Yoatzot News

Bleeding from Pap smear

You write about Pap Smears:

"The scraping may cause mild bleeding. However, since this bleeding is caused by a confirmed trauma to the cervix, most authorities agree that a Pap smear does not render a woman niddah."

My doctor says he cannot be absolutely certain that the brush did not enter the inner (or upper?) cervix but he is certain that it did not enter the uterus.

Is it possible that I am a nidda?

Or is any cervical bleeding not considered a nidda?

Thank you in advance.

Dear questioner,

Thank you for your question.

The lower part of the uterus, called the cervix (neck), has two openings.  One, the internal os (mouth) is the opening from the body of the uterus to the cervix.  The second, the external os, is the opening of the cervix into the vaginal canal.

According to most opinions, only the internal os is relevant for determining whether you are a niddah.  No swab or cytobrush gets far enough to open that os.  Even if it did, it is smaller than the minimum size which could render you niddah due to opening of the uterus.  Additionally, the bleeding from the Pap smear is clearly traumatic.

Thus, according to almost all opinions, a Pap smear would not make you niddah.

This internet service does not preclude, override or replace the psak of any rabbinical authority. It is the responsibility of the questioner to inform us of any previous consultation or ruling. As even slight variation in circumstances may have Halachic consequences, views expressed concerning one case may not be applied to other, seemingly similar cases.

If you have further questions or comments about this email, please click here to Ask the Yoetzet.

The Nishmat Women's Health and Halacha is a public service of Nishmat, The Jeanie Schottenstein Center for Advanced Torah Study for Women. This project and others like it are made possible by contributions from people like you. If you have benefited from the service, and wish to enable us to help others, click here to donate.

Users of Internet filtering services: This site discusses sensitive subjects that some services filter without visual indication. A page that appears 100% complete might actually be missing critical Jewish-law or medical information. To ensure that you view the pages accurately, ask the filtering service to whitelist all pages under yoatzot.org.

Related Articles

  Vaginal Ultrasound
  Speculum Examination
  Scheduling of Gynecological Examinations
  Pap Smear
  Manual Examination
  Cervical Biopsy

Related Questions & Answers

  Routine gynecological examination
  Clean days after D&C
  Gynecological exam on day of mikveh
  Oophorectomy after menopause
  Hysterosalpingogram in clean days
  Vesatot after uterine ablation
  Relations after Pap smear
  Scheduling Pap smear
  Endometrial ablation
  Hysterectomy after menopause
  Stains but no period after ablation
  Cervical polyp removal
  Bleeding after speculum exam
  Blood after cervical swab
  Tests for strep & dilation
  Veset and medical procedure
  Subtotal hysterectomy
  Uterine ultrasound
  Gynecological exam during neki'im
  Endometrial biopsy
  < More...>

© 2008 Nishmat - The Jerusalem Center for Advanced Torah Study for Women Developed by AlmondWeb