Following is the management of vulvar varices during pregnancy :
Varicosities (lower leg, vulva, rectum) may appear for the first time or aggravate during pregnancy usually in later months Its due to obstruction in the venous return by the pregnant uterus. Specific treatment is better to be avoided Usually disappears following delivery Ref . Dutta Obs 6/e p103 Williams Obs 23/e p 210-211
Pressure
Cautery
Simple vulvectomy
Observation only
Medical, surgical and gynaecological illness complicating pregnancy