Hysteroscopy to remove uterine scarring
24 December, 2015
I had a hysteroscopy to remove uterine scarring (a.k.a. Asherman's syndrome). I bled afterwards. Am I in niddah? If so, must I wait a minimum of 5 days of bleeding before counting my sheva nekiim?
One halachic issue following gynecological procedures is the size of instruments used, since instruments of a certain size inserted into the uterus are presumed to bring on niddah status by opening the uterus. In the case of a standard hysteroscopy, the width of the instruments used are well under the 19mm measure used as a criterion by our site's halachic supervisor, Rav Yehuda Henkin. Thus, assuming standard instruments, this procedure itself did not render you niddah.
While some poskim maintain that bleeding due to injury in the uterus itself is dam niddah and not dam makkah, the position of Rav Henkin is that such bleeding is considered dam makkah and would not render one niddah. Thus assuming your doctor confirmed that removing the scar tissue from the uterus caused trauma and uterine bleeding, you may disregard bleeding for about a week following the procedure and it does not render you niddah.
If the bleeding continues until the time you expect your period, you may no longer attribute the bleeding to dam makkah, and must assume it is considered dam niddah at that point.
Anytime you become niddah, whether it be from a flow, a stain, a procedure, etc., you are always required to wait the five day minimum from when you first entered the niddah status.
Please feel free to get back to us with any further questions.
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 yoatzot.org.