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

  • Hebrew
  • English
  • Espnaol
  • Francais
Menu

Postpartum: Copper IUD or Mirena?

8 November, 2017

Question:

I am 4 weeks after birth and fully breastfeeding.

Just wondering which IUD you would recommend in terms of spotting/side effects? Copper or Mirena?

Would I spot from them even if fully nursing?


Answer:

Mazal tov on the birth of your baby!

Both the copper IUD and Mirena are associated with spotting following insertion.  With a breastfeeding woman, the spotting may be mitigated, but there is no way to know for certain how any specific woman's body will react to either type of IUD.

Spotting from the copper IUD tends to resolve more quickly following insertion, although when a woman menstruates her bleeding is often longer than without the IUD. Spotting from Mirena can continue for up to six months after insertion. However, after an initial adjustment period, women on Mirena may not have a blood flow for years. This is a judgment call for each couple to make.

We suggest waiting until after mikveh immersion postpartum to place either IUD, so that you will not need to count shivah neki'im while spotting post-insertion.  Spermicide is often sufficient contraceptive protection between immersion and insertion, though this should be discussed with your physician.

It is important to review the laws of stains, as by reading our site's articles "Stains" and "Toilet Paper", to avoid becoming niddah unnecessarily, whichever course you take.

Please write back with any further questions.


This internet service does not preclude, override or replace the psak of any rabbinical authority. It is the responsibility of the questioner to inform us of any previous consultation or ruling. As even slight variation in circumstances may have Halachic consequences, views expressed concerning one case may not be applied to other, seemingly similar cases. All health and health-related information contained within Nishmat's Women's Health & Halacha Web site is intended to be general in nature and should not be used as a substitute for consulting with your health care professional. The advice is intended to offer a basis for individuals to discuss their medical condition with their health care provider but not individual advice. Although every effort is made to ensure that the material within Nishmat's Women's Health & Halacha Web site is accurate and timely, it is provided for the convenience of the Web site user but should not be considered official. Advice for actual medical practice should be obtained from a licensed health care professional.

For further questions or comments: 

The Nishmat Women's Health and Halacha Site is a public service of Nishmat, The Jeanie Schottenstein Center for Advanced Torah Study for Women. This project and others like it are made possible by contributions from people like you. If you have benefited from the service, and wish to enable us to help others, click here to donate.


Users of Internet filtering services: This site discusses sensitive subjects that some services filter without visual indication. A page that appears 100% complete might actually be missing critical Jewish-law or medical information. To ensure that you view the pages accurately, ask the filtering service to whitelist all pages under yoatzot.org.