Vulvar Varicosities 101: What They Are and How to Get Relief

If you’ve felt unexpected heaviness or swelling in your vulva during pregnancy, you’re not imagining it. Vulvar varicosities are real—and more common than you might think.

These enlarged veins in the vulvar region often appear during pregnancy due to increased blood flow and pressure in the pelvic area. While they may not be as talked about as swollen feet or back pain, they can be just as uncomfortable—and sometimes even more distressing.

In this post, we’ll break down what vulvar varicosities are, why they happen, and how you can get real, lasting relief.

What Are Vulvar Varicosities?

Vulvar varicosities are swollen, twisted veins in the vulva, typically caused by increased blood volume and hormonal changes during pregnancy. As Dr. Margo Kwiatkowski, PT, DPT, CSCS, PCES explains, “This increase in pressure, combined with softening connective tissue from hormonal shifts, can cause veins in the vulvar and perineal area to swell.” They can look like bluish bulges or clusters of veins and are often accompanied by:

• A feeling of fullness or pressure in the vulva
• Swelling or puffiness around the labia
• Aching or throbbing pain—especially after standing for long periods
• Visible, rope-like veins near the vaginal opening

While they often show up in the third trimester, some women experience symptoms earlier. They’re more common than people think, but they often go undiagnosed because they’re under-discussed. 

The good news? For many women, they go away a few weeks after childbirth. But in the meantime, they can seriously impact your comfort and confidence.

What Causes Vulvar Varicosities?

There are a few contributing factors, especially during pregnancy:

• Increased blood flow to support the growing uterus
• Hormonal changes that relax blood vessels
• Weight of the baby and uterus putting pressure on pelvic veins
• Genetics—a family history of varicose veins can make you more likely to develop them

While they’re rarely dangerous on their own, vulvar varicosities can occur alongside other pelvic issues like pelvic organ prolapse or hemorrhoids.

How to Relieve Vulvar Varicosity Discomfort

Here’s the good news: There are simple, non-invasive ways to ease symptoms and support your body through this season.

1. Compression Garments Specifically Designed for the Pelvic Area

Pelvic support garments like the ones from Hem Support Wear can help relieve pressure by gently lifting and compressing the pelvic region. Unlike general maternity support belts, these are designed with vulvar varicosities in mind—providing targeted support where you need it most.

Another pro tip from Dr. Margo? Apply compression first thing in the morning. “Vulvar varicosity symptoms tend to worsen as the day goes on," she says. "Gravity is affecting the blood flow and allowing for additional pooling in the legs and pelvis.”

👉 Want to go deeper? Read how compression garments support prolapse, postpartum recovery, and vulvar varicosities.

2. Change Positions Frequently

Avoid standing or sitting for long periods. Alternating between sitting, lying down, and short walks helps improve circulation and reduce pooling in the veins.

3. Elevate Your Hips

Lying on your side with a pillow between your legs or elevating your hips with a cushion can help take pressure off the pelvic veins. Some women find relief by doing short inversions with doctor approval.

4. Cool Compresses

A cold compress or a chilled perineal pad can reduce swelling and discomfort temporarily. Be sure not to apply ice directly to the skin—always use a cloth barrier.

5. Stay Hydrated and Eat High-Fiber Foods

Constipation can worsen pelvic pressure. Staying regular with hydration, fiber-rich foods, and gentle movement supports overall pelvic health.

When to Talk to Your Provider

In most cases, vulvar varicosities are harmless and resolve after delivery. But you should talk to your OB or midwife if:

• You notice new or worsening pain
• The area becomes red, warm, or firm (possible sign of a clot)
• You experience vulvar varicosities outside of pregnancy

Your provider can help rule out other conditions and recommend supportive therapies.

You’re Not Alone (Even if It Feels Like It)

Vulvar varicosities are rarely talked about—but that doesn’t mean you have to suffer in silence. You deserve real support, relief, and a care plan that honors your whole experience.

At Hem Support Wear, we design pelvic support garments that meet you where you are—with the science-backed structure and softness your body craves.

Ready for Relief? Here’s What to Do Next:

• 🩺 Try a pelvic support garment designed to provide targeted compression.
• 📬 Sign up for our newsletter to get expert-backed pelvic health tips
• 📚 Learn more about pelvic floor health from pelvic healthcare providers in our Expert Spotlight series.
• 📥 Download our free pelvic health symptom tracker to better understand your body, spot symptom patterns, and feel more confident in your next conversation with your provider.

You deserve to feel strong, supported, and confident in your changing body. We’re here to help.

Contributor: Dr. Margo Kwiatkowski, PT, DPT, CSCS, PCES

Dr. Margo Kwiatkowski, PT, DPT, CSCS, PCES, is a pelvic health physical therapist specializing in pregnancy, postpartum, and pelvic floor care. She is the founder of P4Moms Physical Therapy. Portions of this article include insights adapted from her expert contribution to our educational content library.

About the Hem Support Wear Team

Meet Cristin, Lauren, and Alexa: a small, mission-driven team passionate about helping women feel supported, seen, and strong—especially when it comes to pelvic health. Hem was founded by Lauren Fleming, whose personal journey with prolapse sparked a mission to make healing feel less lonely and a whole lot more empowering.

**Medical Disclaimer: This post is intended to provide information and resources only. This post or any of the information contained within should not be used as a substitute for professional diagnosis, treatment, or advice. Always seek the guidance of your qualified healthcare provider with any questions you may have regarding your healthcare, conditions, and recommended treatment.