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Click here for Part II
Dam Nidah is blood that originates from the uterus. When a woman
finds blood, whether a flow or a drop, which originates from the uterus,
she will enter the status of Nidah- A form of ritual impurity, in no way associated
with physical uncleanliness. (blood that is caused by a uterine wound will
not be addressed here)
The most common cause of Nidah is Menstruation. There are, however, other causes of
uterine bleeding that, would also cause one to become Nidah.
testing, treatment procedures and surgery often cause uterine bleeding that may
be Nidah bleeding. A Rabbi must be consulted to determine the Nidah
status, as not all bleeding from medical intervention is actually Nidah.
Birth control methods (used only with Rabbinical
determination) may cause uterine bleeding. Hormonal contraceptives may
cause spotting or staining, until the body adjusts to the hormones. Some women may experience occasional
breakthrough bleeding, while using hormonal contraceptives. I.U.D. insertion
and removal will usually cause some bleeding from the uterus, please consult your rav before either procedure to determine how this will affect your status. An I.U.D, whether hormonal, or non-hormonal, may also cause spotting or staining until the body adjusts to this foreign
Pregnancy may cause uterine bleeding due to reasons that are
inconsequential, or due to reasons that require medical attention. Although a
woman is not menstruating during pregnancy, uterine bleeding at this time would
cause her to enter the Nidah status. Any bleeding during pregnancy should be
checked by a physician.
Fertility testing may cause bleeding from the uterus which
may be considered Nidah. Fertility treatment using hormonal agents may cause
uterine bleeding that would be considered as Nidah.
Bleeding is bleeding from the uterus that has no medical known factor. This
bleeding is not menstruation but it does cause the Nidah status. This bleeding
may occur sporadically or cyclically.
The first line of action, when finding any unexpected spotting or
staining is: DO NOT PANIC. Spotting and staining during the reproductive years
is rarely a sign of dire disease. You have time to call your doctor and
schedule an appointment to determine the cause of bleeding. However, if you are pregnant, please call your doctor that day. If you have heavy bleeding call
your doctor or Hatzolah right away.
The next person to call is your Rav. Not all uterine
bleeding causes one to enter the status of Nidah. A Rav can verify your status
based on your individual circumstances. Sometimes the Rav will direct you to a certified Bodeket to determine if the blood was actually uterine in origin.
Staining and spotting are common during the reproductive
years. Your physician, Rav and Bodeket are there to help you and guide you
through with a minimum of stress.
Part IV coming soon