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

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Light spotting with NuvaRing

9 July, 2017
Question:

I have been on the Nuva ring for almost 6 months now. The first time I used it, I went 2.5 months without spotting. Since then every time I have tried, I have been having consistent spotting with really small amounts starting around 2 weeks from when I put it in. It’s been really difficult and I am trying to figure out if there are any solutions. I’ve already tried the pill and spotted on that too. I tried asking my dr. and so far no success. Any advice would be greatly appreciated.


Answer:

First of all, it is important to realize that not all stains will render a woman niddah. Stains found on colored underwear and on disposable pantyliners may be disregarded. Stains found on toilet paper may be disregarded as long as at least a few seconds elapsed after urinating before wiping. See our article on Stains for more detalis.

If it is difficult to manage with the staining despite the leniencies of ketamim, we advise consulting again with your doctor. While it is not uncommon to experience irregular staining from hormonal birth control, your doctor can check if there is any other cause for the staining (such as a polyp or cyst, irritated cervix,etc.). Additionally, you can speak to your doctor about trying a different method of birth control. One possibility is the combined pill with a higher dose of estrogen, which often reduces irregular staining. Another option is to use a diaphragm with spermicide. See our article on Choosing a Contraceptive Method for more details about these and other methods, and get back to us or your doctor with any further questions.

B’Hatzlacha!

This response has been updated to reflect the rulings of our current Rabbinic Supervisor, Rav Kenneth Auman, regarding waiting before wiping.

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