What Are Hemorrhoids?
Hemorrhoids are swollen veins in the rectal or anal area that can cause discomfort, itching, or pain. They are common during pregnancy, especially in the third trimester, due to increased pressure in the pelvic area. While they can be unpleasant, hemorrhoids are usually harmless and often resolve after delivery.
Why Are Hemorrhoids Common in Pregnancy?
Several factors contribute to the development of hemorrhoids during pregnancy:- Increased Pressure: As your uterus grows, it puts pressure on the veins in your pelvis and lower body.
- Hormonal Changes: Higher levels of progesterone relax blood vessel walls, making them more prone to swelling.
- Constipation: Pregnancy hormones slow digestion, increasing the risk of constipation, which can strain the rectal area during bowel movements.
- Increased Blood Volume: Pregnancy increases blood flow, which can lead to swelling in the veins.
Symptoms of Hemorrhoids
Common symptoms include:- Itching or irritation around the anus
- Pain or discomfort during bowel movements
- Swelling or lumps near the anus
- Bright red blood on toilet paper or in the toilet after a bowel movement
Safe Relief for Hemorrhoids During Pregnancy
If you’re dealing with hemorrhoids, these remedies can provide relief:1. Sitz Baths
Soaking your bottom in warm water for 10-15 minutes a few times a day can reduce swelling and soothe irritation.2. Cold Compresses
Applying an ice pack wrapped in a cloth to the affected area can reduce swelling and provide temporary pain relief.3. Topical Treatments
Pregnancy-safe over-the-counter creams, ointments, or witch hazel pads can ease itching and discomfort. Always consult your healthcare provider before using any medication.4. Stay Regular
To prevent straining, ensure your bowel movements are soft and easy to pass by:- Drinking plenty of water
- Eating fiber-rich foods (e.g., whole grains, fruits, vegetables)
- Taking a pregnancy-safe fiber supplement, if needed
Preventing Hemorrhoids During Pregnancy
While you can’t completely eliminate the risk of hemorrhoids, these tips can reduce your chances of developing them:- Avoid Straining: Don’t force bowel movements; let them happen naturally.
- Exercise Regularly: Activities like walking or prenatal yoga improve circulation and reduce pressure in the pelvic area.
- Sleep on Your Side: This reduces pressure on your pelvic veins compared to sleeping on your back.
- Take Breaks: Avoid sitting or standing for long periods, as these can increase vein pressure.
When to Call Your Doctor
In some cases, hemorrhoids may require medical attention. Contact your healthcare provider if:- You experience severe pain or discomfort.
- Hemorrhoids bleed frequently or heavily.
- You notice a lump that doesn’t go away.
Hemorrhoids during pregnancy are a common but manageable discomfort. With proper care and preventive measures, you can minimize their impact on your pregnancy journey. Remember, you’re not alone—many moms-to-be face this challenge, and your healthcare provider is there to support you every step of the way.

Content Reviewed by Dr V.
Learn MoreDr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.