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

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Femulen in Israel

1 May, 2006

Question:

Is there a way to get Femulen in Israel? We live in Jerusalem.

I had a caesarean a few weeks ago. After my last baby I tried Cerazette and it had terrible side effects for me.

What are the dangers involved in getting pregnant before a year after a caesarean?


Answer:

Mazal tov on the birth of your baby!

Please ask your physician to write you out a form "29 gimmel." This will allow any pharmacy to order a drug even if not currently available in Israel. PharmX near Center One in Jerusalem was at one time keeping a supply – and can usually order things if not.

Femulen is a progesterone only contraceptive similar to Cerazette. However, as it is a somewhat different formulation, it may cause fewer problems for you.

Whenever you use a hormonal method of contraception, it is important to allow at least two months for your body to adjust. Many women who have problems at first find that the symptoms improve with continued used. If you do experience continuing problems with Femulen, be sure to review with your physician all birth control options in light of your medical history and bring that information to your rav to find the appropriate method, halachically and medically.

Waiting a year after any childbirth can help the mother's body recover.  After a cesarean section, there is the additional concern that a shorter recovery time could increase the chance of uterine rupture.  Your physician should be able to review the details of your individual situation with you.


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