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

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HRT and staining

23 May, 2004


I have recently been declared menopausal by hormone levels. I started to use HRT about one month ago (estradiol and a progesterone). I was totally shocked to find staining today. Am I niddah? Do you think I should stop the HRT? Do women get spotting from HRT? Should I start wearing colored underwear? Any information regarding HRT and staining would be appreciated. I know these are medical questions, but there might be some Halachic information that I should be aware of. Thanks in advance. I have never had spotting in all my menstrual history, always regular periods. I have been on birth control until the menopause was confirmed.


Do not stop using the HRT without consulting with your physician. Many women do have staining while on HRT. However, the situation often improves over months of use. This staining can make you niddah, depending on a number of factors (see article on stains for more details). In order to determine whether you are niddah from the staining you experienced to date, we would need more information about the size and color of the stains, and about the surface on which they were found. You can either send us another email, or, for a quicker response, call our hotline. It is always a good idea to wear colored underwear while on HRT (except during the seven clean days, when relevant).

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