The pain always got worse in the winter

Photo of a mother and child at playground

Sarah, 34 years old

"So far I’ve only had pain and itching, but I’ve never had bleeding.”

My started causing problems when I was about 15 years old. I had pain and realized that something wasn’t right, so my mother had a look. She’s a doctor’s assistant and suspected that I had . She gave me a cream.

The cream helped relieve the pain and I carried on like that for quite a long time. The pain always got worse in the winter. Then I used the cream and things got better again.

The problem got worse when I was pregnant

But things got worse during my pregnancy three years ago. My gynecologist prescribed a different cream, and that worked well. The hemorrhoid was huge after the birth of my baby, though. Then I used the cream again and that relieved the symptoms. It isn’t a problem for me anymore. It’s more of a cosmetic problem, but that doesn’t bother me too much because it’s well hidden.

If it were more of a problem, if I were constantly in pain and the cream stopped working, then I’d probably go to the doctor about it. At the moment it only bothers me about once or twice a year, and isn’t bad enough for me to consider having surgery or anything like that. So far I’ve only had pain and itching, but I’ve never had bleeding.

No need to feel embarrassed

When I use the cream it takes about two to three days for the hemorrhoid to shrink again. I don’t feel like it affects my everyday life. I ride my bike all the time without any problems, and sitting is fine too. After giving birth – after the hemorrhoid got a little bigger – I started using flushable moist wipes. I find that more pleasant.

I don’t feel embarrassed about it. I’ve seen much worse and nastier things. I try to take a pragmatic approach.

If you have this kind of problem and don’t know anyone who is familiar with these things, then I think you should go to the doctor and have it checked out. But there’s no need to panic, and there’s definitely no need to feel embarrassed about it.


Our real-life stories summarize interviews with people who are affected by the medical condition. Our interview partners have given us permission to publish their stories. We would like to express our sincere thanks to them.

The real-life stories give an insight into how other people cope and live with a medical condition. Their opinions and comments are not recommendations by IQWiG.

Please note: The names of our interview partners have been changed to protect their identity. The photos are of models.

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Updated on December 13, 2021

Next planned update: 2024


Institute for Quality and Efficiency in Health Care (IQWiG, Germany)

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