Your current management with compression stockings and calcium dobesilate is a great start. If you need further options, other pharmaceutical treatments include venotonic medications like diosmin and hesperidin to improve blood flow, or anti-inflammatory drugs for discomfort. For more definitive results, several minimally invasive medical procedures are highly effective: 1. Sclerotherapy: Injecting a solution to close smaller veins. 2. Endothermal Ablation: Using laser or radiofrequency heat to seal affected veins. 3. Ligation and Stripping: Surgical removal of larger veins, usually reserved for severe cases. Please consult your vascular specialist to discuss which of these safe and common procedures is best suited for your specific vein anatomy.

Yes, hemorrhoid surgery is completely safe and will not affect her future marriage, intimacy, or pregnancy. Resolving this now is actually beneficial, as pregnancy can worsen hemorrhoids. Because she has developed anemia (low hemoglobin) from chronic bleeding, medication alone may not be sufficient, and a procedure is the most effective way to stop the blood loss permanently. You should consult a General Surgeon or a Proctologist (colorectal specialist). They can discuss minimally invasive options, like laser treatment, which offer very quick recovery. Please be reassured that this is a routine, highly safe procedure.