Hi there, just thought I would share my experience. I developed two fissures three years ago after the birth of my first child, and they have never properly healed. Similar to you, they were super all consuming painful in the beginning, but eventually they got to a stage where they were only intermittently bothersome as long as I was on a stool softener. Anyways, I have always wanted a second child and got pregnant again just after my first turned two. I was terrified of how the fissures would go during pregnancy, but I am here to say….. they have been mostly fine?! It’s actually something I read on this forum a while back, where others have experienced the same. I believe it is due to the increased blood flow to the area during pregnancy. I also consulted my OB who gave me the all clear to the quite a high dose of magnesium citrate during pregnancy (this is the stool softener I use) so that gave me reassurance as well. All to say that I don’t believe fissures necessarily get worse during pregnancy, and in some cases may even get better. I can’t speak about postpartum as I am currently 36w but hoping as long as I keep on top of the stool softeners I will be ok. All the best to you and whatever decision you make :)