Dam Niddah is blood that originates from the uterus. When a lady finds blood, whether a flow or a drop and it came from the uterus, she will enter the status of Niddah- A ritual type of impurity. (blood that is caused by a uterine wound will not be addressed here)
The most common cause of Niddah is Menstruation. However, there are other causes of uterine bleeding that would also cause one to be Niddah.
Gynecological testing, treatment procedures and surgery often cause uterine bleeding that may be Niddah bleeding. A Rabbi should be consulted to determine the Niddah status as not all bleeding from medical intervention is actually Niddah.
Birth control methods 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. An I.U.D, whether hormonal or non-hormonal may also cause spotting or staining until the body adjusts to this foreign object.
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 Niddah status. Any bleeding during pregnancy should be checked by a physician.
Fertility testing may cause bleeding from the uterus which may be considered Niddah. Fertility treatment using hormonal agents may cause uterine bleeding that would be considered as Niddah.
“Unexplained Uterine Bleeding” is bleeding from the uterus that has no medical known factor. This bleeding is not menstruation but it does cause the Niddah status. This bleeding may occur sporadically or cyclically.
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 Niddah. 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.
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Dam Niddah
Spotting or staining does not “automatically” render a woman niddah; it depends on where the blood is coming from. While this distinction may be irrelevant to medical doctors, who are focused onpathology and disease, a Bodeket can determine the source of bleeding and provide a report for your Rav, so a proper and informed halachic decision can be made.
Now you can be examined confidentially and discreetly by Channie Akerman, who was trained by the original Bodeket in Israel. Endorsed by prominent Rabbonim and numerous authors of sefarim on Taharat Hamishpacha, the exam can sometimes prevent unnecessary separation time and trips to the mikvah.
Special attention and guidance is also given to newlyweds, who are often unsure at this special time in their lives. Practical, hands-on instruction provided in how to make bedikot and similar issues.