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

  • Hebrew
  • English
  • Espnaol
  • Francais
  • donate

Check for internal cuts

16 January, 2004


I have a regular IUD for the last 6 months and am also taking progesterone cream to try and balance out the very high estrogen I have and very low progesterone. I am having a lot of problems with spotting or bleeding, usually on day 6 or 7 of my sheva neki’im. I ask a Rav to check and usually it is not ok. This is very frustrating and some months this has happened at least twice on day 7 of the sheva neki’im, making it almost a month till I go to mikvah.
With my last Sheilah, the Rav said it was a borderline stain and wanted me to go to be checked by a nurse at the hospital for any internal cuts or sores and said without this he couldn’t give me an answer. I refused to go as I was already so upset with the situation and did not want an internal to check something which I knew not to be the problem. I have this problem every month, it is either connected to ovulation or the progesterone problem. Was I wrong to refuse? He then said he would take it to another Rav and get back to me but was upset over my refusal and when I ended up in tears feeling like I was being intimidated over it he suggested I needed a refresher course on the laws. I always work hard at the halachot and take it very seriously and ask sheilot but am becoming increasingly miserable over this. I am trying to work out the problem of spotting with the help of my Dr but in the mean time what can I do? I rang the hotline and they told me to cut down on the bedikot I am doing and how to do this, which has helped a bit. Is it normal to get woman to have their cervix checked? This to be seems just too much to ask. I am not new to taharat hamishpacha, we have been married 7 years and have 3 children, but this was the first time I had heard this. Please can you help me.


It is really difficult to comment on your Rav’s request without discussing it with him directly. It is not unusual for a rabbi to request that a nurse examine the cervix and vaginal canal for wounds. If a wound is found, we may at times attribute the bleeding to the wound. Bleeding from a wound does not make a woman niddah. Therefore the rabbi might have been looking for a possible cause for the bleeding which would not make you niddah.

A wound is always a possibility when there is an imbalance of hormones because the cervix may become very delicate. When a woman does her bedikot, she may cause a wound without even knowing it. If this is the case then an internal exam may be helpful. This is a possible reason for the Rav’s request.

This is a very trying situation. It may be worth speaking with your doctor about the implications of the treatment and if there are alternatives. You may also want to speak directly with a yoetzet halacha on our telephone hotline.

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