Vulvovaginal varicosities are an uncommon finding that may be transient or persistent, depending on the cause.

Causes of vulvovaginal varicosities include:

(1) vascular malformation

(2) pelvic congestion syndrome (with chronic pelvic pain)

(3) pregnancy

(4) cirrhosis

(5) pelvic mass with venous compression

(6) venous thrombosis


Evaluation may include:

(1) a history of how and when the varicosities arose

(2) examination of the lower extremities for varicose veins

(3) ultrasonography of pelvic veins

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