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

  • Hebrew
  • English
  • Espnaol
  • Francais
  • donate

Non-hormonal non-IUD options

6 May, 2017


Hi. I am 42 years old with BH a bunch of kids (mix of boys and girls). I am having trouble finding a halachically and medically appropriate reliable method of birth control. I am BRCA positive with a strong family history of breast cancer and I have been advised not to use hormone based birth control. The copper IUD is not an option due to bleeding issues. What other options (in Israel) should I look into?


We recommend speaking to your doctor about a diaphragm. When used properly with spermicide it is highly effective. While it takes effort to obtain one in Israel, it is possible. See this blogpost about where to find a provider in Israel who can fit you for a diaphragm and where to purchase it.מדריך-הדיאפרגמות-השלם/

Another possibility is to speak to your doctor about the (non-hormonal) IUD called Gynefix or the new ball-shaped IUD. Due to their different shape or smaller size, they may have less bleeding side effects than a regular copper IUD. If you have had bleeding issues with an IUD in the past, we would also like to know more about what you experienced. If the issue was staining, it is important to know that not all stains make you niddah. For more information, please see our article on stains.

See also our article on choosing a contraceptive method for more details about these methods.

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

Accessibility Toolbar