Based on conservation of angular momentum, the speeds at apogee and perigee are related by v
ar
a = v
pr
p, which gives v
p/v
a = ( 1+e )/( 1-e ) ~= 1+2e, for small eccentricity. So the variation is considerable even in this case.
( The shape of the orbit varies from circular only to second order in e, i.e. e2. )