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

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Doctor saw blood on cervix

21 November, 2019

Question:

I am 51 years old and in perimenopause. I am on the second day of my clean days and did a bedikah this morning without a problem.

I had an endometrial biopsy this morning because of some irregular and extended spotting over the past two months. A sonogram shows that I have a fibroid which might be causing the problem or it might be just be perimenopause. For the last few years I have had some light spotting which I have learned to deal with by doing reduced bedikahs and wearing a panty liner.

Today, my doctor mentioned that she saw blood on my cervix before doing the biopsy. I hadn’t seen any bleeding so I didn’t know. She also said to expect bleeding from the biopsy for up to a week. I know to wear a liner to avoid problems with the spotting. But does the fact that the doctor saw blood on my cervix cause a problem even if there was no external bleeding until after the biopsy, and then only on the pad?


Answer:

Unfortunately, if your doctor saw blood on the cervix before starting the biopsy, and did not see any vaginal or cervical wound, you should assume that your clean days were invalidated.

Once the bleeding stops you should perform a new hefsek taharah and count a new seven clean days.

If your doctor saw a vaginal/cervical wound, you may attribute the blood seen on your cervix to the wound. The blood did not invalidate your clean days, and you may continue your original count. You may omit bedikot until day 7 and may disregard staining found on your underwear since it can be attributed to the biopsy. It is important to have an acceptable bedikah on day 7. If the bleeding has not stopped by day 7 please call our telephone hotline for further guidance.

B’hatzlacha!


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