Why Hemorrhoids Are So Common During and After Pregnancy
Hemorrhoids are one of the most common yet least discussed side effects of pregnancy and postpartum recovery. They affect 30-40% of pregnant women (Source: American College of Obstetricians and Gynecologists) due to increased pressure on pelvic veins, hormonal changes, and the strain of labor.
While they can be uncomfortable, frustrating, and even painful, they are completely normal—and, more importantly, treatable.
This guide covers why hemorrhoids happen during and after pregnancy, what symptoms to expect, and the safest ways to find relief.
Why Do Hemorrhoids Develop During Pregnancy & Postpartum?
Pregnancy triggers significant changes in the body that can contribute to hemorrhoid development. Here’s why:
1. Increased Blood Volume & Pressure
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During pregnancy, your body produces 50% more blood to support the growing baby.
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This extra volume, combined with pressure from the expanding uterus, compresses veins in the lower body, increasing the risk of swelling.
2. Hormonal Shifts & Slower Digestion
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Progesterone levels rise during pregnancy, which relaxes blood vessels, making them more prone to swelling.
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Progesterone also slows digestion, leading to constipation, one of the leading causes of hemorrhoids.
📊 Constipation affects up to 40% of pregnant women. (Source: American Pregnancy Association)
3. Straining & Pushing During Labor
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Vaginal delivery places extreme pressure on the pelvic region.
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Straining during contractions can cause hemorrhoids to form or worsen postpartum.
📊 Postpartum hemorrhoids are most common in the first 1-2 weeks after birth. (Source: Cleveland Clinic)
4. Reduced Mobility in the Third Trimester
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Less movement, more sitting, and prolonged periods of lying down contribute to poor circulation, increasing pressure in the rectal veins.
What to Expect: Symptoms & Timeline
Hemorrhoids during pregnancy and postpartum can show up in different ways.
Common Symptoms:
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Itching & Irritation – Often one of the earliest signs, especially in the third trimester.
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Swelling & Discomfort – A tender lump near the anus or a feeling of fullness.
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Rectal Bleeding – Light spotting on toilet paper after a bowel movement.
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Pain During Bowel Movements – A burning or sharp pain, particularly after childbirth.
Postpartum Hemorrhoid Timeline:
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Peak symptoms occur in the first 1-2 weeks after birth due to labor strain.
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Most hemorrhoids resolve within 6 weeks postpartum with proper care.
📊 85% of postpartum women experience hemorrhoid-related discomfort. (Source: American Pregnancy Association)
Do’s and Don’ts for Treating Hemorrhoids During Pregnancy & Postpartum
What You Should Do
✔ Increase Fiber Intake – Aim for 25-30g per day to prevent constipation and soften stools.
✔ Stay Hydrated – Drink at least 8-10 glasses of water daily to keep digestion smooth.
✔ Use Pregnancy-Safe OTC Treatments – Look for medicated wipes, cooling sprays, and hemorrhoid creams with witch hazel or aloe to relieve irritation.
✔ Take Sitz Baths – A warm soak for 10-15 minutes, a few times a day, reduces swelling and discomfort.
✔ Use a Pillow or Donut Cushion – Sitting on a soft surface relieves pressure on affected veins.
✔ Engage in Gentle Movement – Walking or light stretching improves circulation and reduces swelling.
✔ Elevate Your Feet When Using the Bathroom – A small stool under your feet eases strain during bowel movements.
What You Should Avoid
✖ Straining or Delaying Bowel Movements – Holding it in makes constipation worse and increases pressure on rectal veins.
✖ Using Dry Toilet Paper – Opt for moist, alcohol-free wipes to prevent irritation.
✖ Taking Strong Laxatives – Some stimulant laxatives can cause cramping and dehydration. Use natural stool softeners instead.
✖ Sitting or Standing for Too Long – Change positions frequently to improve circulation and reduce rectal pressure.
✖ Ignoring Symptoms That Persist – If hemorrhoids don’t improve after 6 weeks postpartum, consult a doctor for alternative treatments.
When to See a Doctor
While most pregnancy-related hemorrhoids resolve on their own, medical attention may be necessary if:
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Severe or persistent bleeding occurs.
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Hemorrhoids become extremely painful or thrombosed (blood clot forms).
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Symptoms don’t improve after 6 weeks postpartum.
📊 Postpartum hemorrhoids requiring medical treatment occur in about 10% of cases. (Source: American College of Obstetricians and Gynecologists)
Final Thoughts: Managing Pregnancy & Postpartum Hemorrhoids
Hemorrhoids are a normal part of pregnancy and postpartum recovery, but that doesn’t mean you have to suffer through them.
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Most pregnancy-related hemorrhoids resolve within 6 weeks with proper care.
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Simple changes like increasing fiber, staying hydrated, and using pregnancy-safe treatments can make a big difference.
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If symptoms persist, a doctor can recommend medical treatments to provide long-term relief.
Taking care of yourself during pregnancy and postpartum is essential—not just for your comfort, but for your overall well-being.
At Norms, we know that pregnancy and postpartum bring enough challenges—you shouldn’t have to deal with unnecessary discomfort on top of it. Our pregnancy-safe wipes, sprays, and creams provide fast, effective relief without ingredients that could harm you or your baby. Whether you're in the third trimester, recovering from delivery, or deep into postpartum life, we've got you covered. Because feeling normal again should be part of your recovery, too.