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

  • Hebrew
  • English
  • Espnaol
  • Francais
  • donate

Hysterosalpingogram, day 7 of shivah neki’im

7 March, 2018


I am scheduled for a procedure on day 7 of my Shiva Nekiim. In Hebrew it's called "Zilum Rechem" (I live in Israel) – I'm not entirely sure if that's the same as a hysteroscopy? The procedure will be performed for 2 reasons – first, to check if there is anything that may prevent me from getting pregnant; second, to potentially remove an ovarian cyst which my doctor saw on the ultrasound (in case the hormones he prescribed didn't remove the cyst).

I have the following questions:

1) According to what I read in other Q&As (about hysteroscopy – not sure this applies to me) and in the hysteroscopy article on your site, this procedure does not render me Nidda, even if there is bleeding after. Is this also true if my doctor ends up removing the cyst? Can I really just disregard any blood? For how many days?

2) I am planning on doing the day 7 Bedika in the morning before the procedure and then switching to black underwear⁄black pantyliners. Is this OK?

3) Is it OK to go to the Mikve so soon after the procedure? (Procedure is scheduled for Friday morning, Mikve Friday night)

4) If it is OK to immerse, what about relations? (I of course plan on asking my doctor as well) Is it advisable to refrain from relations after the hysteroscopy and if yes, for how long?


A tzilum rechem is known in English as a hysterosalpingogram.  However, doctors do sometimes perform hysteroscopy for the purposes that you mention.

1) In either case, bleeding can be attributed to the procedure and does not render you niddah.  Blood can be disregarded for a couple of days following the procedure.  Following that point, we recommend wearing colored undergarments and taking precautions regarding stains, so as to rule out any possible questions from arising. (For more information on stains, please see our articles "Stains" and "Toilet Paper".)

2) Yes, you should perform your bedikah in the morning before the procedure and use pantiliners/colored underwear afterwords.

3) Mikveh immersion after the procedure should not present a halachic or medical issue.

4) Both halachically and medically, you should resume relations when you feel comfortable doing so.  You may find yourself sore after the procedure. Even if delaying relations, you may immerse for the purposes of other types of physical closeness, so long as you and your husband are careful about hotza'at zera levatalah, spilling of seed.

We wish you a smooth and successful procedure!

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

Accessibility Toolbar