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

  • Hebrew
  • English
  • Espnaol
  • Francais
  • donate

When to remove Liletta IUD

12 April, 2018


My husband and I are planning to have our first child soon. I have a Liletta IUD (hormonal). I’ve had the IUD for about a year and half and still get regular (albeit lighter) periods. What is the best way to plan the removal of the IUD? (Should I shoot for a particular time in the month? What is the status of the blood? Etc.)

Additionally, from the medical side-are you aware of any negative effects on fetal development interacting with lingering hormones?


We follow the position that the actual removal of the IUD does not render a woman niddah. Any bleeding that occurs within 48 hours of the removal may be attributed to trauma and disregarded. It is common to experience staining beyond the initial 48 hours so you should wear colored underwear and wait at least a few seconds (ideally 15 seconds) after urinating before wiping in order to avoid becoming niddah from stains. Please see our articles on stains and toilet paper for more details.

We recommend having the IUD removed while you are tehorah. If you have it removed while you are niddah, it is more complicated to disregard the staining during the clean days, which may cause you to delay immersion.

Some doctors recommend waiting one cycle after having a hormonal IUD removed before trying to conceive, but other doctors feel there is no need to wait. We recommend discussing this with your doctor when you have the IUD removed.

Please feel free to get back to us with any further questions.


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

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