In memory of Chaya Mirel bat R’ Avraham

In memory of Chaya Mirel bat R' Avraham

IUD removal
December 11, 2008

Question

Do I need to go to the mikva after having the IUD taken out? What if I spot?

Answer

Thank you for reaching out to us.

There is debate as to whether the removal of an IUD makes a woman niddah. The position of the posek of our website is that you would not become niddah from the procedure itself.

Most women experience some bleeding and spotting for a number of days, and up to a week, following the procedure. Halacha depends on the timing of the bleeding.

Bleeding shortly after the removal is considered dam makkah (bleeding from injury or abrasion due to the procedure) and does not make you niddah.

Bleeding that starts more than a day after the procedure, or that continues for longer than a day or two, is not automatically considered dam makkah. However, like any spotting, it is subject to the leniencies of stains (ketamim). Therefore, you can avoid halachic questions by being careful with the precautions outlined in our pages on stains and toilet paper (e.g., wearing colored underwear, waiting between urinating and wiping). You should also, as a precaution, refrain from relations until the staining subsides.

If you have a flow of blood, or find a halachically significant stain (e.g., on white underwear), at a time when bleeding is not automatically considered dam makkah, you should ask an individual halachic question. Bleeding that begins a few days after the removal of a hormonal IUS (e.g., Mirena) is likely to be hormonal bleeding that could make you niddah.

If you have flexibility with scheduling, the ideal time to have the IUD removed is after you have been to mikveh so that you do not have to count clean days while you are staining. If you will need to do bedikot when staining, for the clean days or for a veset, please get back to us or ask a local halachic authority for guidance.

For a more detailed discussion, please see our page on the IUD.

This response was updated on 13 July, 2026.
Facebook
WhatsApp
Email

Related Content

Yoatzot Halacha: Answering Women’s Halachic Questions

Appreciate Yoatzot Halacha?

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