# Pregnancy Hemorrhoids

Source: https://www.pregnancypowerhour.com/conditions/hemorrhoids-pregnancy
Last updated: 2026-07-15

> 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.

## 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](/conditions/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.

## 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](/conditions/iugr) 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](/conditions/cervical-insufficiency), your comfort and well-being regarding hemorrhoids are equally important to share.