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

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Recommended OCPs?

31 July, 2019

Question:

Hi! I’m wondering if you are able to help me out. Are there any oral contraceptive pills that you recommend for frum women who want to prolong their time between Mikva visits? For example getting their periods 4x yearly instead of 12. Which pills best eliminate staining and breakthrough bleeding?

I was very happy myself on Yasmin for many years but my practitioner switched me to something else with lower estrogen that was terrible and now I’m on a third medication that’s not working out either. It’s been so frustrating and I’m not sure who else to turn to.

Thank you so much!


Answer:

Because each woman is unique, there is no one oral contraceptive pill (OCP) that works well for all women. Generally speaking, a higher estrogen level will be associated with less breakthrough bleeding over time, but may also have more side effects. We suggest you go back to your practictioner to discuss why you were switched off Yasmin and what other possibilities might be worthwhile.

In theory, one can extend the active pills of any combination OCP can for as long as three months in order to get a period only four times a year. However, the longer a woman continues active pills without a break, the higher the chance of breakthrough bleeding. For a more detailed discussion, please see our article on Extending or Manipulating Cycles.

It is also important to review the laws of stains, as by reading our articles on Stains and Toilet Paper, since not all stains make a woman niddah.

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


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