At a glance
Hemorrhoids are one of the most common discomforts of pregnancy. Many people develop them for the first time during pregnancy or notice existing ones become more noticeable. They are also common in the postpartum period, particularly after vaginal delivery.
This page covers why pregnancy makes hemorrhoids more likely, what people commonly experience, self-care that tends to help, and when to talk to your care team.
Why pregnancy makes hemorrhoids more likely
Several factors come together during pregnancy:
- Increased blood volume — your body circulates significantly more blood during pregnancy, which can cause blood vessels to swell
- Pressure from the growing uterus — as the baby grows, increased pressure on pelvic veins can slow blood return and contribute to swelling
- Hormonal changes — progesterone relaxes blood vessel walls, making them more prone to stretching
- Constipation — very common in pregnancy due to hormones, iron supplements, and dietary changes, leading to more straining
These factors tend to increase as pregnancy progresses. Many people notice hemorrhoid symptoms most in the third trimester.
Common patterns people report
During pregnancy
- Swelling, itching, or discomfort around the anus that appears or worsens in the second or third trimester
- Constipation that makes symptoms harder to manage
- Discomfort when sitting for long periods
- Small amounts of bleeding after bowel movements
- Frustration at having “one more thing” to deal with during an already demanding time
Postpartum
- New hemorrhoids or worsening of existing ones after vaginal delivery, particularly after prolonged pushing
- Significant swelling in the first few days after birth
- Fear of the first postpartum bowel movement
- Gradual improvement over weeks, though the timeline varies
- Symptoms that linger longer than expected for some people
What tends to help during pregnancy
- Fiber and hydration — one of the safest and most effective approaches. Fruits, vegetables, whole grains, and plenty of water help keep stools soft.
- Gentle movement — walking and light activity can support healthy bowel function and reduce pelvic pressure.
- Sitz baths — warm water soaks for 10 to 15 minutes are generally considered safe during pregnancy and can provide relief.
- Not straining — responding to the urge promptly and not forcing bowel movements.
- Side sleeping — sleeping on your left side can reduce pressure on pelvic veins.
- Gentle cleaning — water or unscented wipes rather than dry toilet paper.
- Pelvic floor awareness — some people find that pelvic floor exercises support overall comfort, though this is individual.
What tends to help postpartum
- The same self-care measures as during pregnancy — fiber, hydration, sitz baths, gentle cleaning
- Stool softeners — many birth care teams suggest these for the early postpartum period. Ask your midwife or OB what they recommend.
- Ice packs — brief cold application in the first few days may help with swelling
- Patience — many people feel frustrated by the pace of recovery, but gradual improvement is the most commonly reported pattern
- Asking for help — this is a time to let others support you while your body heals
When to tell your midwife or OB
Bring it up at any appointment if you are experiencing discomfort. Specifically, let your care team know if:
- You have persistent or worsening pain
- You notice heavy bleeding (beyond small amounts on toilet paper)
- You feel a large, hard, or very painful lump
- Constipation is not improving with dietary changes
- You are unsure whether a product is safe to use during pregnancy or while breastfeeding
- Symptoms are affecting your daily life or mental wellbeing
If you experience severe pain, heavy bleeding, fever, or symptoms that concern you, seek medical care promptly. Your care team deals with these concerns regularly and can help.