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

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Timing of Mirena insertion

26 January, 2016

Question:

I had a mirena iud placed after the birth of my last child at age 40. It caused the typical staining issues for about six months. I was clean while I breastfed, and then got monthly periods that eventually got shorter, lighter, and then nonexistent.

Every once in a while I had staining. The last few months I started getting periods again, dragging for 7–8 days. And this last period was very unusual, starting and stopping and starting again. I decided to get my iud checked, and as I suspected it had come out on its own. Now it will be another two weeks before I can get an appointment to put in another one, and we have a trip scheduled in 6 weeks. Should I put off insertion or should I go ahead and supplement with the mini pill to help with stains?


Answer:

If you are concerned about staining on your trip, it may be preferable to wait until after your trip to have the new Mirena inserted. You can use spermicide (such as VCF – vaginal contraceptive film) or a contraceptive sponge in the meantime.

Alternatively, if you were able to successfully manage the staining caused by the Mirena by supplementing with progesterone, then that may be a good option as well. You should also review the laws of stains since not all staining will render a woman niddah.

We recommend discussing your options with your doctor who knows you and your medical history.

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

B'hatzlacha!


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