Spider veins and varicose veins are common during pregnancy, often caused by hormonal changes, increased blood volume, and pressure on the veins. I, Dr. Seema Gupta, BAMS, MD (Naturopathy), former House Physician in Gynecology and Obstetrics, and Advanced Certified in Diet and Nutrition, 27 years experience, I have observed that with the proper care—combining modern medical guidance and Ayurvedic principles – most women experience significant improvement in spider veins within months after delivery. This article explains what to expect, how to support natural healing, and when to seek treatment. Understanding Spider & Varicose Veins in Pregnancy Spider veins and varicose veins are common changes that many people experience during pregnancy. Understanding the difference between these two types of veins and why they appear can help you feel more at ease about what’s happening in your body. Spider veins are tiny, thin veins that appear close to the surface of the skin. They often look like red, blue, or purple lines, and can form web-like patterns – hence the name “spider veins.” They’re most commonly found on the legs, but can also appear on the face, chest, or even the stomach during pregnancy. These veins are usually not painful, but their appearance can be distressing, especially if you’ve never had them before. Varicose veins, on the other hand, are larger, deeper veins that become swollen, twisted, and bulge above the skin’s surface. They’re most often seen on the legs and feet, but can also develop in the vulva or pelvic area during pregnancy. Varicose veins can cause discomfort, aching, heaviness, itching, and throbbing. In some cases, they may lead to more serious complications, such as skin changes or ulcers. Why Do These Veins Appear During Pregnancy? Pregnancy is a time of significant changes in your body, and your veins are no exception. Several factors contribute to the development of spider veins and varicose veins during this period: It’s also worth noting that spider veins and varicose veins can appear in unexpected places during pregnancy. For example, some people notice spider veins on the stomach during pregnancy, especially in the third trimester, or even on the vulva. These changes are usually temporary, but they can be surprising and sometimes uncomfortable. In summary, spider veins and varicose veins are common during pregnancy, resulting from increased blood volume, hormonal changes, and the physical pressure exerted by the growing uterus. It’s essential to remember that these veins, although bothersome, are typically temporary, and understanding their causes is the first step toward effective management. Will Spider Veins Go Away After Pregnancy? One of the most common questions new parents ask is whether spider veins or varicose veins go away after pregnancy. The answer isn’t always straightforward, but there’s good news for most people. What Usually Happens After Birth For many, spider veins and varicose veins that develop during pregnancy do improve after delivery. According to sources such as the Cleveland Clinic and Evansville Surgical Associates, most spider veins and mild varicose veins typically begin to shrink and fade within three to four months postpartum. This is because, after childbirth: A few months after giving birth, my spider veins became much less noticeable, and it reassured me to see my body recover. When Veins Don’t Fully Disappear However, not everyone’s veins go back to normal. In some cases—especially after multiple pregnancies, or if the veins were prominent and very noticeable—spider veins and varicose veins may not fully resolve on their own. According to MAPS Centers for Pain Control and VeinDoctor, factors like the severity of the veins, the number of pregnancies, and your family history can all play a role. Some people find that while their veins improve, they never disappear entirely. Others may notice that new veins appear with each subsequent pregnancy, or that existing veins become more pronounced. This is especially true for those who had significant vein changes during pregnancy or who have a genetic predisposition to vein problems. Exceptional Cases: Vulvar and Abdominal Veins It’s also common to wonder about veins in less typical locations, like the vulva or the stomach. Will vulvar varicose veins go away after pregnancy? In most cases, yes – these veins usually shrink and become less noticeable within a few months postpartum. The same goes for spider veins on the stomach during pregnancy or veins on the belly during the third trimester. As the uterus shrinks and blood flow returns to normal, these veins often fade. What If They Don’t Go Away? If your veins haven’t improved after three to four months, or if they’re causing pain, swelling, or other symptoms, consider treatment options. Persistent veins can sometimes be a sign of underlying vein disease; therefore, it is essential to consult your healthcare provider if you’re concerned. In summary, most spider veins and varicose veins that appear during pregnancy do go away or improve significantly after delivery. However, some may persist, especially after multiple pregnancies or if you have a family history of vein problems. If your veins don’t improve or if they’re causing discomfort, effective treatments are available. What Affects Vein Resolution? Not everyone’s experience with postpartum veins is the same. Some people see their spider veins and varicose veins fade quickly, while others notice little change. So, what determines whether these veins will go away after pregnancy? Severity and Extent of Veins The size, number, and location of your veins play a significant role in determining your eligibility. Mild spider veins—those tiny, surface-level lines—are more likely to fade on their own. Larger, bulging varicose veins, especially those that were present before pregnancy or became very pronounced during pregnancy, are less likely to disappear completely. For example, 75% of my patients’ small spider veins faded within months, whereas for 25%, larger varicose veins showed only slight improvement and required treatment. Number of Pregnancies Each pregnancy increases the risk of developing new veins or worsening existing ones. The more pregnancies you have, the more likely it is that some veins will persist. This is because the veins are repeatedly exposed to increased blood volume, hormonal changes, and physical pressure.