Menstrual Cycles with Bleeding from Mirena

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Question

Hello, my wife has a hormonal IUD (Mirena), which causes her menstrual cycle to appear as very light bleeding, appearing as a few spots. Should this be considered as a menstrual cycle or as spots? If so, when is the time of the menstrual cycle considered?

Answer

Hello and blessings,

In such a situation, spots that continue for several days are considered a menstrual cycle.

The beginning of the spots should be considered as the day of the menstrual cycle.

Source

According to the instructions of the Gaon, Rabbi A. Fried, shlita

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