The Truth About Pregnancy Hemorrhoids Is A Pain In The Butt

A perfect storm of pregnancy-related side effects triggers them.

No one really goes into pregnancy thinking their body will escape completely unscathed, right?

By now we're all fairly well-read about the possibility of vaginal tearing, incontinence, stretch marks, abdominal separation, hair loss,cracked nipples and sagging breasts that can come after carrying, birthing, and feeding a human baby. It's just such a magical time!

But while many women may be expecting some bodily changes, especially down below, they might want to prepare themselves for troubles a little bit lower ...

We're talking 'bout butts

Up to 35 per cent of pregnant women suffer from hemorrhoids, which are swollen veins in the rectum or anus, and as pleasant as they sound. One study found that, in some populations, up to 85 per cent of pregnancies are affected by the burning, painful, bloody butt menaces.

"Almost all women have hemorrhoids during pregnancy to a greater or lesser degree," Dr. Mary Jane Minkin, a clinical professor of obstetrics and gynecology at Yale University, told The Bump.

"Hemorrhoids can range in size from as small as a raisin to as large as a grape. They can be merely itchy or downright painful and may even cause rectal bleeding, especially when you have a bowel movement," BabyCenter noted.

The Bump explains that a perfect storm of pregnancy-related side effects triggers them: constipation that causes straining, higher progesterone levels that can cause the blood vessels to swell, increased blood volume that just makes the veins more swollen in general, and the weight of the baby in the uterus that can push those suckers right out.

In through the nose. Out through the mouth.
In through the nose. Out through the mouth.

Cool, cool.

No one wants to talk about hemorrhoids. Probably because they're gross.

For something that's so common, people don't really talk about pregnancy hemorrhoids the same way they do about morning sickness or needing adult diapers after childbirth. And many women aren't prepared for the reality of reaching around their backside to see what's hurting so much and touching what feels like a small bushel of grapes.

"When you read about hemorrhoids, you think, It won't happen to me," Brampton, Ont. mom Callie Brenshaw (which is a psuedonym) told Today's Parent.

"When you're pregnant, you'll hear plenty about the common discomforts of pregnancy like nausea, fatigue, and heartburn. You'll be reassured that it's OK to be scared about labour and delivery because everything will be fine. One thing you won't hear about? Hemorrhoids," mom Kimmie Fink wrote in Romper.

"Maybe it's because most people are too prim and proper to talk about buttholes."

Childbirth doesn't exactly help

So, you know how straining due to constipated poop can trigger hemorrhoids? Imagine what pushing out a baby can do.

"I've seen things."
"I've seen things."

"After having a baby — especially after a vaginal delivery — many women develop hemorrhoids," the University of Rochester Medical Center's Obstetrics Division writes on its website. And Baby Center adds that about 25 per cent of women who get hemorrhoids after giving birth STILL HAVE THEM SIX MONTHS LATER.

Come on! Haven't our undercarriages been through enough?

What to do if you get hemorrhoids during pregnancy or childbirth

Although The Bump points out that hemorrhoids are permanent, all hope is not lost. Some women feel no symptoms from them at all, but if you do, you can treat them with:

  • Ice packs
  • Sitz baths
  • Witch hazel pads
  • Baking soda
  • Over-the-counter medications
  • Avoiding constipation with a high-fibre diet, plenty of water, and exercise

A doctor can prescribe a stool softener, the University of Rochester Medical Center's Obstetrics Division adds. If symptoms don't go away after a few days, consult your healthcare provider, they noted.

In the meantime, take solace in the fact that you have grown a human life, and that basically makes you a warrior. Even if it's a pain in the butt.

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