Timing of Mirena insertion
26 January, 2016
I had a mirena iud placed after the birth of my last child at age 40. It caused the typical staining issues for about six months. I was clean while I breastfed, and then got monthly periods that eventually got shorter, lighter, and then nonexistent.
Every once in a while I had staining. The last few months I started getting periods again, dragging for 7–8 days. And this last period was very unusual, starting and stopping and starting again. I decided to get my iud checked, and as I suspected it had come out on its own. Now it will be another two weeks before I can get an appointment to put in another one, and we have a trip scheduled in 6 weeks. Should I put off insertion or should I go ahead and supplement with the mini pill to help with stains?
If you are concerned about staining on your trip, it may be preferable to wait until after your trip to have the new Mirena inserted. You can use spermicide (such as VCF – vaginal contraceptive film) or a contraceptive sponge in the meantime.
Alternatively, if you were able to successfully manage the staining caused by the Mirena by supplementing with progesterone, then that may be a good option as well. You should also review the laws of stains since not all staining will render a woman niddah.
We recommend discussing your options with your doctor who knows you and your medical history.
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.