What this experience covers
This experience looks at what people describe about managing an anal fissure during pregnancy — the limited treatment options, the frustration, and the strategies that help. It is a composite drawn from many anonymised accounts.
The pattern
Why fissures happen during pregnancy
Pregnancy increases the risk of fissures through several mechanisms:
- Constipation from hormonal changes and iron supplements
- Increased pressure on the pelvic area from the growing uterus
- Reduced physical activity for some people
- Dietary changes and nausea affecting fibre intake
The treatment limitations
Many standard fissure treatments are not recommended during pregnancy:
- GTN cream — not typically prescribed during pregnancy
- Diltiazem — used with caution; some clinicians avoid it
- Botox — generally not used during pregnancy
- Surgery — usually deferred unless absolutely necessary
This leaves people managing with conservative measures:
- Stool softeners that are safe in pregnancy (your clinician can advise which ones)
- Sitz baths in warm water
- Dietary management for soft stools
- Topical measures your clinician has specifically approved
The frustration people describe
The most common emotional theme: frustration at having limited options while dealing with significant pain. People describe feeling that they have to “just put up with it” until after the birth, which feels inadequate when the pain is severe.
What helps
- Consistent stool management — this is the most effective approach available
- Sitz baths after every bowel movement
- Staying hydrated
- Working closely with both the midwife/obstetrician and GP to find safe options
- Knowing that for many people, the fissure improves after delivery when bowel function normalises
What people wish they had known
- That constipation prevention is the best strategy — starting fibre and hydration early
- That some safe treatment options do exist and are worth discussing with a clinician
- That the fissure often improves postpartum, even without specific treatment
- That the emotional toll of managing pain during pregnancy is valid and worth mentioning to their care team
Navigating this during pregnancy adds extra complexity. Our chat can help you think through what is safe and what to prioritise.
When to contact your doctor
Seek medical attention if you experience:
- Heavy or persistent bleeding
- Severe pain that is affecting daily function
- Fever or signs of infection
- Symptoms that are worsening despite self-care