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On minipill with six month old, haven’t gotten to mikveh

6 October, 2016
Question:

My baby is 6 months and I have not had a successful sheva nekiim yet since she was born, due to constant staining from hormonal birth control (non hormonal birth control – cap, diaphragm, and copper coil – did not work for us). Our Rav and frum doctor recently suggested switching from mini pill to Mirena. I’m aware that there are sometimes months of staining on the Mirena, yet sometimes none at all, and no way to predict which way it may go. My question is if after insertion the staining subsides, how soon should I wait to do a hefsek teharah? We have recently been in the unenviable situation of having a successful sheva nekim til the last bedikah on day 7 being bloody and staining restarting. Any advice would be very helpful, thank you.


Answer:

Mazal tov on the recent birth of your baby!

We are sorry to hear of the difficulty you are experiencing completing the clean days.

Once the bleeding subsides after insertion, you may perform a hefsek taharah as soon as possible.

However, despite the fact that the Mirena affects women differently, you should be prepared for the possibility that you may experience irregular staining for up to six months after insertion. Not all staining will render a woman niddah or invalidate the clean days, but given your extended staining experience with the mini pill, we are concerned that the Mirena may not be the right method for you at this point.

We recommend speaking to your doctor about switching to a regular combined birth control pill. At this point, when your milk supply should be well-established and your baby is ready to begin solids, it is safe for you and your baby. While regular birth control can affect your milk supply, any decrease can be compensated for by increasing both the length and frequency of feedings, as well as by supplementing with solids.

While regular birth control pills also have an adjustment period, irregular staining usually subsides within the first one or two cycles.

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

B’hatzlacha!

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