Can hemorrhoids in pregnant women heal on their own?

Jul 02, 2025 Source: Cainiu Health
Dr. Li Jingxiang
Introduction
If a pregnant woman's hemorrhoid symptoms are mild, with only slight anal fullness or minor rectal bleeding, and she can adjust her lifestyle habits in a timely manner, there is a possibility of spontaneous recovery. During pregnancy, by consuming more dietary fiber, avoiding prolonged sitting, engaging in appropriate physical activity to promote intestinal motility, maintaining regular bowel movements, and performing daily warm water sitz baths to relieve local congestion, mild hemorrhoids may gradually improve within one to two weeks.

Generally, if a pregnant woman develops hemorrhoids, mild cases with proper care may resolve on their own. However, if symptoms are severe or unhealthy lifestyle habits persist, spontaneous recovery may be difficult. If there are any concerns, it is recommended to seek medical advice early. Detailed analysis is as follows:

If a pregnant woman's hemorrhoids are mild and only cause slight anal discomfort or minor bleeding, and if lifestyle habits are promptly adjusted, there is a possibility of spontaneous recovery. During pregnancy, eating more fiber-rich foods, avoiding prolonged sitting, engaging in moderate physical activity to promote intestinal motility, maintaining smooth bowel movements, and performing warm sitz baths daily to relieve local congestion may lead to gradual improvement of mild hemorrhoids within one to two weeks.

If the hemorrhoids are severe—for example, if the hemorrhoidal tissue protrudes and cannot be pushed back in, if there is intense pain, or significant bleeding—and unhealthy lifestyle habits remain uncorrected, spontaneous healing is unlikely. Increased abdominal pressure during pregnancy can worsen hemorrhoid symptoms. Persistent constipation or extended periods of sitting can exacerbate swelling of the hemorrhoids, potentially leading to strangulation or necrosis. In such cases, medical treatment—such as medication or other interventions—is necessary, as spontaneous recovery alone is unlikely.

Pregnant women with hemorrhoids should pay attention to daily care, avoid consuming spicy or irritating foods, and develop a routine for regular bowel movements. If hemorrhoid symptoms persist, pain or bleeding worsens, prompt medical attention should be sought. Safe treatment options should be selected under a doctor's guidance to ensure maternal health during pregnancy.