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

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Staining on pill after miscarriage

14 June, 2017


I had a miscarriage about 4 weeks ago and had a d&c. About a week later, I started on hormonal birth control (seasonique). While the bleeding has definitely gotten very light, I haven’t been able to do a hefsek. I am not sure if it is still from the miscarriage or if it is staining from the pill. I am also not sure if the amount I am staining now would make me a Nida but that doesn’t help if I can’t get to the mikva. Is there anything I can do besides to keep waiting? Is there a better birth control pill to try?


We are sorry to hear of your miscarriage.

It is difficult to know if the cause of staining is the miscarriage or the pill.

It is important to note that Seasonique is often associated with more staining than more conventional, monthly-cycle contraceptives.  However, any pill can be associated with irregular staining at the beginning of use, so it is probably premature to switch.  You should raise your concerns with your physician.  (You may find it useful to refer your physician to the section of our website designed for healthcare professionals, Jewish Women’s Health, written to facilitate communication with physicians on these issues.)

Most important right now is to know that a hefsek taharah need not be completely clear and not all staining disrupts the clean days. Please bring any questionable bedikah cloths or stains for halachic evaluation.  You can also review the laws of stains, as by reading our site’s articles “Stains” and “Toilet Paper“. Then please get back to us with any follow up questions.

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