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

  • Hebrew
  • English
  • Espnaol
  • Francais
  • donate

Cerazette postpartum

7 June, 2020


I gave birth 4 weeks ago in Israel. My doctor prescribed me Cerazette as a birth control. How effective is it if I’m nursing and when do I start taking it?


Mazal tov on the recent birth of your baby!

Cerazette is a progesterone-only contraceptive pill (“POP” or “minipill”). The minipill is an effective method of contraception when taken as directed. It is commonly prescribed for breastfeeding women since it generally does not affect your milk supply.

The minipill may cause irregular staining during the first 1-3 months of use. Therefore, if you are exclusively breastfeeding and there are no major medical issues that contraindicate pregnancy, we recommend waiting to start taking Cerazette until after going to the mikveh. This way, any staining from the pill will start once you are already tehorah, when it is much easier to deal with halachically. If you start it before you go to mikvah, staining may cause issues with the seven clean days.

For mikveh night and for the first week of using Cerazette, you should use a backup method such as spermicide or the sponge.

Once you are tehorah, you should take precautions against becoming niddah from any staining by wearing colored underwear or disposable pantyliners and waiting at least a few seconds (ideally 15 seconds) after urinating before wiping. Please see our articles on stains and toilet paper for more details.

You should also try to take the pill at the same time every day to try to reduce the chances of staining.

Please feel free to get back to us with any further questions.


This response has been updated to reflect the rulings of our current Rabbinic Supervisor, Rav Kenneth Auman, regarding waiting before wiping.

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