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Pregnancy Hemorrhoids | Pregnancy Power Hour
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Condition · mild

Pregnancy Hemorrhoids

Pregnancy hemorrhoids are swollen veins in the rectal area, a common and often uncomfortable experience for many expectant and new parents, typically in the later stages of pregnancy and postpartum.

3 min read

Quick answer

Pregnancy hemorrhoids are swollen veins in the rectal area, a common and often uncomfortable experience for many expectant and new parents, typically in the later stages of pregnancy and postpartum.

On this page
  1. What it is
  2. What it tends to feel like
  3. What the evidence says helps
  4. Working with your care team

What it is

Pregnancy hemorrhoids are swollen veins in the rectum or anus, a common and often uncomfortable experience for many pregnant and postpartum individuals. These can develop inside the rectum (internal) or under the skin around the anus (external). While they can feel alarming, they are generally a mild, temporary condition related to the significant changes your body undergoes during pregnancy. It's a testament to the incredible work your body is doing to support new life.

The primary factors contributing to hemorrhoids during pregnancy include the natural increase in blood volume, which puts more pressure on veins throughout your body, including those in the rectal area. Additionally, the growing uterus places direct pressure on the rectal veins, making it harder for blood to return from that region. Constipation and the straining associated with bowel movements are also significant contributors, as they increase pressure in the area. This can be particularly challenging when you're already managing other pregnancy changes, perhaps even something like a Subchorionic Hemorrhage which can also cause discomfort and concern.

What it tends to feel like

Hemorrhoids can present with a range of sensations. You might notice itching, irritation, pain, or discomfort around the anus. Sometimes, you might feel a tender lump, especially with external hemorrhoids. Bleeding during or after a bowel movement is also a common symptom, which can be unsettling. While these symptoms are often mild, they can certainly impact your comfort and daily ease. It's important to remember that these feelings are valid, and there are gentle, evidence-based ways to find relief. Understanding what's happening in your body can bring a sense of calm and clarity, helping you make informed decisions about your comfort.

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What the evidence says helps

The good news is that there are practical, evidence-based approaches to manage and prevent pregnancy hemorrhoids. Prevention is often the most effective strategy, focusing on dietary fiber and adequate hydration. Incorporating fiber-rich foods like fruits, vegetables, and whole grains, alongside drinking plenty of water, helps keep stools soft and bowel movements regular, reducing the need to strain.

For symptomatic relief, warm water sitz baths are widely recommended. Soaking for 15-20 minutes, two to three times daily, can significantly ease discomfort. Cool compresses can also offer soothing relief. Many parents find witch hazel pads to be helpful, and your provider might suggest certain pregnancy-safe topical creams. Always discuss any over-the-counter options with your care team to ensure they are appropriate for your specific situation.

Beyond these, considering your daily habits can make a difference. Avoiding prolonged sitting or standing can help reduce pressure on the rectal veins. If sitting for extended periods is unavoidable, a donut cushion can provide some comfort and support. These small, doable adjustments can contribute to a greater sense of ease, allowing you to focus on the broader picture of your pregnancy wellness, much like how monitoring for conditions like IUGR — Fetal Growth Restriction requires consistent attention to overall health.

Working with your care team

While hemorrhoids are common and often mild, it's always a good practice to mention any new or worsening symptoms to your obstetrician or midwife. They are your best resource for personalized guidance and to rule out any other concerns. Your care team can help you weigh different options for relief and confirm that any topical treatments are suitable for you.

It’s especially important to reach out if you experience severe pain, significant bleeding, or if you notice a very painful, hard lump, which could indicate an external thrombosed hemorrhoid. In some cases, this might warrant a minor procedure, and your provider can discuss if that's a suitable path for you. Remember, open communication with your care team ensures you receive the most appropriate support throughout your pregnancy and postpartum period, helping you navigate any discomforts with confidence. Just as you'd discuss concerns about something like Cervical Insufficiency, your comfort and well-being regarding hemorrhoids are equally important to share.

Common questions

What causes hemorrhoids during pregnancy?+

Increased blood volume, pressure from the growing uterus on rectal veins, and straining due to constipation are common causes. These factors combine to make the veins in the rectal area more susceptible to swelling.

How long do postpartum hemorrhoids last?+

Postpartum hemorrhoids, while sometimes dramatic in appearance, typically improve substantially and resolve within two to six weeks after birth. Gentle care and continued prevention strategies can support healing.

Brittany Nance

“Pregnancy is under-supported at every week. This is the kind of clear, calm guidance I give my one-on-one clients — and the questions worth taking back to your provider.”

Brittany Nance · Pregnancy Wellness Consultant · full-spectrum doula

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Written by Brittany Nance, Pregnancy Wellness Consultant· BADT Full Spectrum Doula · Founder, Pregnancy Power Hour
Last reviewed July 15, 2026

This is evidence-informed education from a birth-doula perspective, not medical advice. Always discuss your individual situation with your prenatal care provider.

On this page

  1. What it is
  2. What it tends to feel like
  3. What the evidence says helps
  4. Working with your care team

Keep reading

  • RelatedPregnancy Hemorrhoid Symptoms in PregnancyPregnancy hemorrhoids are a common experience, affecting many during the third trimester and postpartum due to increased pressure and blood volume, but relief options are available.
  • RelatedPregnancy Hemorrhoid Symptoms at 40 Weeks PregnantAt 40 weeks pregnant, hemorrhoids can be particularly noticeable due to peak uterine pressure and potential constipation, adding to late-pregnancy discomfort.
  • RelatedPregnancy Hemorrhoid Symptoms at 20 Weeks PregnantAt 20 weeks pregnant, a growing uterus combined with potential constipation can increase pressure on rectal veins, potentially leading to the discomfort of hemorrhoids.
  • RelatedPregnancy Hemorrhoid Symptoms at 35 Weeks PregnantAt 35 weeks pregnant, the increasing pressure from your uterus combined with potential constipation can exacerbate or trigger hemorrhoid symptoms, leading to discomfort.
  • RelatedPregnancy Hemorrhoid Symptoms at 37 Weeks PregnantAt 37 weeks, the significant uterine pressure and potential for constipation can compound the discomfort of pregnancy hemorrhoids, a common third-trimester symptom.
  • RelatedPregnancy Hemorrhoid Symptoms at 25 Weeks PregnantAt 25 weeks pregnant, increased uterine pressure combined with potential constipation can contribute to the discomfort of pregnancy hemorrhoids.