Dr. Adam Goldman

these guys are like 21, 23 years old and they came in with massive veins and ulcerations and really, really bad disease, you know?

And so they obviously have a very bad gene and you can have cases where none of the parents have it and you spontaneously, you know, the genetic defects happen.

Yeah.

Um, so, but there's definitely, you can see all those patterns and you'll declare yourself.

So if you have had stable Venus pattern, um,

for 20 years you know probably that's what's going to happen in the future and then that's also when people kind of get treated finally you know i kind of get an assessment of how bad the problem is and how recurrent it is yeah so if someone has a lot of recurrences or has really bad disease yeah they probably should be wearing prophylactic uh compression stockings to prevent the next uh problem uh people will have needed treated once nothing comes back in 20 years

to wear compression stocking on a daily basis, which is uncomfortable, is probably not the best strategy, but you can do it.

Well, no, women definitely have more incidents.

So I would say they're more aware of the veins because cosmetically it's an issue for them.

So even if men have it, men will often live with it, you know, until it's really bad.

So usually, you know, I'd say we're probably three to four to one women and men that we treat.

So that's the problem, number one.

Number two is...

Women, so part of the factors are pregnancy, hormones, you know, so people who are, you know, you know, menopausal, premenopausal or, you know, they got their period.

I've seen even young women.

It started when they first had the onset of their menstruation.

So women has a hormonal milieu that tends to make it worse.

But it does happen to both sexes.

Definitely there's a predominance for women.

I mean, I guess if you're really, really hardcore and putting a lot of pressure on your veins, you know, generally when you work out, you're not just doing, you know, you're not just doing legs or butt.