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Uterine ultrasound

I am 59 years old and have not had a period since December 2004. I recently experienced spotting - pink and then brown in color. Last year this happened too and it was caused by cervical polyps so I made an appointment with the doctor. He could not find any sign of polyps and recommended that I undergo a uterine ultrasound. Since the current spotting was on toilet tissue and on colored underwear I believe that I am not in a niddah state. The doctor does not think this could be menstrual blood given that menopause has taken place over a year ago. My question is: If the ultra sound procedure - which involves injection of saline into the uterus, and insertion of a very small and narrow probe into the uterus - causes spotting, will I be a niddah and require counting and immersion in a mikvah.

Dear questioner,

Thank you for your question.

If the probe is less than 19 mm in diameter, it will not render you niddah. If you have spotting in the 2-3 days after the hysterosonogram, it can be attributed to the procedure and does not make you niddah. It is also a good idea to wear colored underwear and avoid looking at toilet paper for the week after the procedure, to avoid finding stains that could make you niddah.

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Information for your Health Care Provider


Click on the link(s) below for related articles from Jewish Women's Health, Nishmat's website for medical professionals. You may find it helpful to share this information with your physician by printing or emailing relevant articles,
or by accessing the site during your appointment.

  Specific Gynecological Procedures
Gynecological Procedures and Jewish Law

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  Pap Smear
  Manual Examination
  Cervical Biopsy

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  Clean days after D&C
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  Oophorectomy after menopause
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  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
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