I hate that this is such a taboo topic because I got a wicked bad one during pushing with #1 and thought I was a freak. Anyway, that one has reappeared with each subsequent pregnancy earlier plus a few smaller ones to accompany it. Probably from about halfway on. They've already gone away maybe a week ago completely. That's the fastest I've had them heal. Prep H a few times a day helped the discomfort and maybe helped speed healing. Tucks pads have helped in the past but I didn't need them this time.