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Week 24 · Second Trimestermild

Varicose Veins at 24 Weeks Pregnant

Varicose veins — swollen, twisted veins visible under the skin, usually on the legs — develop in up to 40% of pregnant women. They are caused by increased blood volume and the uterus pressing on pelvic veins.

👶 What's Happening at Week 24

Your baby is now the size of a cantaloupe.

  • The fetus now has a chance of survival if born prematurely (with NICU care).
  • Lungs are developing branches of the respiratory tree.
  • The inner ear develops fully — baby can sense being upside down.

🔬 Why You're Experiencing Varicose Veins at Week 24

  • Increased blood volume dramatically raises pressure in leg veins
  • Growing uterus compresses pelvic veins, restricting blood return from the legs
  • Progesterone relaxes vein walls, reducing their ability to close properly
  • Genetic predisposition — family history is the strongest risk factor
  • Standing for long periods increases venous pressure in the legs

💊 Relief Tips for Week 24

1
Compression StockingsMedical-grade compression stockings are the most effective way to prevent worsening varicose veins. Wear them from the morning (before getting up) throughout the day.
2
Elevate Your LegsElevating legs above heart level when resting reduces venous pressure and eases discomfort.
3
Exercise RegularlyWalking activates the calf-muscle pump, helping push blood back up from the legs.
4
Avoid Prolonged Standing or SittingChange positions frequently. When standing, periodically shift weight or walk in place.
5
Sleep on Your Left SideSleeping on the left side reduces pressure on the inferior vena cava, improving blood return from the legs.

📋 Other Week 24 Symptoms

Carpal tunnel symptomsItchy bellyBackacheBraxton Hicks
See full Week 24 guide →

⚠️ Call Your Doctor If…

  • Varicose vein becomes suddenly very tender, red, and warm — possible superficial thrombophlebitis
  • A hard, cord-like lump develops in a vein
  • Significant swelling in one leg that is asymmetric — possible deep vein thrombosis (DVT)
  • A varicose vein bleeds

Frequently Asked Questions

Do varicose veins during pregnancy go away?

Many varicose veins improve significantly after delivery as blood volume decreases and uterine pressure on pelvic veins is relieved. They may not completely disappear, especially with subsequent pregnancies.

Can varicose veins develop on the vulva during pregnancy?

Yes — vulvar varicosities occur in some pregnant women and cause a feeling of heaviness or aching in the vulvar area. They typically resolve after delivery.

Are varicose veins dangerous during pregnancy?

Most varicose veins are benign and a cosmetic and comfort concern. The risk of deep vein thrombosis (DVT) is elevated in pregnancy regardless of varicose veins.

Can I have varicose vein treatment while pregnant?

Elective treatment (sclerotherapy, laser) is generally deferred until after delivery. Compression stockings are the main management during pregnancy.

Medical Disclaimer: This content is for informational purposes only and does not constitute medical advice. Always consult your OB/GYN or midwife about symptoms during pregnancy.