How long does it take for hemorrhoids to shrink after a vaginal delivery?

Jul 01, 2025 Source: Cainiu Health

Dr. Li Jingxiang

Introduction

If hemorrhoids are severely congested and edematous during vaginal delivery, with the development of thrombosed external hemorrhoids or prolapsed hemorrhoidal masses, and if constipation recurs postpartum due to reduced physical activity and improper diet, the recovery period for the hemorrhoids will be prolonged. Under such circumstances, local tissue repair is slower, potentially requiring 4–8 weeks, before the hemorrhoidal masses gradually shrink and retract following the absorption of the thrombus and complete resolution of the edema.

Generally speaking, hemorrhoids caused by vaginal delivery usually recede within 1 week to 2 months. If there are concerns, it is recommended to seek medical advice in advance. Detailed analysis is as follows:

If hemorrhoids are severely congested and edematous during vaginal delivery, with thrombosed external hemorrhoids or prolapsed hemorrhoidal masses, and if reduced physical activity and improper diet during postpartum recovery lead to repeated constipation, the recovery period may be prolonged. In such cases, local tissue repair is slower, and it may take 4-8 weeks for the thrombus to be gradually absorbed and the edema to subside completely before the hemorrhoidal masses slowly shrink and retract. Improper care during this period may cause symptoms to recur, further prolonging the recovery time.

If the hemorrhoids are mild during vaginal delivery, showing only slight congestion or minor prolapse of hemorrhoidal masses, and if postpartum dietary adjustments are made promptly, appropriate ambulation is practiced, and anal hygiene is maintained, the hemorrhoids may recede more quickly. Usually within 1-2 weeks, local hot compresses and application of hemorrhoid ointment can promote blood circulation, reduce swelling, and gradually retract the hemorrhoidal masses.

During the recovery period of hemorrhoids following vaginal delivery, it is especially important to maintain regular bowel movements, avoid prolonged sitting or standing, and wash the anal area with warm water after each bowel movement. If swelling, pain, or bleeding from the hemorrhoids persists, timely medical attention should be sought.

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What do hemorrhoids look like?

These lesions are categorized into internal and external hemorrhoids. Internal hemorrhoids are clusters of varicose veins located above the dentate line of the anal canal and cannot be directly observed. When internal hemorrhoids develop to a certain extent and prolapse outside the anus, they present as mucosal elevations appearing dark red or purplish red, with a soft surface, and sometimes accompanied by bleeding. External hemorrhoids are located below the dentate line, and skin tags or masses can be observed around the anus; in the early stages, they may appear as soft skin elevations.

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What should I do if my hemorrhoids bleed every time I have a bowel movement?

Defecation usually refers to bowel movement. In general, rectal bleeding immediately after defecation may be caused by factors such as stool friction against hemorrhoidal tissue, increased abdominal pressure during bowel movements, prolapse of internal hemorrhoids, incarcerated mixed hemorrhoids, or thrombosed external hemorrhoids. It is recommended to seek medical attention promptly, identify the underlying cause, and then improve the condition under a doctor's guidance through conservative management, medication, surgical treatment, or other appropriate methods.

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Can dandelion treat hemorrhoids?

Under normal circumstances, dandelion can play an auxiliary role in the treatment of hemorrhoids. When using dandelion as an adjunctive treatment for hemorrhoids, it should not be relied upon as the primary therapy. If hemorrhoid symptoms are severe, prompt medical attention is advised. Individuals with a cold body constitution or those prone to diarrhea should avoid excessive consumption or topical application of dandelion to prevent exacerbating gastrointestinal discomfort.