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Re: inducing amenorrheaFrom: Peter Wein (p.wein@obsgyn-mercy.unimelb.EDU.AU)Thu Aug 27 19:02:05 1998
At 06:27 PM 27/08/98 -0500, you wrote: >I am interested in knowing if anyone out there has advice on the best >way to induce amenorrhea for brides who do not want to be on their >period for their wedding and honetmoon. This is a critical issue for >Orthodox Jewish couples who could othrwise not be together. Thank you. > I must preface this by saying that it will all sound very strange to those on the list not familiar with the concepts - but to those involved it is of the utmost importance. Please don't flame me and tell me that this is all offensive or demeaning in some way - it is regarded as one of the pillars of Jewish family life. There are 2 methods - either use a monophasic oral contraceptive starting at least 4 weeks prior to the wedding and keep it going continuously till past the wedding, or use progestagen only 9 usually norethisterone 5 mg tds from midcycle of the cycle immediately before the wedding and keep this going till the wedding. Because of the laws of niddah, a woman must count seven clean days after the end of a period before going to the mikvah and being able to have intercourse - there fore some women like to have their period timed to begin about 14 days prior to the wedding - however if they haven't bled at all for weeks they can still go to the mikvah just prior to the wedding. As regards not bleeding during the "honeymoon" - orthodox couples do not have a honeymoon as such - the wedding celebrations continue for 7 days. At consummation of the marriage with first intercourse on the wedding night (assuming the hymen to be previously intact) the woman will bleed a small amount and be rendered "niddah" i.e. possibly menstruant and have to count seven further days before going to the mikvah (ritual bath) and being able to have intercourse again ( if her menses have not started in his time). Therefore it doesn't really matter whether she menstruates in the few days after the wedding. Peter Wein Senior Lecturer Department of Obstetrics and Gynaecology University of Melbourne, Mercy Hospital for Women Clarendon Street, East Melbourne 3002 Australia Tel: +61 3 9270 2556 Fax: +61 3 9417 5406 Mobile: 0414 691690
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