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Vulvar varicosities may result in pain in and around the genital area.

Like every other area of the body, the vulva is home to a wide range of small and large blood vessels. During pregnancy, increased blood flow and pressure on the genitals and lower body can cause varicose veins.

Varicose veins are more common in the legs and feet, but some women also develop them in the vulva. The veins may be tiny and only moderately swollen or can be large, twisted, and painful.

Not all women with vulvar varicosities notice them or have symptoms. Even when symptoms do appear, a woman might not be able to see the veins. Anyone who suspects they have vulvar varicosities should speak with a doctor about the symptoms to ensure a proper diagnosis.


In addition to visible twisted or swollen veins, another main symptom of vulvar varicosities is a pain in or around the genitals.

The area may feel tender and sore, like a bruise. Some other symptoms include:

  • a feeling of pressure or fullness in the genitals
  • swelling in or around the genitals
  • pain that gets worse after standing, sexual activity, or physical activity

The veins can also affect the perineum, the area between the vagina and anus. Some women with vulvar varicosities also develop hemorrhoids.