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

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Hysterosalpingogram in clean days

17 May, 2013


I have been having difficulty conceiving and am having a hysterosalpingogram done next month during my 7 clean days. There is a possibility of slight bleeding as a result of the procedure. I am worried about becoming niddah as a result of the test and missing my ovulation window. Is there anything that I can do to avoid that (such as wearing dark underwear after the procedure or skipping bedikot)?


The hysterosalpingogram itself does not render you niddah nor invalidate the clean days.

Following the procedure, there may be some brown discharge (from the dye) or even some bleeding (which is usually dam makkah from cervical trauma). External staining may be attributed to dam makkah and disregarded. However, it is necessary to have one acceptable bedikah on day 7 and this may be somewhat problematic depending on when the procedure is scheduled.

If the procedure is done during the early part of the clean days, you should perform bedikot as usual up until the procedure. You may then omit bedikot for the next few days until the bleeding subsides, taking care to perform a bedikah on day 7. 

However, if the procedure will take place later in the clean days, you may have to delay your day 7 bedikah (and thus immersion as well) until the bleeding subsides and you are able to get an acceptable day 7 bedikah. In this case you should still perform bedikot as usual up until the procedure. You would then omit bedikot until the bleeding subsides. As long as 5 days do not pass without a bedikah, your clean days will remain valid. For example, bedikot on days 1-5 and a final bedikah on day 9 is a valid 7 clean days since you had a first and last bedikah and only a gap of 3 days without a bedikah.

Finally, if the procedure will take place on day 7 you may perform your morning bedikah prior to the procedure and omit your afternoon bedikah. Even if you experience staining following the procedure, it may be disregarded and you still may immerse as scheduled.

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

We wish you much hatzlacha!

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