In memory of Chaya Mirel bat R’ Avraham

In memory of Chaya Mirel bat R' Avraham

Bleeding from tamoxifen
May 2, 2006

Question

I had my ovaries removed 3 years ago because I have the BRCA11 gene.

I take tamoxifen prophylactically to prevent breast cancer, etc. I developed one of the complications from taking tamoxifen, which is build up of the lining of the uterus, and I developed light bleeding. I had a hysteroscopy and d&c this past weekend to address the problem. I am bleeding lightly as if I am having a light period. What is my status?

I just want to tell you how much I appreciate this service. This is obviously very personal and I would not feel comfortable talking to my rabbi about this. So, thank you so much!

Answer

We're glad to be of help.

Uterine bleeding can render a woman niddah whether it is caused by natural hormones or by a medication like tamoxifen. If your initial bleeding was significant enough to be considered a "flow" rather than "staining," or if it met the criteria for stains, you were niddah even before the procedure. (See our page on stains for a more detailed explanation.)

In any case, a D&C generally renders a woman niddah.

Assuming the minimum wait has been completed, you may perform a hefsek taharah as soon as your bleeding stops, which may take a number of days. You should omit the moch dachuk.

Please see our page on shivah neki'im for advice on counting the clean days in a situation of staining. You can reduce the number of bedikot to one per day and, if necessary, even further: only the hefsek taharah, one bedikah on day one of the clean days and one on day seven, and ideally one bedikah on an intermediate day. If stains on white underwear make it difficult for you to complete the clean days, you may wear disposable pantiliners and disregard stains on them.

After you have immersed in the mikveh, you should continue to be careful with the precautions of stains.

Please let us know if we can be of further assistance.

Refuah sheleimah!
Facebook
WhatsApp
Email

Yoatzot Halacha: Answering Women’s Halachic Questions

 Appreciate Yoatzot Halacha?

Support our work & allow your donation to make a difference.

Accessibility Toolbar

Welcome to Our New Site!

We’re still in the process of bringing over our full archive of Q&As. Stay with us as we continue to update all our content and features.
Thank you for your patience, and please feel free to share feedback or let us know if you’re looking for something specific.