Actress Jennifer Lawrence recently shared candid details about her postpartum experience, noting that certain physical changes after childbirth are permanent. Speaking on an episode of the "Call Her Daddy" podcast, Lawrence stated that while the vagina may recover, the anus does not "bounce back," a reality she found herself unprepared for.
Lawrence, 36, is a mother of two sons with her husband, Cooke Maroney. Their first son was born in 2022, and their second in early 2025.
Medical Perspectives on Postpartum Changes
Colorectal surgeon Dr. Poppy Addison explained that pregnancy and childbirth place significant pressure on the pelvic floor, potentially leading to common issues such as hemorrhoids, fissures, and sphincter injuries. While these problems often resolve within weeks of delivery, they can become chronic for some individuals.
During vaginal delivery, the pushing process can cause anal veins to engorge, resulting in hemorrhoids. After swelling subsides, some women may be left with residual external hemorrhoidal skin tags, which Dr. Carmen Fong, a colorectal surgeon and chief medical officer at Bummed, described as stretched skin that typically does not disappear entirely. The muscles supporting the rectum and controlling bowel movements can also experience stretching or injury, according to Dr. Amir Shay, a gynecologic surgeon and OB-GYN medical advisor for Bummed. This can lead to difficulties with gas control, urgency, or complete bowel emptying. In severe cases, weakened pelvic floor support may cause rectal prolapse, where the rectum protrudes through the anus, often requiring surgical intervention.
Tears during delivery can also extend to the anal area, and repairs may result in scarring or fistulas. Anal fissures, small painful tears around the anus, can also develop post-childbirth, often linked to constipation.
Cesarean sections can also contribute to hemorrhoids and pelvic floor issues due to pressure during pregnancy. Studies indicate that approximately one in four to one in three women experience hemorrhoids during or after pregnancy. More significant tears involving bowel control muscles occur in about 3% of vaginal deliveries, though most women do not develop long-term bowel control problems.
Managing Postpartum Recovery
Medical professionals suggest several strategies for managing and potentially preventing postpartum anal and pelvic floor issues. Dr. Shay emphasizes preventing constipation through adequate hydration, a fiber-rich diet, and the use of stool softeners to reduce pressure.
Warm baths and over-the-counter or prescription hemorrhoid treatments can alleviate discomfort. Pelvic floor physical therapy is also recommended by Dr. Fong to strengthen muscles both before and after childbirth. For persistent concerns such as constipation, pain, or bleeding, consulting a colorectal surgeon is advised, as they can offer individualized treatment plans. Dr. Addison noted that many postpartum anal and pelvic floor problems are treatable, encouraging women not to feel embarrassed about discussing these common issues.