TMI- so sorry..Hemorrhoid picture

So ladies I have two hemorrhoids (I think) and I am wondering should I be concerned or call my doctor?? They've gotten a lot worse the last few days and I'm using hemorrhoid cream and tucks but I'm in so much pain. Any tips or advice? I have my next appointment on Friday and am wondering should I wait it out or call now? I am 28 weeks pregnant. This is so embarrassing but I don't have anyone else to ask because's my asshole and I'm humiliated 😣