Gyneacologist

Question

Please post it as Anonymous. 
#Anon

I had varicose vein problem in my first pregnancy that vanished on its own after delivery. During my second pregnancy the problem arose early and didn\'t  end completely after delivery too ; I faced pressure and pain almost every month during periods.
Now as I am pregnant again my varicose veins are getting worst with time, I have noticed swollen veins down there too and I am so scared. I feel too much pressure and extreme pain in my leg and specially vagina after mating with husband . My gyneacologist knows about my leg varicose veins but I am too shy to discuss about the vaginal area too. Both of my previous children were delivered naturally but I am so scared this time for the c-section!
 Any gynea on the group who can guide me that is natural vaginal birth possible with these swollen varicosites?
Please guide me I am really worried. I am really scared if this problem ended up in c-section.Kindly help me with any suggestions/ home remedies /

Dr. Uzma Mohsin · Answer

-wellcome and thanks for preffering Marham for your health Consultation.
-it would be better if u would send me some more details regarding your issue like drugs u have been on, any specific treatment u have been taking.
-before Conception u need to have balanced diet, weight and Bmi as to reduce varicose side effects weight need to be balanced as in pregnancy things get More critical.
-have strict diet to have balanced weight, daily brisk walk before Conception and try to ekevate legs some times higher then heart level to reduce symptoms.
-should have folic acid daily 5 mgs.
-for vaginal varicose vein try to have one inspection and Examination with respective specialist as well.
-during pregnancy from start u will need blood thining medications as soon as viability confirm and proper antenatal visits in tertiary care center under maternal medicine Consultant.
-again in pregnancy u will need walk, specific light leg elevating exercises and beere to sleep leg elevated like pillow below legs.
-sleep on left lateral or right lateralnto reduce pressure on vanacava and few further precautions as soon as pregnancy advances.
-for vginal or cesarean that also Ned to Evaluate at that time so that would be decision according to your situation.
-from now get better take care of your self and balance weight
-best of Luck.

Asst. Prof. Dr. Rashid Usman · Answer

Aoa dear patient,
varicose veins during pregnancy is not uncommon and they tend to get worse with subsequent pregnancies.
i feel your main issue is not leg veins at present but veins in private parts and u r worried whether they may interfere with normal birth. well, its difficult to give u best opinion... as a vascular surgeon i will adv to see similar in yr city... if they r too big, local sclero can b easily done. else you need to get proper treatment after the child birth.
regards

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Dr. Uzma Mohsin - Gynecologist

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