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

  • Hebrew
  • English
  • Espnaol
  • Francais
Menu

Early ovulation at 46

18 November, 2015

Question:

I am 46 years old, recently married and verifiably ovulating on day 10 or 11 of my cycle. I have verified this with urine tests, temperature and vaginal discharge. Baruch Hashem, I have periods every month, I have never spotted and I do not yet seem to be in pre-menopause.

I took clomid for 6 months unsuccessfully and with horrible side effects. I spoke to a rebbetsen who spoke to a rav to see if I could get permission to immerse earlier in the mikveh. The rav said no, I should work with a doctor.

The doctor (who had treated me for the 6 months prior) suggested I now need a therapist to try and come to terms with the fact that I am too old to get pregnant and it most likely won't happen. He refused to continue treatment.

I do not want to continue on the clomid. I heard herbal teas/medicine like sheperds purse and raspberry leaf can dry up menstruation in 3 days.
Do you have any ideas on how I can get permission to immerse on possibly day 10 (given my hefsek taharah and bedikahs are clean for 7 days after 3 days of bleeding)?

I don't have much time left. I would like to try and become pregnant naturally as hormones have always produced severe side effects in me.

Any advice is appreciated. Thank you so much!


Answer:

We are sorry to hear of your difficulty conceiving.

Unfortunately, early ovulation itself may be a sign of pre-menopause.  Clomid is not the only medication that can be used to delay ovulation.  Estrogen early in the cycle can be used as well and generally does not have the same side effects as Clomid.

If you are not being treated by a fertility specialist, we would recommend that you consult one. If you are, you may wish to seek a second opinion.

That being said, if you are able to make a hefsek taharah on day four, you may do so where fertility is at issue.  The seven clean days may not be shortened. In some cases of early ovulation, artificial insemination is permitted prior to mikveh immersion.

We do not know enough about your case to evaluate your doctor's reasoning in making the referral.  However, therapy may prove helpful in coping with the physical and emotional challenges you have faced thus far in the process and in evaluating how best to proceed.  Referrals to religious therapist are available at Nefesh International, www.nefesh.org.

We wish you all the best.


This internet service does not preclude, override or replace the psak of any rabbinical authority. It is the responsibility of the questioner to inform us of any previous consultation or ruling. As even slight variation in circumstances may have Halachic consequences, views expressed concerning one case may not be applied to other, seemingly similar cases. All health and health-related information contained within Nishmat's Women's Health & Halacha Web site is intended to be general in nature and should not be used as a substitute for consulting with your health care professional. The advice is intended to offer a basis for individuals to discuss their medical condition with their health care provider but not individual advice. Although every effort is made to ensure that the material within Nishmat's Women's Health & Halacha Web site is accurate and timely, it is provided for the convenience of the Web site user but should not be considered official. Advice for actual medical practice should be obtained from a licensed health care professional.

For further questions or comments: 

The Nishmat Women's Health and Halacha Site is a public service of Nishmat, The Jeanie Schottenstein Center for Advanced Torah Study for Women. This project and others like it are made possible by contributions from people like you. If you have benefited from the service, and wish to enable us to help others, click here to donate.


Users of Internet filtering services: This site discusses sensitive subjects that some services filter without visual indication. A page that appears 100% complete might actually be missing critical Jewish-law or medical information. To ensure that you view the pages accurately, ask the filtering service to whitelist all pages under yoatzot.org.