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

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Bleeding from progesterone

26 January, 2003


I have started taking progesterone-only pills as contraceptives due to several medical conditions (this has been verified by a reliable posek), and this morning I noticed a lot of red blood. I know I wasn't supposed to look at the toilet paper, but it got all over me. I don't know if this is a stain due to the progesterone, or if it is my period, but I'm unsure of how to proceed.


If you had a large stain on your body (you state that "it got all over me"), then you are a niddah. It does not matter whether it was your period or from the progesterone, because any uterine bleeding not due to trauma makes you niddah. You need to follow all the rules of niddah.

To help prevent unnecessary extra time as niddah, it is a good idea to wear colored underwear while using this method of contraception (see article on ketamim). If repeated staining is causing a lot of niddah status despite this advice, please consult with your physician to see if other forms of oral contraceptive pills could be used.


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