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

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Contraceptive options at 48

1 March, 2021


I am 48 in good health.

I had problems with the copper IUD so I got it removed. According to my blood tests, I’ve begun menopause but I want to use birth control until my periods stop fully.

My gynecologist doesn’t like the idea of hormonal contraception, due to my age.

What do you recommend?

Thank you.


The main halachically-permitted options would be a diaphragm with spermicide, spermicide on its own (e.g., vaginal contraceptive film), or Phexxi, a new spermicide-like contraceptive. Though spermicide alone or Phexxi have a lower efficacy than a diaphragm with spermicide, that is likely to be of less concern given that you have begun menopause. To learn more about these options, please see here and here and consult with your physician. Then please get back to us with any follow up 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.

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