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

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Gynecological exam during clean days

8 November, 2015

Question:

I have a gynecologic checkup scheduled during my 7 clean days. What can I do to prevent making myself nidda?


Answer:

A regular gynecological exam does not usually make a woman niddah or invalidate her clean days.

A routine "check up" generally includes a manual exam, a speculum exam and a Pap smear.  In each of these examinations, the instruments enter only the vagina, not the cervix or uterus, and thus do not affect niddah status in any way. Please refer to the section of our website on Gynecological Procedures for more detailed information on these exams, and on when a procedure might make a woman niddah.

Ask the physician if he or she notices any blood from the uterus when looking at your cervix.  If he or she sees uterine bleeding, ask if it might have been the result of a scratch or irritation from an instrument and get back to us. If there was no prior bleeding from the uterus or cervix, then bleeding starting shortly after the examination is assumed to be vaginal and does not invalidate the clean days.

It is best to also take precautions against invalidating the clean days: change your underwear more frequently to prevent large stains from accumulating and avoid looking at toilet paper.  Perform that day's bedikah in the morning before the appointment and do not resume bedikot until the afternoon of the next day.  Bring any questions to a halachic authority, explaining about the examination, rather than assume the clean days have been invalidated.

If any procedures other than those mentioned above are performed, please get back to us with the names of the procedures and what instruments were used (including the diameter of the instruments).  Please also be in touch with any further questions.


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