Hemorrhoids
Hemorrhoids — swollen veins in the rectum or anus — are very common during pregnancy, affecting up to 50% of women. They are caused by increased pressure on pelvic veins and constipation.
Common Causes
- Growing uterus puts pressure on pelvic blood vessels, causing venous engorgement
- Progesterone relaxes vein walls, making them more prone to swelling
- Constipation and straining during bowel movements
- Increased blood volume in pregnancy
- Prolonged standing or sitting
- Pushing during labor often worsens existing hemorrhoids
Remedies That May Help
Sitz Bath
Soaking in a few inches of warm water for 10–15 minutes several times a day relieves pain and itching.
Witch Hazel Pads
Witch hazel (available as medicated pads like Tucks) soothes hemorrhoidal inflammation safely in pregnancy.
Cold Compresses
An ice pack wrapped in a cloth reduces swelling and numbs pain.
Prevent Constipation
High fiber diet, adequate fluids, and gentle exercise keep stools soft and reduce straining.
Don't Linger on the Toilet
Avoid sitting on the toilet for extended periods, which increases pressure on rectal veins.
Topical Creams
Preparation H and other OTC topical treatments are generally considered safe in pregnancy — confirm with your provider.
When to Call Your Doctor
- Bright red rectal bleeding that is more than a streak on tissue
- Severe pain that is not relieved by sitz baths or OTC treatments
- A lump near the anus that is extremely tender, hard, or gets suddenly worse (possible thrombosed hemorrhoid)
- Hemorrhoids after delivery that don't improve within a few weeks
Frequently Asked Questions
Are hemorrhoids during pregnancy dangerous?
Hemorrhoids are painful and uncomfortable but not dangerous. They typically resolve after delivery.
Will hemorrhoids get worse during labor?
Pushing during labor can worsen hemorrhoids temporarily. Most improve significantly within weeks after delivery.
Can I use Preparation H while pregnant?
Most topical hemorrhoid preparations are considered safe, but confirm with your provider, especially formulations containing hydrocortisone.
How do I know if I have hemorrhoids or something more serious?
Hemorrhoidal bleeding is typically bright red and on the toilet tissue or surface of the stool. Blood mixed in or around the stool, dark blood, or large amounts warrant medical evaluation.
Do pregnancy hemorrhoids go away?
Most hemorrhoids that develop during pregnancy improve significantly or resolve entirely within weeks to months after delivery.