10 doctors weighed in:

Why do pregnant women get hemorrhoids?

10 doctors weighed in
Dr. Kevin O'neil
Obstetrics & Gynecology - Urogynecology
4 doctors agree

In brief: 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.

In brief: 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.
Dr. Kevin O'neil
Dr. Kevin O'neil
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Dr. Scott Kramer
Gynecology
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Scott Kramer
Dr. Scott Kramer
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Dr. Padmavati Garvey
Obstetrics & Gynecology

In brief: 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.

In brief: 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.
Dr. Padmavati Garvey
Dr. Padmavati Garvey
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Dr. David Gutman
Internal Medicine

In brief: 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.

In brief: 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.
Dr. David Gutman
Dr. David Gutman
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Dr. Carolyn Thompson
Obstetrics & Gynecology

In brief: 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.

In brief: 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.
Dr. Carolyn Thompson
Dr. Carolyn Thompson
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