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Hemorrhoids in the Third Trimester: Causes and Ways to Find Relief

NNova editorial team · 5 min read

Hemorrhoids are common in the third trimester and can be uncomfortable, but simple, safe steps often help. Severe pain, bleeding, or a painful lump should be checked by your provider.

Why it happens

In the second half of pregnancy, the growing uterus puts more pressure on the pelvic veins. Constipation and long periods of sitting can make symptoms more noticeable. This may cause itching, pain, a feeling of heaviness, and small amounts of bleeding.

What often helps

  • Drinking enough fluids and eating fiber-rich foods
  • Having soft bowel movements and avoiding straining
  • Walking regularly and changing position during the day
  • Using topical treatments your provider says are appropriate for pregnancy
  • Sitz baths or warm water soaks to ease discomfort
Many providers recommend checking with your OB-GYN or midwife before using any laxative, cream, or suppository. What is safe during pregnancy depends on the product and your situation.

Symptoms to report to your provider

Contact your provider promptly if you have severe pain, heavy bleeding, black or tarry stool, fever, a hard painful lump, or symptoms that suddenly get worse. Some other conditions can look like hemorrhoids, so an exam is important.

Call your provider right away or go to the nearest emergency room if you have heavy rectal bleeding, black stool, dizziness, or fainting.

After birth

For many women, symptoms ease after birth as pressure on the veins decreases and bowel habits return to normal. If the problem continues, ask your provider about further treatment options.

Learn more

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General information only; it does not replace advice from your doctor or midwife.