Pregnancy is a time of incredible change, and many of these changes affect your circulatory system. While some side effects, like swollen ankles, are common, it’s important to understand the connection between pregnancy and CVI risks. Chronic Venous Insufficiency (CVI) is a condition where the veins in your legs struggle to send blood back to your heart. This can lead to varicose veins, and many expectant mothers wonder when to worry about varicose veins in pregnancy. Understanding why this happens and what signs to watch for can help you manage your symptoms and protect your vascular health during this special time. Get a consultation with the best vascular disease specialists in Brooklyn.
Why Pregnancy Increases the Risk of CVI and Varicose Veins
During pregnancy, your body undergoes several significant changes that place extra strain on your veins. This “perfect storm” of factors is why CVI, and varicose veins are so common among expectant mothers.
- Increased Blood Volume
Your body produces significantly more blood during pregnancy to support your growing baby. This increases the total volume circulating through your veins, placing more pressure on the vessel walls.
- Hormonal Changes
Pregnancy hormones, particularly progesterone, cause the walls of your veins to relax and become more flexible. While this is a natural part of pregnancy, it can make it harder for the tiny valves inside your veins to close properly. When these valves don’t work efficiently, blood can pool in the legs, leading to swelling and varicose veins.
- Pressure from the Uterus
As your baby grows, the expanding uterus puts direct pressure on the inferior vena cava—the large vein that carries deoxygenated blood from the lower body back to the heart. This pressure acts like a bottleneck, slowing blood flow from your legs and further increasing the pressure inside your leg veins.
Common Symptoms During Pregnancy
The symptoms of CVI and varicose veins during pregnancy can range from purely cosmetic to quite uncomfortable. You might experience:
- Bulging, twisted, blue, or purple veins, most often on the legs, but sometimes on the vulva or rectum (hemorrhoids).
- Aching, throbbing, or a feeling of heaviness in your legs.
- Swelling in the ankles and feet, especially at the end of the day.
- Itching or cramping in the legs.
For most women, these veins improve significantly within a few months after delivery. However, with each subsequent pregnancy, the veins may become more pronounced.
Varicose Veins in Pregnancy: When to Worry
While most varicose veins in pregnancy are a temporary nuisance, certain signs warrant a conversation with your doctor or a vascular health specialist. It’s important to know when the issue might be more than just cosmetic.
You should seek medical advice if you experience:
- Sudden or Severe Swelling: If one leg suddenly becomes much more swollen and painful than the other, it could be a sign of a deep vein thrombosis (DVT) or a blood clot, which requires immediate medical attention.
- Skin Changes: Look for changes in the skin over a varicose vein, such as discoloration, rashes, or thickening.
- Bleeding or Sores: If a vein starts to bleed or if an open sore (ulcer) develops near your ankle, it needs to be evaluated.
- Hard, Red, and Tender Veins: If a varicose vein becomes hard, warm, red, and very tender to the touch, you may have superficial thrombophlebitis (a clot in a vein just under the skin). While not as dangerous as a DVT, it should still be checked by a doctor.
Managing Symptoms at Home
You can take several steps to manage discomfort and prevent your veins from getting worse during pregnancy:
- Stay Active: Regular, low-impact exercise like walking or swimming helps improve circulation.
- Elevate Your Legs: Prop your legs up whenever possible, ideally above the level of your heart.
- Wear Compression Stockings: These provide gentle pressure to help support your veins and improve blood flow.
- Avoid Prolonged Standing or Sitting: Take frequent breaks to move around.
- Sleep on Your Left Side: This helps take pressure off the inferior vena cava.
If your symptoms are severe or if you have any of the warning signs mentioned above, don’t hesitate to seek professional help. Your OB-GYN is your first point of contact, and they may refer you to a vascular health specialist for a more detailed evaluation.
While invasive treatments for varicose veins are typically postponed until after you’ve had your baby, a specialist can provide an accurate diagnosis and help you manage your symptoms safely. For those in New York, a vascular clinic in Brooklyn can offer expert consultations and support during pregnancy. A team at a reputable vascular clinic in Brooklyn can help you understand your specific condition and create a plan for post-pregnancy care if needed.
Understanding pregnancy and CVI risks is about being proactive. By managing your symptoms and knowing when to seek help, you can have a more comfortable pregnancy and protect your long-term vascular health. For any vascular problems, call us on + 1-718-367-2555. The Vascular Disease Specialists at Doral Health & Wellness consistently have outstanding patient satisfaction ratings. The professionals at Doral Health & Wellness Vascular Health Department Brooklyn can improve your health and quality of life because of their vast training and experience. New Yorkers can get the greatest medical and surgical vascular care at Doral Health & Wellness Brooklyn. If you need help, register your information and make direct contact with our doctors at https://yuz88hfiyh7.typeform.com/Doralintake or send an email to info@doralhw.org. Visit us at 1797 Pitkin Avenue, Brooklyn, NY 11212.






