Why do hemorrhoids frequently occur during pregnancy?
Hemorrhoids occur especially frequently during pregnancy because the growing uterus increasingly presses on the vessels in the pelvic area. This can hinder blood circulation and lead to the expansion of veins in the anal area. Hormonal changes also contribute, as the hormone progesterone relaxes the vessel walls, making it easier for hemorrhoids to enlarge.

What causes hemorrhoids during pregnancy?
The main causes of hemorrhoids during pregnancy are:
|
Cause |
Impact |
|
Increased pressure on the veins |
The growing uterus obstructs blood flow, leading to vascular congestion. |
|
Hormonal changes |
Progesterone relaxes the vessel walls and slows down bowel activity. |
|
Constipation |
Firm stool consistency and strong straining promote hemorrhoids. |
|
Reduced physical activity |
Less movement leads to slower digestion and poorer circulation. |
|
Changes in blood volume |
An increased blood volume can raise the risk of vascular congestion in the anal area. |
The combination of these factors significantly increases the risk of enlarged hemorrhoids.
How can hemorrhoids be prevented during pregnancy?
To prevent hemorrhoids during pregnancy, the following measures should be observed:
Fiber-rich diet: Whole grain products, vegetables, and legumes promote healthy digestion.
Adequate hydration: Drink at least 2 liters of water or unsweetened tea daily.
Regular exercise: Walks or light gymnastics improve blood circulation in the pelvic area.
Proper toilet habits: Avoid sitting too long and straining during bowel movements.
Pelvic floor training: Supports blood circulation and strengthens the muscles around the anal canal.
These measures help minimize pressure on the hemorrhoids and prevent discomfort.
Which home remedies help with hemorrhoids during pregnancy?
Many natural methods provide relief for hemorrhoids during pregnancy:
Cooling compresses: Cold compresses with chamomile tea or witch hazel soothe irritated skin.
Sitz baths with oak bark or chamomile: Reduce inflammation and relieve itching.
Coconut oil or aloe vera: Have soothing and anti-inflammatory properties.
Flaxseed or psyllium: Support a soft stool consistency to avoid straining.
Proper sitting posture: Avoid prolonged sitting and use a soft seat cushion.
Natural remedies are a particularly safe alternative to many medications during pregnancy.
Are ointments for hemorrhoids safe during pregnancy?
Not all hemorrhoid ointments are suitable during pregnancy. Ointments containing cortisone or vasoconstrictive agents should only be used after consulting a doctor.
Safe alternatives are:
Witch hazel ointments: Natural anti-inflammatory effect.
CANNEFF® Suppositories: Herbal ingredients to relieve itching and swelling. However, note that CANNEFF suppositories have not been tested on pregnant women.
Lidocaine ointments: Local anesthesia for acute pain (short-term use).
Before using medications or ointments, a doctor or midwife should always be consulted.
Can hemorrhoids be treated during pregnancy?
Yes, hemorrhoids can also be specifically treated during pregnancy. The most important measures are:
|
Treatment method |
Advantage |
|
Sitz baths |
Reduces pain and inflammation. |
|
Cold compresses |
Relieves swelling and itching. |
|
Ointments & suppositories (CANNEFF®) |
Herbal alternatives soothe and promote healing. Note: Not tested on pregnant women. |
|
dietary change |
Soft stool prevents irritation. |
|
Regular exercise |
Promotes blood circulation and prevents constipation. |
A combination of these methods usually helps to control hemorrhoid symptoms well during pregnancy.

How long do hemorrhoids last after birth?
After birth, many hemorrhoids disappear on their own within a few weeks to months. However, in more severe cases, further measures may be necessary. If symptoms persist after six months, a medical evaluation should be conducted.
When should you see a doctor for hemorrhoids during pregnancy?
A doctor visit is necessary if:
-
Severe pain or persistent itching occurs.
-
Blood in the stool is noticed.
-
Hemorrhoids permanently prolapse and cannot be pushed back.
-
Home remedies and gentle treatments do not bring improvement.
Especially during pregnancy, medical advice should be sought early to avoid unnecessary complications.
Which exercises help against hemorrhoids during pregnancy?
Targeted movement exercises can help improve circulation and reduce pressure on hemorrhoids:
|
Exercise |
Advantage |
|
Pelvic floor training |
Strengthens muscles and improves circulation. |
|
Gentle yoga |
Supports bowel activity and promotes good posture. |
|
Swimming |
Reduces pressure on the pelvic floor and improves circulation. |
|
Walks |
Promotes healthy digestion and prevents constipation. |
These exercises are especially gentle and suitable for pregnant women.

Do hemorrhoids go away on their own after pregnancy?
Yes, in many cases hemorrhoids after birth resolve on their own. Especially if they first appeared during pregnancy, they often disappear within a few weeks. However, if the symptoms persist or worsen, targeted treatment may be necessary. Hemorrhoids are a common problem during pregnancy but are well treatable with the right measures. Gentle home remedies, a fiber-rich diet, and targeted exercise can help relieve symptoms. If the symptoms persist or worsen, medical evaluation should be sought.