Purpose — assessment of opportunities for sclerotherapy of vulvar varicose veins. Material and methods. The study is based on the results of examination and treatment of 26 patients with vulvar varicose veins (VVV). In addition to varicose syndrome, VVV was characterized by pain and swelling of the labia. All patients underwent ultrasound scanning (US) of the pelvis, perineum, and lower limbs veins. Varicose veins of the pelvis (VVP) were diagnosed in all the patients, a 1% ethoxysclerol solution or a 0.5% solution of fibrovein, 2 ml syringes, and 28G needles were used for sclerotherapy of vulvar veins. The varicose vein was punctured, 1 ml of the drug was injected after the appearance of the meniscus of the blood. Results and discussion. US failed to reveal the evident link between vulvar and intrapelvic veins in any of the cases but demonstrated the link with the tributaries of the great saphenous vein (GSV) in certain patients. The results of the study showed high efficiency of sclerotherapy for  the treatment of vulvar varicose veins. Neither GSV thrombophlebitis nor thrombosis of intrapelvic veins was detected in  the patients who completed sclerotherapy. This fact suggests that sclerotherapy of VVV is as an effective, safe, and cosmetic method of treatment that can be used as an independent technique for the treatment of this condition. Conclusion. Sclerotherapy of vulvar veins should be widely used in clinical practice. This will reduce the traumaticity of VVV treatment and increase its cosmetic effect in patients with isolated dilatation of the external genitalia, excluding surgery on the veins of the perineum.