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TREATMENT OF UNSIGHTLY OR UNCOMFORTABLE VEINS (Continued) The cause of vein problems is not known, except that in many cases they seem to run in families. Surface veins occur in both men and women, but much more frequently in women. The hormone oestrogen may play a role in their development, because puberty, birth control pills or pregnancy often seem to bring them on. During pregnancy the enlarged uterus may restrict blood flow contributing to their development. They may also occur after a blow to a certain area of the body or as a result of wearing tight girdles or hosiery held up by tight bands. In addition, these veins may occur in association with underlying deep venous incompetence. Activities which increase intra-abdominal pressure, and therefore pressure on the major veins, probably increase the likelihood of developing varicose veins. For example, weight lifting whilst standing, or repetitive rapid stair climbing may worsen varicose veins. When they occur on the face, spider veins may be related to chronic sun exposure, and exposure to extremes of temperature. They tend to occur on either the nose or the cheeks of fair skinned persons. These facial veins can be injected if large enough to accommodate the tiny needle used. Otherwise
they are treatable by laser or radiosurgical coagulation. The treatment
is effected by causing localised clotting of the blood in the facial vein
which, of course, leaves the appearance of the vein darker than before,
and bruised for several weeks. Mostly this amenable to covering with make
up.
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