Vaginal Varicosities: Varicose Veins in the Labia During Pregnancy

Pregnancy comes with many expected changes—but some are more surprising than others. One of those lesser-known symptoms? Vaginal varicosities—also known as varicose veins in the labia or vulva. While they can be uncomfortable, they’re actually very common and often temporary.

Here’s what you need to know about why they happen, what they look and feel like, and how to ease the discomfort safely—especially during pregnancy.

What Are Vaginal or Vulvar Varicosities?

Vaginal varicosities, also called vulvar varicosities, are swollen, enlarged veins that appear on the outer genital area—typically the labia or surrounding vulva. They’re similar to varicose veins in the legs and often appear as blue, purple, or bulging veins.

These veins become more noticeable when pressure increases in the lower body—which is why they are especially common during pregnancy.

Why Do They Happen in Pregnancy?

Varicose veins in the vulva during pregnancy happen for a few key reasons:

• Increased blood volume to support the growing baby

• Hormonal changes, especially increased progesterone, which relaxes vein walls

• Uterine pressure on pelvic blood vessels, slowing blood return to the heart

• Weight gain, which adds pressure to the lower body

Most often, they appear in the second or third trimester, but they can show up earlier in some cases.

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What Do They Feel Like?

Many people with vulvar varicosities describe sensations like:

• A feeling of fullness or pressure in the vulva

• Aching or throbbing in the genital area, especially after standing for long periods

• Visible bulging veins or swelling

• Itchiness or irritation in the labia

In some cases, you may even notice a blood blister in the labia during pregnancy, which can be alarming—but is often harmless. Still, always consult your provider to rule out other conditions like cysts or infections.

Are Vulvar Varicosities Dangerous?

Usually, they’re not dangerous, just uncomfortable. The good news? Most vaginal varicosities go away naturally after birth—typically within 6–8 weeks postpartum.

However, it’s important to monitor any symptoms that worsen or seem unusual. If you experience severe pain, bleeding, or signs of clotting, call your doctor right away.

How Tracking Can Help You

Tracking your pregnancy symptoms—even the unexpected ones—can help you spot patterns and get support faster. Whether it’s pressure in the labia, visible swelling, or changes in how you feel after certain activities, tracking helps you connect the dots.

By noting symptoms daily, you can:

• Identify what activities worsen or relieve discomfort

• Share clear data with your OB-GYN

• Feel more in control and less confused by sudden changes

👉 The Belle App helps you track pregnancy symptoms with ease—plus offers body awareness exercises to help you tune in and support your changing body every step of the way.

Treatment Options: How to Manage Symptoms Safely

There’s no one-size-fits-all cure, but there are effective ways to relieve pain and swelling from vulvar varicosities—especially during pregnancy:

✅ Home Remedies:

• Cold compresses or ice packs to reduce inflammation

• Compression garments like pregnancy support shorts designed for vulvar support

• Elevating your hips when resting to promote blood flow

• Avoid standing or sitting too long—alternate positions frequently

• Gentle movement and walking to keep circulation flowing

✅ Medical Treatments (Postpartum or When Needed):

If symptoms persist after delivery or interfere with daily life, your provider might suggest:

• Sclerotherapy (injections to close the veins)

• Laser treatments or vein ablation

• Minimally invasive surgery, in rare cases

Always consult your OB-GYN before trying any treatment, especially during pregnancy.

When to Call Your Doctor

Contact your provider if you experience:

• Sudden or severe vulvar swelling

• Intense pain or pressure

• Signs of infection or bleeding

• A lump or blister that grows quickly

Even though vaginal varicosities are usually benign, it’s always best to check in when something feels off.

Takeaway on Vaginal Varicosities

Vaginal varicosities may be uncomfortable and unexpected, but they are very common during pregnancy—and usually not a cause for concern. With the right support garments, gentle self-care, and your provider’s guidance, you can manage the discomfort and focus on what matters most: caring for your growing body and baby.

FAQs About Vaginal Varicosities

Are vulvar varicosities permanent?

No—vulvar varicosities usually resolve on their own within weeks after delivery. If they persist, treatments are available postpartum.

What causes a blood blister in the labia during pregnancy?

Blood blisters can result from increased pressure on vulvar veins, friction, or swelling. They are often harmless but should be checked by a doctor.

What’s the safest vulvar varicosities treatment during pregnancy?

Supportive garments, cold compresses, and elevating your hips are safe options. Always consult your provider before starting any treatment.