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

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Not looking on mini-pill

27 February, 2006


I am on the mini-pill since the birth of my baby 4 months ago and have been almost constantly in niddah, and when I'm not in niddah I start feeling like maybe I should be…

I just was finally able to go the mikvah Thursday night and now (Monday) I'm crampy and know that if I would look at the toilet paper I'm pretty sure I would see blood. My question basically is.. I know you don't have to look at toilet paper, but until what point? I am always nervous that maybe what I'm having is considered a flow but I'm just ignoring it, by wiping it away. I probably have had some spotting on black underwear.

I know my Rav always says it becomes a flow at the point where you would have to put in a pad. However, I'm just not sure when that point is – it is so gray. If I would put in a pad, it would probably get blood on it but on the other hand..I can definitely hold off on putting in a pad.

I guess I'm just confused until what point you can not look at toilet paper and rely on the fact that you're wearing black underwear. I don't want to be doing anything wrong, on the other hand, I definitely would love to have a few days not in niddah..and don't want to unnecessarily make myself a niddah…any advice would be very much appreciated!

Thank you!!!!


Mazel tov on the birth of your baby!

You are allowed to avoid looking at toilet paper and to wear black underwear indefinitely.  If you were to feel a hargashah or consider yourself to have a flow, that would change.  It is notoriously difficult to define a flow.  Seeing blood leaving your body would qualify, as would bleeding akin to a light period.  The major precaution we suggest taking in situations such as yours, where you are not technically niddah but suspect that you are staining, especially if you are unsure about flow, is to refrain from having relations until you are confident the staining has ended for at least a day or so.  Since you are not technically in niddah, you are not subject to all the harchakot.  But many women would not want to take the chance of having relations if not 100% confident that bleeding has ceased. 

If you are continuing to stain after four months of using progesterone-only pills, it may be time to consult with your doctor about the possibility of switching to another type of pill or form of birth control.  Other options to consider include the combination pill, the patch, the ring, the IUD, or the diaphragm. You can find more information about each of these on our site.  Be sure to explain the consequences for you of continuous staining — it may help to direct your physician to our sister site,, also available as an app.

Please don't hesitate to write back with any further questions.

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