Why Varicose Veins Are More Common in Women

By | December 21, 2025

Understanding the Female Predisposition to Varicose Veins

Varicose veins are seen in both men and women, but they occur significantly more frequently in females. In fact, studies and clinical observations show that up to 40% of women in certain groups may experience varicose veins at some point in their lives.
This higher prevalence is largely due to biological and hormonal factors unique to women.


The Role of Hormones in Vein Health

Female hormones—especially estrogen and progesterone—have a direct impact on vein walls.

  • These hormones can cause veins to relax
  • Relaxed veins are more prone to dilation
  • Vein valves may become weaker over time

As a result, blood can pool in the legs more easily, increasing the risk of varicose veins.


Pregnancy: A Major Trigger

Pregnancy is one of the most important contributors to varicose veins in women.

  • Increased blood volume
  • Weight of the growing baby compressing pelvic veins
  • Hormonal changes that relax vein walls

All these factors combine to raise pressure in the leg veins, making varicose veins more likely during and after pregnancy.


Menopause and Varicose Veins

Another key stage is menopause.

  • Menstrual cycles stop
  • Hormone levels fluctuate and decline
  • Loss of hormonal support affects vein elasticity

These changes can further weaken veins and increase the risk of developing varicose veins or worsening existing ones.


Reproductive Life Stages and Vein Problems

The female reproductive lifecycle—including:

  • Menstruation
  • Pregnancy
  • Post-pregnancy changes
  • Menopause

plays a major role in determining long-term vein health. Each stage brings hormonal shifts that can influence circulation and vein strength.

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