Is it better to get laser ablation and/or phlebectomy before or after pregnancy?

I had laser ablation and plebectomy on my right leg with good results. I want to have, at least some phlebotomy on the left leg again. Is it better to do the procedure now or wait until after I give birth? The reason I am anxious about waiting to have the procedure is that I am getting these increasing blue spots up the sides (particularly inner side) of my leg and I am afraid those will get worse and stick around.

Answers from doctors (9)


Advanced Vein & Laser Centre, Ltd.

Published on Jul 16, 2019

Pregnancy will aggravate varicose vein disease. I'd wait until you've given birth to have treatment. Have you and your physician considered sclerotherapy for the blue spots?

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Answered by Advanced Vein & Laser Centre, Ltd.

Pregnancy will aggravate varicose vein disease. I'd wait until you've given birth to have treatment. Have you and your physician considered sclerotherapy for the blue spots?

Published on Jul 11, 2012


Vein Center of Orange County

Published on Jun 09, 2015

As long as you don't become pregnant for six-twelve months after the procedure, it would be better to have it before pregnancy. If pregnancy occurs soon after ablation, the vein may recanalize (reopen) and require additional treatment. This assumes you have been properly diagnosed and require ablation. If you are asking about having phlebectomy only after successfull ablation, before pregnancy would be fine. Remember that developing varicose and spider veins is an inherited, ongoing condition that will require periodic maintenance treatments. In general, it is better to have treatment before and between pregnancies than to wait until after all planned pregnancies.

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Answered by Vein Center of Orange County

As long as you don't become pregnant for six-twelve months after the procedure, it would be better to have it before pregnancy. If pregnancy occurs soon after ablation, the vein may recanalize (reopen) and require additional treatment. This assumes you have been properly diagnosed and require ablation. If you are asking about having phlebectomy only after successfull ablation, before pregnancy would be fine. Remember that developing varicose and spider veins is an inherited, ongoing condition that will require periodic maintenance treatments. In general, it is better to have treatment before and between pregnancies than to wait until after all planned pregnancies.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Jun 07, 2015

Always wait at least 3 months after delivery to get evaluated for EVLT. The veins may go away.

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Answered by Cosmetic Vein Centers of Texas

Always wait at least 3 months after delivery to get evaluated for EVLT. The veins may go away.

Published on Jul 11, 2012


Aesthetic Surgery and Dermatology offices of Adrienne E. Stewart MD

Published on Jun 04, 2015

As to the ablative laser surgery I would definitely recommend waiting until after your child's birth. There are many reasons for this which I won't go into but waiting would be the best course of action.

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Answered by Aesthetic Surgery and Dermatology offices of Adrienne E. Stewart MD

As to the ablative laser surgery I would definitely recommend waiting until after your child's birth. There are many reasons for this which I won't go into but waiting would be the best course of action.

Published on Jul 11, 2012


More About Doctor Vein Center for Women PC

Published on Jun 04, 2015

These procedures should wait until after your pregnancy, especially since they are elective in nature. In the interim, while your waiting for your bundle of joy to arrive- compression stockings work wonders in keeping symptoms at bay. With pregnancy however, because of the increased blood supply, you will unfortunately see a visible increase of reticular (bluish in nature) and spider veins, which should diminish some time after you give birth. Talk to your doctor about a follow up appt after you have your baby and let him/her reevaluate your legs at that point. An ultrasound will determine if ablation and phlebectomy is even necessary on that leg.
Good luck to you and congrats.

Answered by Vein Center for Women PC (View Profile)

These procedures should wait until after your pregnancy, especially since they are elective in nature. In the interim, while your waiting for your bundle of joy to arrive- compression stockings work wonders in keeping symptoms at bay. With pregnancy however, because of the increased blood supply, you will unfortunately see a visible increase of reticular (bluish in nature) and spider veins, which should diminish some time after you give birth. Talk to your doctor about a follow up appt after you have your baby and let him/her reevaluate your legs at that point. An ultrasound will determine if ablation and phlebectomy is even necessary on that leg.
Good luck to you and congrats.

Published on Jul 11, 2012


Texas Vein And Cosmetic Specialists

Published on Jun 04, 2015

For patients with symptomatic venous insufficiency, I recommend treating the veins between pregnancy, with an understanding that there is a higher risk for recurrence if the patient finds herself pregnant again.
Patients I have treated report that subsequent pregnancy was much less unpleasant, secondary to vein symptoms if the venous insufficiency was addressed.

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Answered by Texas Vein And Cosmetic Specialists

For patients with symptomatic venous insufficiency, I recommend treating the veins between pregnancy, with an understanding that there is a higher risk for recurrence if the patient finds herself pregnant again.
Patients I have treated report that subsequent pregnancy was much less unpleasant, secondary to vein symptoms if the venous insufficiency was addressed.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Jun 04, 2015

If you are pregnant nothing should be done until after delivery and cessation of breast feeding when maternal hormones have returns to normal. The veins you see may be resolved. However I highly advise you wear thigh length hose to slow down the vein development.

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Answered by Vein Specialties of St. Louis

If you are pregnant nothing should be done until after delivery and cessation of breast feeding when maternal hormones have returns to normal. The veins you see may be resolved. However I highly advise you wear thigh length hose to slow down the vein development.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Jun 04, 2015

It is better to have your vein problem treated before a pregnancy because vein problems tend to worsen with and during pregnancies.

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Answered by Vanish Vein and Laser Center

It is better to have your vein problem treated before a pregnancy because vein problems tend to worsen with and during pregnancies.

Published on Jul 11, 2012


Destin Vein Center

Published on Jun 04, 2015

Generally we like to wait until after pregnancy to proceed with elective medical procedures.

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Answered by Destin Vein Center

Generally we like to wait until after pregnancy to proceed with elective medical procedures.

Published on Jul 11, 2012


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