Hi Dear !! Thanks for your query to HCM. Read and reviewed your query and health concerns. You seem to suffer from -Subcutaneous Petechial Hemorrhages- from the bursting of the engorged Varicose Vein -incompetent perforators. These black spots occur during menstrual periods because of increased venous loads from increase in retained fluids due hormonal changes,which results in to increased Varicose vein engorgement from retrograde blood flow in perforating veins,from deep leg veins. You need to check out for DVT-Deep Vein Thrombosis by Consults with Surgeon and Vascular Surgeon, who would fix its diagnosis by USG scan and Color Doppler studies of the leg varicose Veins. Do s Suggested- In this scenarios-EVLT (Endo-Venous-Laser Ablation Treatment)with foam coils- sclerotherapy and blockage of perforating veins-in legs is suggested in your case. For the time being to control the worsening of the Varicose Veins and black spot recurrence, Rest with head low bed during sleeping- Venostocking use-during day, Cap Dafflon 300 mg x 3 times x 1.5 mths-Venotonics. Avoiding long standing jobs, if any. Hope this reply would help you to resolve the health issues with help of doctors attending on you. If need be, update any health issue 24 x 7 by a direct question to ME, at following HCM link- http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied,Don t forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at HCM services. If you want to update more details and ask more update queries , You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS