What is the best hemorrhoid treatment during pregnancy?
Medically reviewed by Dr. Robert William, MD · Written by Kevin Schwaner · Updated July 2026
Quick Answer
Pregnancy hemorrhoids are usually managed with gentle, surface-level measures: fiber and water to prevent constipation, witch hazel pads or wipes, sitz baths, left-side sleeping, and Kegel exercises. Topicals should be used only as directed, and any product or supplement should be cleared with your OB first. Symptoms often improve after delivery.
Hemorrhoids are very common in pregnancy because the growing uterus raises pelvic pressure, hormones relax vein walls, and constipation is more frequent. The safest first-line measures are gentle and non-medicated: plenty of fiber and water to keep stools soft, witch hazel pads or wipes to soothe, warm sitz baths, sleeping on the left side to ease pressure on pelvic veins, and Kegel exercises to support circulation.
Because pregnancy changes what is appropriate, any topical medication or oral supplement should be cleared with your OB or midwife first, and some ingredients are avoided in certain trimesters. The reassuring part is that pregnancy hemorrhoids frequently improve or resolve after delivery once the pressure is relieved. Persistent bleeding or severe pain should always be reported to your provider.
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Sources
- NIH / NIDDK: Hemorrhoids
- ASCRS Clinical Practice Guidelines for the Management of Hemorrhoids
Related Questions
How do you prevent hemorrhoids? →What foods help hemorrhoids? →Does witch hazel help hemorrhoids? →*Informational only, not a substitute for professional medical advice. Any rectal bleeding should be evaluated by a doctor. These statements have not been evaluated by the FDA.