If you’re pregnant and feeling a little extra pressure in places that aren’t exactly brunch conversation material, you’re definitely not alone. Hemorrhoids-yep, the literal pain in the butt-are incredibly common during pregnancy, birth, and postpartum. Let’s dive in and talk about what’s going on back there, what causes these pesky things, and what you can actually do about them (besides waddling around in quiet misery).
What Are Hemorrhoids, Anyway?
Hemorrhoids are swollen veins in your rectal or anal area; think of them as varicose veins, but, well, in your booty. They can either be internal (inside the rectum) or external (under the skin around the anus). Sounds pretty unpleasant, right? But the truth is, they’re super common during pregnancy, affecting up to 50% of pregnant people at some point.
So why do they happen? Well…
Pregnancy: Pressure, Pressure, Everywhere
As your uterus grows, it puts pressure on a big vein (the inferior vena cava) that drains blood from your lower body. Add in more blood circulating in your body and your digestive system slowing down (thanks, progesterone!), and you’ve got a recipe for constipation. And, of course, that can lead to straining, which often results in hemorrhoids.
TL;DR: Baby’s pushing on your pelvis, and your bowels are slow. Cue the hemorrhoids.
Birth: Push It Real Good
During labor, especially if you’re pushing for a while, you’re bearing down like you’re trying to deliver a watermelon and win a weightlifting competition. This pressure can either bring on new hemorrhoids or make existing ones worse. Don’t worry, you didn’t push your butt out, though it sure feels like it.
Postpartum: The Aftermath
After you’ve had your baby, your body is in recovery mode, but those hemorrhoids sometimes don’t get the memo. Constipation, dehydration, and soreness can make things worse.
And seriously, trying to care for a newborn while sitting on a donut cushion? Iconic, tragic, and all too real.
How to Treat (and Avoid) Hemorrhoids Without Losing Your Mind (or Your Tush)
Let’s talk solutions. No shame here:
💧 Hydrate like your butt depends on it – because it absolutely does. Water helps keep things moving and keeps those stools nice and soft.
🥦 Fiber up – Fruits, veggies, and whole grains are your new best friends when it comes to digestion.
🚽 Don’t force it – Straining is the best way to meet your hemorrhoid’s love language. Respond with silence.
🛁 Sitz baths – Your new self-care ritual. Warm water can soothe discomfort and reduce swelling. Epsom salt adds some extra spa vibes.
🧊 Cold compresses – When your tush needs a chill pill.
🍑 Witch hazel pads – Soothing, cooling, and surprisingly nice-smelling. (Bonus: no one has to know you’re using them.)
💤 Rest – Easier said than done, but resting on your left side can reduce pressure on your pelvic veins.
How a Doula Can Help Your Rear End
A postpartum doula is here for the not-so-glamorous parts of recovery, including hemorrhoid care. From prepping meals that keep you regular to helping you get comfortable enough for that sitz bath, we’ve got your back, and your booty, covered.
Bottom Line
Hemorrhoids might be a literal pain in the ass, but they’re common, treatable, and absolutely nothing to be embarrassed about. Pregnancy and birth stretch you in every possible way, and if your backside is feeling the pressure, you’re definitely not alone.
You’re growing a human. Your butt deserves a standing ovation!
