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

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22 December, 2004


I am a 40 year old woman who is experiencing spotting/bleeding 5-7 days after going to mikvah, which renders me a niddah. I have been told that I have a 4cm fibroid. I have tried various types/strengths of the Pill hoping that this might help but it has not really made much difference. This has been going on for many months. My doctor would like to do an ultrasound and sonohysterogram to check things out again, but I am not convinced he appreciates how this affects me and my husband. In looking at other similar questions on this site, you seem to indicate there are treatment options. Any strategies to work with my physician would be appreciated.


Please direct your physician to the section of our website for health care professionals, Jewish Women’s Health, for a physician friendly explanation of hilchot niddah.  Aside from medications, fibroid treatment options include surgery and embolization. Your course of treatment is best determined in consultation with your physician.  Your halachic concerns are important factors in your medical decision making and your doctor must respect that.

Please also review the laws of stains, as not all spotting renders a woman niddah. While a flow of blood will make you niddah, being careful to wear colored underwear and not to look at toilet paper can help you avoid becoming niddah from spotting.


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