Hello dear Understand your concern. I think it is a recurrence of pile. You should go for surgery/minimal invasive procedure for better result if it is severe and chronic and no responsive to medicine. Yes it can affect sex life and delivery of baby as it cause more pain during this processes. Other guideline u can follows are below. 1. foods rich in dietary fiber, 2. intake of more oral fluids to maintain hydration 3. nonsteroidal anti-inflammatory drugs: Tablet brufen/paracetamol 4. Avoid straining to pass stools, as this may make your haemorrhoids worse 5. after passing a stool, use moist toilet paper or baby wipes to clean your bottom, rather than dry toilet paper pat the area around your bottom, rather than rubbing it. 6.Warm (but not hot) sitz baths a: sit in about 8 cm of warm water for 15 minutes, several times a day, especially after a bowel movement. 7. Steroid-containing agents should not be used for more than 14 days, as they may cause thinning of the skin. 8. petroleum jelly or zinc oxide, an analgesic agent such as lidocaine, and a vasoconstrictor such as epinephrine can be used 9. If symptoms persist, your doctor may suggest one of the following procedures. Many can be performed as a day-case: - Injection or sclerotherapy. - Banding. - cauterisation - Surgery: Doppler-guided, transanal hemorrhoidal dearterialization and stapled hemorrhoidopex