Thank you for reaching out to us.
We are sorry to hear of your frequent episodes of
niddah and of your difficulties on the
combined contraceptive pill.
Blood on a pessary can sometimes come from irritation to the vaginal wall, in which case it would
not make a woman niddah. However, this would need to be confirmed through medical examination, and the use of
progesterone-only contraception could limit relying on such an assessment.
In the short term, you might find it helpful to put on dark sunglasses and be in a darkened bathroom when you remove and rinse the pessary, to limit the chances that you will see any color.
Longer term, it might be worthwhile to explore the IUD as a contraceptive option. A pessary can typically be removed for IUD insertion and put back in afterwards. The IUD is often associated with staining over the first cycles of use, but this tends to subside over time. You could also consider a progesterone-secreting IUS. Sometimes there is no bleeding whatsoever on these, but there can also be chronic staining. The IUD and IUS are highly effective. Learn more about them
here.
Please be in touch with any further questions.
