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Pregnancy and Varicose Veins or Spider Veins: What to Expect
Medically verified
Last updated on 1/29/2026

By Dr. Michael Nguyen
Vein Doctor at Vein Treatment Clinic
Harvard Medical School
Board Certified by the American Board of Venous and Lymphatic Medicine
Varicose veins and spider veins during pregnancy are very common. Many women notice leg veins during pregnancy becoming more visible, bulging, or suddenly appearing for the first time.
Pregnancy increases blood volume, changes hormone levels, and adds pressure to the veins in the pelvis and legs. These changes can lead to pregnancy vein problems such as veins popping out, swelling, heaviness, or visible spider veins.

For some women, these changes are temporary. For others, pregnancy reveals underlying vein weakness that may persist after delivery.
If you are experiencing visible veins or discomfort during pregnancy and are unsure whether this is normal, a vein evaluation can help clarify what to expect now and after childbirth.
Why varicose veins and spider veins appear during pregnancy?
Varicose an spider veins in pregnancy are very common because pregnancy places unique stress on the vein system. Blood volume increases, hormones relax vein walls, and the growing uterus increases pressure on veins returning blood from the legs.
These changes make it harder for blood to flow upward, which can cause veins to enlarge, become visible, or form spider veins, especially in the legs.

Varicose Vein before and after treatment pictures.
Results may vary according to each case.

Varicose Vein before and after treatment pictures.
Results may vary according to each case.
Are varicose veins and spider veins common during pregnancy?
Yes. Spider veins and varicose veins during pregnancy are common, even in women who never had visible vein issues before.
Pregnancy often makes underlying vein weakness more noticeable.
Does pregnancy cause vein disease, or reveal it?
Pregnancy does not usually create vein disease from scratch. Instead, it often reveals an underlying tendency toward vein valve weakness.
Hormonal changes and increased pressure act like a stress test, exposing vein problems that may have otherwise appeared later in life.
Symptom Checker
Are varicose veins during pregnancy dangerous?
In most cases, varicose veins during pregnancy are not dangerous and do not threaten the baby.
However, they can cause discomfort, swelling, aching, itching, and in rare cases complications like bleeding or inflammation, which should be evaluated.
Are spider veins during pregnancy dangerous?
Spider veins during pregnancy are usually a cosmetic concern and not dangerous.
That said, their appearance can signal increased vein pressure and should be monitored, especially if symptoms develop.
Why veins often look worse later in pregnancy
As pregnancy progresses, pressure on the pelvic and leg veins increases.
This often causes veins to become more visible in the third trimester and improves somewhat after delivery.
Will pregnancy-related varicose veins go away after delivery?
Some pregnancy related varicose veins improve after delivery as hormone levels normalize and pressure on the veins decreases.
However, postpartum varicose veins may persist if pregnancy revealed underlying valve dysfunction rather than causing a temporary change.
Will spider veins go away after pregnancy?
Some spider veins that develop during pregnancy fade within months after delivery.
Others remain because pregnancy revealed a vein condition rather than causing a temporary change.
Can pregnancy make existing vein disease worse?
Yes. Pregnancy can worsen existing varicose veins or venous insufficiency because of increased blood volume and sustained pressure on weakened valves.
Symptoms may become more noticeable with each pregnancy.
What symptoms during pregnancy should prompt evaluation?
Persistent leg swelling, pain, heaviness, itching, skin discoloration, or bleeding from a vein should not be ignored.
These symptoms may indicate more advanced vein involvement.
Does This Sound Like You? Identify the Warning Signs Before They Progress
Can vein treatment be done during pregnancy?
Most vein treatments are deferred until after delivery.
During pregnancy, care focuses on symptom management and monitoring rather than corrective procedures.
Why a vein evaluation after pregnancy matters?
A post-pregnancy vein evaluation helps determine whether visible veins were temporary or part of underlying vein disease.
Ultrasound can identify valve problems early, allowing treatment before symptoms progress.
Precision Care: Understand Your Veins with an Ultrasound Map
What happens if vein disease is left untreated after pregnancy?
If underlying vein disease is present, symptoms often worsen over time, even if veins looked mild during pregnancy.
Early evaluation and treatment can prevent progression to skin changes, swelling, or ulcers.
When should you see a vein specialist?
You should consider seeing a vein specialist if veins remain visible months after delivery or symptoms persist.
Evaluation is especially important before future pregnancies.