Nishmat's Women’s Health and HalachaIn memory of Chaya Mirel bat R' Avraham

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When to remove Liletta IUD

12 April, 2018
Question:

My husband and I are planning to have our first child soon. I have a Liletta IUD (hormonal). I’ve had the IUD for about a year and half and still get regular (albeit lighter) periods. What is the best way to plan the removal of the IUD? (Should I shoot for a particular time in the month? What is the status of the blood? Etc.)

Additionally, from the medical side-are you aware of any negative effects on fetal development interacting with lingering hormones?


Answer:

We follow the position that the actual removal of the IUD does not render a woman niddah. Any bleeding that occurs within 48 hours of the removal may be attributed to trauma and disregarded. It is common to experience staining beyond the initial 48 hours so you should wear colored underwear and wait at least a few seconds (ideally 15 seconds) after urinating before wiping in order to avoid becoming niddah from stains. Please see our articles on stains and toilet paper for more details.

We recommend having the IUD removed while you are tehorah. If you have it removed while you are niddah, it is more complicated to disregard the staining during the clean days, which may cause you to delay immersion.

Some doctors recommend waiting one cycle after having a hormonal IUD removed before trying to conceive, but other doctors feel there is no need to wait. We recommend discussing this with your doctor when you have the IUD removed.

Please feel free to get back to us with any further questions.

B’hatzlacha!

This response has been updated to reflect the rulings of our current Rabbinic Supervisor, Rav Kenneth Auman, regarding waiting before wiping.

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