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How can one differentiate between menstrual blood and istiḥāḍah (non-menstrual vaginal bleeding), especially if the bleeding is accompanied by light discharge and menstrual pains, and what is considered light bleeding and discharge that appears intermittently after inserting an IUD?

1 min readAlso available in العربية

The basic principle is that any blood a woman sees is menstrual blood. If the bleeding stops, the minimum period of purity between two menstruations is thirteen days. If she sees blood after this period, it is a new menstruation. However, if she sees blood before the passage of thirteen days, and it is possible to combine it with the previous blood to form a single menstruation (meaning their combined duration, including any intervening purity, does not exceed fifteen days), then it is considered a single menstruation. If it is impossible to combine it, and it cannot be considered a new menstruation, then it is Istihada (non-menstrual vaginal bleeding). Therefore, any blood seen after sixteen or fourteen days from the cessation of bleeding is considered a new menstruation.

Summarized from the full answer at Ftawy · reviewed Sep 2, 2026

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