On minipill with six month old, haven’t gotten to mikveh
6 October, 2016
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.
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.
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.