Would another pregnancy endanger the valves in the deep system after EVLT?

Question

I had EVLT on the great and small saphenous veins (both legs) along with some phlebectomies. Would another pregnancy endanger the valves in the deep system since the superficial ones were ablated?

Jerimiah Mason, MD · Answer

I don't think you have anything to be concerned about with your deep venous system, it is more than capable of handling the increased blood volume.

Raffy Karamanoukian, MD, FACS · Answer

It’s important to distinguish between varicose veins and spider veins when choosing between laser therapy, sclerotherapy, and vein surgery. With two board certified vein specialists, our center uses a combination of visual examination, functional flow measurements, ultrasound, transillumination, and infrared light to map out vein networks prior to therapy. Lasers can be used to treat deep varicose vein insufficiency, vein perforators, and varicose veins. Sclerotherapy is ideal for spider veins and reticular veins. Whereas surgery is reserved for severely incompetent varicose vein segments.

Best,
Dr. Karamanoukian
Realself100 surgeon

Best,
Dr. Karamanoukian
Realself100 surgeon

John Landi, MD · Answer

Pregnancy always puts increased pressure on the venous valves but routine pregnancies do not lead to deep venous insufficiency since the venous system is very pliable and capable of handling the increased flow from pregnancies. Ablating the superficial system should not affect this.

Scott Powell, MD - Account Suspended · Answer

Your deep system is much larger than the treated veins, and more than able to handle the increased blood flow.  Hopefully having your veins treated already you will have less swelling and discomfort.  I do encourage you to consider maternity compression hose if you start to notice any of these things, as you could develop new spider or varicose veins.Good luck to you,Dr. Powell

Would another pregnancy endanger the valves in the deep system after EVLT?

Answers (4)

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