I Get Vericose Veins from Pregnancies. Should I Wait to Repair Veins Until I Am All Done Having Children?

Since you have already had one EVLT with a recurrence of veins at the knee, I would recommend having a venous reflux ultrasound done before your next pregnancy.  If you have reflux that has caused the painful recurrence, this should be treated.  The ultrasound will also show the status of the valves in the opposite leg which will give some info on your chances of developing veins in that leg.  If you have reflux in the leg that you had EVLT, I would treat the reflux and the varicose and spider veins before a new pregnancy since they will most llikely worsen during the pregnancy realizing that there still is a chance of new veins forming with a pregnancy.  Also, there is no limit as to how many times you can have sclerotherapy.

Although you had EVLT of the great or lesser saphenous veins, there may be other sources of venous insufficiency contributing to the development of spider and reticular veins around the ankles, also known as corona phlebectasia - i.e. a fan shaped pattern of small intradermal veins on the medial (inside) or lateral (outside) aspect of the ankle and foot is called corona phlebectatica. Corona implies that they "crown" the ankle. A Board Certified phlebologist (vein specialist) can do special Doppler studies to look for and treat these with foam sclerotherapy or perforator vein EVLT procedures. Otherwise, they will recur and you will need repeated injections