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

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Spotting with Liletta

18 September, 2016

Question:

I am 3 months postpartum and full time breastfeeding, no bottles. I had the Liletta IUD inserted last week and some spotting. The spotting stopped for a day or two and has been continuing on and off ever since. I am using disposable panty liners and have seen blood on them as well as in the toilet.

Is it safe to assume it is from the IUD insertion trauma? How do I know when it is considered niddah and when it is still from the insertion?


Answer:

Mazal tov on the birth of your baby!

At this stage, you may no longer attribute bleeding to insertion.  Ongoing, irregular uterine bleeding is common for several months after insertion of a hormone secreting IUD such as Liletta, and can make a woman niddah.

As long as you do not have a blood flow, your status depends on the laws of stains.  Staining found on colored underwear, on disposable pantiliners, or in the toilet does not make a woman niddah.  Staining found on toilet paper can make a woman niddah, depending on the exactly what is found and how.  For more information, and advice on avoiding becoming niddah unnecessarily from stains, please see our articles "Stains" and "Toilet Paper."

Please get back to us with any follow up questions.


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