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Hemorrhoids in pregnancy are common and usually harmless. Pressure and hormones are to blame, not poor hygiene.
Nobody talks about hemorrhoids, and even less so during pregnancy. So a lot of people assume they must have done something wrong.
Pregnancy raises the pressure in the pelvis: the growing baby, more blood volume, and hormones that soften connective tissue. The veins around the anus widen more easily – those are hemorrhoids. Constipation often comes on top of it, which invites straining, which raises the pressure even further.
It is a mechanical problem created by circumstances, not a question of cleanliness. Cleaning with water instead of dry paper irritates the sensitive area far less.
“That comes from bad hygiene.”
No. It comes from pressure and hormones.
“After birth it stays for good.”
Usually not. Much of it recedes.
“Straining helps speed things up.”
Wrong. Straining makes it worse.
“There's nothing you can do.”
There is. Soft stool, little straining, gentle cleaning.
For many people, hemorrhoids are simply part of pregnancy. What matters is lowering the pressure – not feeling ashamed. With severe pain or bleeding, see your midwife or doctor.
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