Published: 12.08.2026
1 min read
In Short
Hemorrhoids in pregnancy are common and usually harmless. Pressure and hormones are to blame, not poor hygiene.
What We've Been Sold as Normal
Nobody talks about hemorrhoids, and even less so during pregnancy. So a lot of people assume they must have done something wrong.
The Honest Explanation
Pregnancy raises the pressure in the pelvis: the growing baby, more blood volume, and hormones that soften connective tissue. The vascular cushions around the anus, which everyone has, swell more easily. When they enlarge and cause trouble, they are called 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.
What You Often Hear – and What's True
“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.
Putting It in Context
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.