Varicose veins are a common concern during pregnancy and often come as an unwelcome surprise for many women. The changes that occur in the body at this time place extra pressure on the veins, and this can lead to new veins appearing or existing ones becoming more noticeable.
Understandably, many new mothers want to know whether these veins will settle once pregnancy is over. This article explores why varicose veins develop, how they behave after childbirth, and what can be done if they fail to improve.
Why pregnancy causes varicose veins
Pregnancy places additional strain on the circulatory system, and this can make it harder for the veins in the legs to return blood to the heart. As blood flow slows, some veins begin to stretch and become more visible on the surface of the skin.
Several changes during pregnancy contribute to the development of varicose veins:
- Increased blood volume, which creates more pressure inside the veins.
- Higher levels of progesterone, which relax the vein walls and make them more likely to enlarge.
- The growing uterus presses on the pelvic veins, which slows the upward flow of blood from the legs.
- A family history of vein conditions, which makes some women more prone to developing them.
These factors often work together and can cause veins to appear gradually over the course of the pregnancy.
Do varicose veins go away after pregnancy?
Many women notice an improvement in their varicose veins during the months after giving birth. As hormone levels return to normal and the pressure from the uterus is relieved, blood flow becomes more efficient, and some veins naturally reduce in size. This tends to happen gradually and is most noticeable within the first three to six months.
Although some veins fade, others remain visible. Larger veins that were present before pregnancy are less likely to disappear completely. Each pregnancy can also increase the likelihood of persistent varicose veins. While natural improvement is common, complete resolution does not happen for everyone, and some women continue to experience symptoms or visible veins long after childbirth.
Factors that influence recovery
Recovery after pregnancy varies from person to person and depends on several individual factors. Some women find that their veins improve quickly, while others notice only partial change.
Key influences include:
- Whether varicose veins were present before pregnancy.
- The size and severity of the veins.
- The number of previous pregnancies.
- Family history of vein conditions.
- General activity levels and overall fitness.
- Occupations or routines that involve long periods of standing.
These factors shape how much the veins are likely to improve in the months following childbirth.
When to seek medical advice
It is sensible to speak with a healthcare professional if varicose veins remain uncomfortable or troublesome for several months after giving birth. Ongoing aching, swelling, or heaviness in the legs can indicate that the veins are unlikely to settle on their own.
More urgent advice is recommended if a vein becomes hard, hot or tender, or if there is sudden swelling in one leg. These symptoms may suggest inflammation or a possible clot and should be assessed promptly.
Concerned about varicose veins following childbirth?
If your varicose veins have not improved as expected or are causing ongoing discomfort, you do not have to simply put up with them. Many effective treatments are available once the postpartum period has settled.
At Southwest Veins, we offer a free initial assessment where you can discuss your concerns, learn more about treatment options, and receive personalised guidance. If you are ready to explore ways to improve your vein health, get in touch with us today.
Jamie Barwell is a Consultant Vascular Surgeon who has treated over 1000 patients with varicose vein problems, using open surgical techniques and, since 2007, foam sclerotherapy. He is a graduate of Guy’s Hospital Medical School and a fellow of Royal College of Surgeons of England.