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Pregnancy is an important specific risk factor for the development of chronic vein diseases  in women. In addition  to the superficial veins of the lower limbs, transformation often affects the pelvic veins. The management of pregnant women with vulvar and perineal varicose veins is one of the urgent  problems of nowadays at the intersection of phlebology  and obstetrics-gynecology. The article discusses possible options for conservative treatment of women with vulvar and perineal varicose veins during pregnancy, including the possibility  and feasibility of using systemic venoactive drugs.