The Struggles of Vulvar Varicosities During Pregnancy

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During my second trimester, I reached a point where the discomfort became unbearable. “I’m experiencing a lot of pressure,” I confided to my midwife during a routine appointment. “You know, down there.”

“Down there?” my midwife echoed, raising an eyebrow. “Are you referring to your perineum?”

I nodded, feeling a mix of embarrassment and humor. “It feels like everything down there might just fall out! The pressure is immense, and everything is so swollen. It could easily relocate to my knees!”

“It sounds like you’re dealing with vulvar varicosities,” she replied, maintaining a professional demeanor.

Wait. Did she just say vulvar? The inner teenager in me cringed at the word. Here I was, dealing with varicose veins in my vulva. My midwife explained that these varicosities were a result of increased blood flow and the pressure from my growing uterus, akin to having hemorrhoids but in a different location.

Regrettably, there’s no magical cure for vulvar varicosities. For some temporary relief, my midwife recommended a vulvar supporter—thick elastic bands designed to lift and support the perineum. I promptly ordered one online from a medical supply store; there was absolutely no chance I was purchasing that in person. The item resembled a jock strap with a hint of lace to indicate the front side. I struggled to put it on while trying to see beneath my ever-expanding baby bump.

From across the room, my husband muttered, “Very sexy.”

I shot him a glare that could silence a room, conveying the clear message: “If you ever want to have intimacy again, you will stop talking NOW.”

While the supporter provided some physical relief, I was an emotional wreck over my situation. What was I supposed to say when people asked about my pregnancy? “My vulvar varicosities are quite bothersome today, but thankfully I have my vulvar supporter. What about you?”

Interestingly, my midwife shared that she had also experienced vulvar varicosities during her pregnancy. She understood my discomfort and embarrassment and reassured me that I wasn’t alone—many other pregnant women faced similar issues.

Still, I didn’t know anyone else with this condition. Pregnant women freely discussed nausea and cravings as if they were badges of honor, yet vulvar varicosities were rarely mentioned. Did celebrities like Jennifer Aniston or Taylor Swift ever have to deal with this? Anyone? Bueller? I trudged through the remainder of my pregnancy in silence while wearing those thick elastic bands.

Once my daughter was born, the pressure subsided, and my veins returned to their pre-pregnancy state by my 6-week postpartum checkup. That supporter soon became a distant memory.

Now, when I ask a pregnant woman how she’s coping, the answer is typically “Fine” or “Ugh, morning sickness.” I sometimes wonder if she might be silently suffering from vulvar varicosities as well. I want to offer support—or at least guide her to where she can find a vulvar supporter. For more information related to pregnancy, you can visit this excellent resource for expectant mothers.

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Summary:

Vulvar varicosities can be a challenging and often unspoken issue during pregnancy. With the right support and understanding, women can navigate this discomfort more easily. Seeking help and resources can make a significant difference in managing the physical and emotional aspects of this condition.