Jean-François VAN CLEEF Service de médecine vasculaire, Institut Arthur Vernes, 36 rue d’Assas, 75006 Paris, France. Private practice: 43 rue de la Chaussée d’Antin, 75009, Paris, France SUMMARY Vulvar varicose veins occur in 10% of pregnant women, generally during month 5 of a second pregnancy. Anatomically, the vulvar veins have communicating branches and anastomoses between the pelvic wall and the veins of internal organs, between the internal and external iliac venous system, and with the circulation of the medial aspect of the thigh via the perineal veins. Vulvar varices are not caused by an increase in circulatory volume during pregnancy, … Continue reading Treatment of vulvar and perineal varicose veins