Let’s be real—pregnancy is beautiful, magical, and life-changing. But not every moment feels like sunshine and sparkles. One of those not-so-cute realities? Hemorrhoids during pregnancy. Yep, we’re talking about the discomfort, itching, swelling, and even bleeding that can make you feel like your bum has developed its own personality.
We’re here to talk openly about it—and help you find relief. Because the more you know, the better you’ll feel.
What Are Hemorrhoids During Pregnancy?
Hemorrhoids are swollen varicose veins in the rectum, caused by increased pressure from your growing uterus and hormonal changes. They’re incredibly common during pregnancy (especially in the third trimester), but they can also be prevented—or at least minimized—with the right habits.
Why Pregnant Women Get Hemorrhoids
Let’s break it down:
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Hormonal Changes
Progesterone helps your body get ready for birth by relaxing muscles and tissues—but it also relaxes the walls of your veins. This makes it harder to pass stool, leading to straining and, you guessed it, hemorrhoids. -
Constipation
One of the top culprits. Constipation during pregnancy is incredibly common and can be caused by hormones, iron supplements, and the extra pressure from your uterus. -
Iron Supplements
While essential for you and baby, iron can slow down your digestion, leading to hard, dry stools and—you guessed it again—more strain on your poor rectal veins. -
Weight and Pressure
As your baby grows, so does the pressure on your lower body. This can slow blood flow and aggravate your veins, making hemorrhoids worse.
How to Prevent Hemorrhoids While Pregnant
Here are simple, practical tips you can implement right now:
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Drink Lots of Water
Hydration is key—aim for at least 2 liters per day to keep your stools soft and your system moving. -
Eat a High-Fiber Diet
Load up on fiber-rich foods like prunes, lentils, leafy greens, Brussels sprouts, dried apricots, and whole grains. -
Stay Active
Walking and light pregnancy-safe exercises help reduce constipation, improve circulation, and maintain healthy weight gain. -
Take a Fiber Supplement
Products like Metamucil can help, but check with your healthcare provider first. -
Use a Foot Stool When Going #2
Tools like a Squatty Potty put your body in a more natural position for easier bowel movements with less straining.
Already Got Hemorrhoids? Here’s How to Treat Them
If those little buggers have already arrived, here’s how to soothe and manage them naturally and effectively:
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Warm Sitz Baths or Showers
After using the bathroom, rinse off with warm water and use mild, fragrance-free soap. Let the water soothe the area before gently patting dry. -
Use Witch Hazel
Tucks pads are a fan favorite—they’re cooling, alcohol-free, and help reduce inflammation. -
Apply a Hemorrhoid Cream
Over-the-counter creams like Preparation H can provide temporary relief from itching and pain. -
Wear Cotton Underwear
Breathable undies reduce irritation and help keep the area clean and dry. -
Avoid Sitting Too Long
If you're working or sitting for extended periods, try using a cushioned ring or standing periodically to ease pressure.
Recap: Hemorrhoid Prevention Tips for Pregnant Women
✅ Drink at least 2 liters of water daily
✅ Eat fiber-rich foods
✅ Move your body—walk daily if possible
✅ Take doctor-approved supplements
✅ Use a bathroom foot stool
✅ Maintain a healthy weight
✅ Keep the area clean and soothed with witch hazel and cream
Ointment, witch hazel, and a butt washer are a mom's best friend to keep hemorrhoids at bay. Put some witch hazel and warm water in the peri bottle. This one by Fridababy is awesome. All ordered from Amazon so you don't even need to walk in a store.
What to Do If Pregnancy Hemorrhoids Don’t Go Away
If you’re still experiencing irritation after 7 days of using an over-the-counter ointment, consider switching to natural coconut oil. Coconut oil has soothing, anti-inflammatory properties that can calm irritation. Some mamas find relief by alternating between the ointment and coconut oil—listen to your body and see what works best for you.
If you’re really struggling, it might be time to try a Sitz bath. These warm, shallow baths are designed to target the lower half of your body, helping to soothe soreness and promote healing.
Also, speak with your doctor if:
- Your symptoms are getting worse
- You suspect thrombosed (clotted) hemorrhoids
- You’re seeing more than a small amount of bright red blood
- You’re over 40 and experiencing rectal bleeding of any kind
While a little bleeding with hemorrhoids can be common, it’s always better to get professional input—especially during pregnancy.
If none of the home remedies seem to help, your OBGYN can recommend pregnancy-safe treatment options tailored to your needs.
✨ Visit our blog for more pregnancy tips, real talk, and relief remedies.
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