Mid cycle bleeding & hypertension
I am (almost) 46, and went off birth control pills about 3 months ago because I suddenly developed very high blood pressure. I had been on and off the pill before to control mid cycle bleeding. I often bleed when I ovulate for anywhere from 1 to 4 days. It is a flow – not just spotting. Because of the timing I have been niddah, except for 24 – 48 hour breaks after going to the mikvah, for the past 3 months. Obviously, this is a difficult situation. Going back on the pill is not possible, according to my MD, because of the blood pressure issues. Since I have shown no signs of menopause, this could go on for years. Do I have any options? Are there leniencies for the length of time I am niddah since it is mid-cycle bleeding?
Thank you for your help.
We're sorry to hear about your situation.
Please start by reviewing our article "Ketamim," to make sure you are not considering yourself niddah, at any time in your cycle, when you are not halachically required to do so.
Please also further explore the medical questions. While having high blood pressure is a relative contraindication for using hormones, there should be investigation as to whether there is any treatable underlying cause to your sudden onset of hypertension. Then, one should investigate whether intermittent use of hormones (for a few days midcycle for example) might be permitted (rather than the three weeks needed for birth control pills). If this is not possible, you should also discuss options such as endometrial ablation which eliminates most of the uterine lining.
You may want to refer your physician to www.jewishwomenshealth.org, our website for medical professionals, also available as an app. The site is designed to assist health care professionals in providing optimal care to patients who observe hilchot niddah.
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