Why do I get hemorrhoids during pregnancy?

Hemorrhoids affect a large share of pregnancies, especially the third trimester, and the causes stack: progesterone relaxes vein walls so they swell more easily, pregnancy constipation means straining - the single biggest aggravator - and the growing uterus presses on pelvic veins, slowing drainage and engorging the hemorrhoidal veins. MedlinePlus notes they are enlarged veins around the anus that itch, ache, bleed bright red on wiping, and sometimes protrude. They often improve within weeks after delivery, once the pressure lifts. Safe management: attack the constipation first - fiber, fluids, movement, and never straining or lingering on the toilet; wipe gently with moist wipes rather than dry paper; sit in a warm shallow bath for 10 to 15 minutes for relief; and ask your provider or pharmacist before using any cream - several are considered safe in pregnancy, but the confirmation matters. Side-sleeping and avoiding long sitting take pressure off the veins. When to call: rectal bleeding that is more than a smear on the paper, pain that is severe or sudden - a thrombosed hemorrhoid is a hard, exquisitely tender lump - hemorrhoids that persist after delivery, or any bleeding with pain, fever, or discharge. And mention them prenatally rather than suffering quietly - providers hear this weekly and can prescribe effective relief. Pymander is a free AI doctor, 24/7 by text. Describe your symptoms, and it can help you manage them safely.