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

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Estrogen for bleeding from minipill?

5 November, 2018
Question:

I have been bleeding constantly since I began using a minipill a month ago. It was explained to me that this is due to a thinning of the uterine lining. I was advised to take an estrogen supplement to counter the problem, even though I am nursing three months after birth. In your experience will taking estrogen stop ketamim?


Answer:

Mazal tov on the recent birth of your baby!

It is common to experience irregular bleeding on the mini pill during the first 1-3 months of use as your body adjusts to the hormones.

Taking the pill at the same time every day may help reduce the staining. Some doctors suggest taking two pills a day temporarily to help stop the bleeding.

Another suggestion is to take bioflavonoids (1000 mg 3x/day) to help reduce the staining.

While taking estrogen is not dangerous while nursing, it can affect your milk supply.

We recommend discussing the suggestions above with your physician, and giving yourself a bit more time to adjust to the mini pill. We also advise reviewing the laws of ketamim since not all stains will render a woman niddah or invalidate the clean days.

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

B'hatzlacha!

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