Yes, it is normal for varicose veins to be more sensitive just before the menstrual cycle. Normal hormonal changes result in dilation of the veins in the leg and tend to make venous insufficiency, varicose veins, and venous reflux worse at the time of the monthly cycle.

When we see patients who are most symptomatic at this time of their menstrual cycle, we are careful to perform the venous reflux ultrasound exam so we get the most reliable data.

Published on Jul 11, 2012

Yes, varicose veins and their symptoms can worsen right before your cycle.

Published on Jul 11, 2012

Varicose veins and venous insufficiency typically cause more symptoms around the menstrual cycle. Due to hormonal changes with estrogen and progesterone, increased fluid retention exacerbates leg swelling, heaviness, and throbbing.

Published on Jul 11, 2012

Absolutely. There is a hormonal effect causing this discomfort.

I recommend wearing compression hose a few days before and during, and perhaps take Ibuprofen to reduce symptoms and inflammation.

I also suggest you be evaluated by a board-certified, vascular-trained surgeon who specializes in varicose vein treatments. This will include an ultrasound.

Varicose veins are typically inherited and stem from valve failure in the saphenous veins, which causes backflow. With your symptoms, this should be covered by your insurance. These are office-based procedures with very little downtime and all done under local anesthetic. Walk in and walk out.

Published on Jul 11, 2012