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The description of a large, puffy, vein in the region of the vagina is most likely to be something called as vulvar varicosity. This is also called a vaginal varicose vein and is similar to varicose veins seen in other parts of the body.

Vulvar varicose veins

The reason behind the occurrence of Vulvar varicose veins is not quite known. Sceince assumes that genetic predisposition plays a role, as do changes in the venous system of the body. A large percentage of the women that develop these vaginal varicose veins do so after pregnancy. However, there are plenty of case reports of women who are not pregnant and have never been in their life developing these vulvar varicosities as well.

Symptoms associated with vulvar varicose veins

Most of the women that are affected by this conditions do not have any symptoms to report. 

The chief complaint is almost always esthetic as the presence of a vaginal varicose vein can cause potential embarrassment, the development of body confidence issues, and a disruption in the healthy sex life.

Some women occasionally complain of a swelling, discomfort, mild pain, and a feeling of pressure.

Vulval varicose veins can be significantly large, can become bulbous, swollen and twisted, resembling the roots of a tree and can also be bluish/purplish.

Treatment of vulval varicose veins

There are some non-surgical treatment options that are often advocated for the treatment of these vulvar varicose veins which involve the use of compression garments, exercises that help improve the circulation in the area, avoiding excessive pressure in the pelvis area, and making sure that the amount of standing the affected person has to do is limited.

All of these may help in reducing the swelling, and the symptoms associated but are unlikely to improve in eliminating the presence of these vulval varicose veins.

There are also two surgical options which are commonly used to remove the varicose veins. 

  • The first one involves the injection of a sclerosing agent into the vein which can help in reduction of the size of the enlarged vein significantly. This method is a relatively quick and painless and doctors use is very commonly. However, this technique can take some time to show results.
  • In cases where the engorgement is quite significant or the patient desires results in a short amount of time, surgical excision of the veins along with a ligation further back in the circulatory system is the best treatment option.

A plastic surgeon is usually involved as part of the operation so that the procedure ends up looking as esthetic as possible.

Conclusion

Medical science estimates that about 4% of women suffer from the presence of vulvar varicosities. While this condition is not life-threatening and may not have any associated physical symptoms, it can cause a lot of mental grief and trauma because of the disfigurement it can cause.

There exists no one established treatment option, and doctors will have to make decisions based on the individual history, needs, and expectations of the patients.

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