A 40-year-old member asked:
why do pregnant women get hemorrhoids?
5 doctor answers
Dr. Carolyn Thompson answered
27 years experience Obstetrics and Gynecology
Varicose veins: Hemorrhoids are merely varicose veins at the opening of the anus. Pregnant women have an increased blood volume, and the veins in the pelvis become distended with blood. This includes the veins that surround the rectum and anus. For many women, the effect of bearing down with pushing during delivery makes hemorrhoids worse, but most resolve after delivery, but it may take several weeks.
Answered on Sep 7, 2018
Dr. David Gutman answered
19 years experience Internal Medicine
Here are 4 reasons: 1. The developing fetus causes an increase in pressure on the abdominal and pelvic veins, which in turn is transmitted to the hemorrhoids. 2. Constipation is common during pregnancy, which aggravates hemorrhoids. 3. Hemorrhoids often have estrogen receptors, and the increased estrogen levels during pregnancy causes the tissue to enlarge and become easily inflamed. 4. Straining during delivery.
Answered on May 1, 2012
A Verified Doctor answered
A US doctor answered Learn more
Pressure: The growing uterus exerts a lot of pressure on the blood vessels to the pelvis and legs. This causes them to swell up causing hemorrhoids.
Answered on May 1, 2012
Dr. Scott Kramer answered
35 years experience Gynecology
Blood congestion: Notice leg veins bulge when pregnant-blood is pooling in your veins. This is accentuated in the pelvis which includes the anus. Constipation contributes as well. Then pushing during childbirth brings them into full bloom. High fiber diet, tucks (witch hazel) or other medicated moist pads for wiping, and OTC Hydrocortisone anal products are helpful. Surgery only when persistently bothersome.
Answered on Mar 6, 2015
Dr. Kevin O'neil answered
27 years experience Urogynecology
Venous congestion: Hemorrhoids are dilated or varicose veins of the anus. They occur more commonly in pregnant women because the uterus compresses the pelvic veins, slowing blood return from the pelvis and legs back to the heart and causing veins in the pelvis, anus, vulva and legs to swell.
Answered on Nov 17, 2017
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