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Doctor Explains Jennifer Lawrence’s Postpartum Claim


Of all the things people warn you about childbirth, the fate of your butthole isn’t usually at the top of the list. Jennifer Lawrence might be changing that.

Jennifer Lawrence at the Christian Dior fashion show as a part of RTW Spring/Summer 2027 fashion week held at Bassin de l'Octogone on September 29, 2026 in Paris, France.

Swan Gallet / Getty Images

During a recent appearance on Alex Cooper’s Call Her Daddy podcast, the Oscar-winner and mother of two was asked what she felt “completely unprepared for” when it came to motherhood.

Alex Cooper  in a podcast studio with a microphone, wearing a simple, elegant outfit, speaking animatedly while holding papers

“You know,” Lawrence paused, before saying, “your vagina will bounce back. Your butthole won’t.”

Jennifer Lawrence speaking into a microphone during a podcast, sitting on an armchair with a water bottle nearby

“You’re unprepared for all of it,” Lawrence said.

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Cooper, who was pregnant at the time of the interview, had some follow-up questions. “I don’t know if I needed to hear that before giving birth,” she said, before asking, “Jen, what’s going to happen to my butthole?”

Alex Cooper sitting in a chair during a podcast interview, smiling and holding a red folder. A microphone is positioned nearby

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“I’ll tell you. I will tell you,” Lawrence said, laughing. “Once I can get into a heated place, I’ll show you.”

Alex Cooper speaking to Jennifer Lawrence during a podcast nterview

“Noone’s said that to me yet,” Cooper replied. “Really? Weird,” joked Lawrence. Cooper went on to say people have offered to show her their birth videos, but she’s turned them down, saying, “No, because I don’t want to know yet.”

Alex Cooper speaking to Jennifer Lawrence during a podcast nterview

“Were gonna circle back before you leave on just like, what you meant by that,” Cooper said. “Okay,” replied Lawrence. “I need like, three minutes.”

“And by the time you explain it to me, can you lie to my face, because you are a good liar,” Cooper said. “Lie, because I still gotta do it, and I don’t want to give birth saying, ‘What did Jen say about my a**hole?”

Alex Cooper speaking to Jennifer Lawrence during a podcast interview "Call Her Daddy," holding a piece of paper, with a drink nearby

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“There’s no going back,” Lawrence replied. “That thing is coming out.”

Jennifer Lawrence wearing a sleeveless top and necklaces, sits on a couch speaking into a microphone during a podcast interview

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Now, colorectal surgeon Dr. Karen Zaghiyan is weighing in on the subject to shed light on what childbirth can do to an area of the body that doesn’t get a lot of airtime in discussions about postpartum recovery. “I love Jennifer Lawrence as a colorectal surgeon,” the doctor said in a Nov. 10 Instagram Reel. “She is not wrong. Your butthole may not bounce back after a pregnancy and vaginal delivery.”

Instagram post discussing postpartum changes, mentioning Jennifer Lawrence and hashtags related to pregnancy and rectal health

“And these are things that are just not talked about enough,” she continued, explaining that OBGYNs are not to blame since they’re busy prioritizing the health of the newborn. “The reality is that certain things can change during pregnancy and vaginal delivery that you should know about, so that you know to come and get help when these things happen to you.”

Dr. Karen Zaghiyan explaining that the body may not return to its pre-pregnancy state after childbirth, emphasizing on the recovery aspect

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She identifies three main ways pregnancy and childbirth can affect the anus, the first being hemorrhoids and anal skin tags.

Dr. Karen Zaghiyan speaking, text reads, "you know, things that affect the anus kinda get shifted to the sideline."

These are the most common and least severe of the issues Dr. Zaghiyan lists, saying that oftentimes, hemorrhoids go away post-delivery but “some women do continue to have them,” adding that “it’s very common for women to get stuck with anal skin tags or skin changes around the anus” which she says “can be very troublesome” but are “fixable.”

Dr. Karen Zaghiyan wearing a green scrub top is speaking, gesturing with their hand

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The second complication is more serious than extra butthole skin: Injury to the anal sphincter, which could potentially lead to incompetence.

Dr. Karen Zaghiyan is speaking to the camera about butthole recovery after pregnancy and vaginal delivery. Text on the image highlights the topic

“Women can tear during a delivery,” that can extend “through the anus into the rectum…known as a third- or fourth-degree tear.” After childbirth, these tears can be repaired, but they don’t always hold, “and over time, as the muscles in general weaken, women can develop incontinence where the muscles are not strong enough to hold on to poop,” says the doctor.

A person in a hospital bed holds a newborn, smiling warmly

“Less commonly, a fistula can form where the tear that went through the anus ultimately never heals, and now there’s an abnormal connection between the vagina and the rectum known as a rectovaginal fistula,” she says.

“Other things that can happen are related to organ prolapse or the rectum, the vagina, the bladder prolapsing postpartum,” says Dr. Zaghiyan, noting that “sometimes it’s just the bladder and the uterus. And sometimes it’s all of the compartments together.” Essentially, it can be a fun mix-and-match of multiple pelvic organs collapsing, sometimes visibly through the anus and/or vagina.

Dr. Karen Zaghiyan with short hair in medical scrubs looks upwards as if in thought, holding a pen near their mouth

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“Bottom line, these are things that you should know about, know to get help about if they happen,” she concludes. Online, women shared their own similar stories online.

Text describing a difficult medical experience with complications 26 years later

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Many were surprised to learn this information.

A screenshot of four tweets discussing unexpected news with surprise and curiosity

DrianneBelleza/X / Via x.com

Others just couldn’t believe the women closest to them had never mentioned it before.

Text describing a difficult medical experience with complications 26 years later

The miracle of childbirth!!! Gorgeous :’)

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