age. There are a lot of minimally invasive techniques that can be used to treat the varicose veins. One is endovenous ablation with either laser or radiofrequency to heat and close the veins. There is Clarivein, which uses a wire and sclerosant to close the veins. Ultrasound guided foam sclerotherapy is another option if the veins are smaller. A solution is foamed and injected into the veins. Varithena becomes available next month for this. As well, there is microphlebectomies, regular or ultrasound guided sclerotherapy and old school vein stripping. The best bet is to get a consult with an ultrasound if you need and this will determine the best treatment options for your veins.

Although women are more likely to develop varicose veins, there is no specific difference in the treatment of varicose veins for both men and women. Treatment choices include endovenous ablation (with either a Laser or RF) for the larger varicose trunks including the greater saphenous and small saphenous veins. Branch varicose veins can be treated by microphlebectomy and foam sclerotherapy (sometimes ultasound guided). The best choice of procedure depends on the size and location of the vein. These are procedures that are done in the office with a return to normal activities after the treatment. The initial vein assessment at a vein clinic will include an ultrasound evaluation of the varicose veins and discussion of your treatment options.

Treatments for varicose veins are equally effective for men and women. The best available options at present include thermal ablation ultrasound-guided sclerotherapy, and Clarivein. A newly approved micro foam for ultrasound-guided injection called Varithena will be available early this summer.

Varicose veins are more common in women, but I do have several male patients. The treatment is the same for both genders.

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