22 January, 2009
What experience have you had with a woman who suffers from PCOS – polycystic ovarian syndrome. She reports that she bleeds constantly. What course of therapy have you recommended, as she wants to keep Taharast Hamishpacha?
I am also contacting a posek in the States but believe that you may have come across this situation and might be able to share your expertise with me.
With many thanks for your time and assistance which I so appreciate.
We strongly urge a woman who suffers from PCOS to consult with a physician who specializes in this disorder. There are a number of treatments that can help reduce the bleeding and she and her physician will work together to find the best course of treatment. She should explain to her physician why it is important to minimize/regulate the bleeding. She can direct her physician to our sister site for health care professionals, www.jewishwomenshealth.org, also available as an app, for more information about Taharat HaMishpacha.
It is important to realize that PCOS affects many systems, and medical care should address a woman's general health as well as bleeding and fertility issues.
The woman should also review the laws of ketamim to avail herself of any leniencies regarding stains. Even with treatment, she will have halachic questions that require rabbinic evaluation; you can help her to establish a relationship with a rabbi and ensure that he understands her medical situation.
Please feel free to get back to us with any further questions.
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