Hyperthermic treatment for cervical spotting during the 'conclusion in purity' examination

B. Kaplan*, H. Levavi, D. Rabinerson, D. Simon, J. H. Faktor, A. Neri

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Orthodox Jewish women regularly practice self-inspection for signs of bleeding for seven days after cessation of the menstrual flow. Cervical spotting during what is termed the 'conclusion in purity' examination, is a diagnostic and therapeutic problem among this population. We evaluated the effect of cervical hyperthermic treatment of the cervix in 30 women with recurrent contact bleeding during the 'conclusion in purity' examination. Complete gynecological examination, including Pap smear, colposcopy and culture for bacteria and mycoses was normal in all cases. All patients were treated with local cervical heating (73°C) for 3 minutes using the Gynetherm 700 (Medispec Ltd.) device. On seven-months follow-up, 20 patients (67%) reported complete disappearance of bleeding during their monthly self-inspection, six (20%) had partial improvement, and four (13%) showed no improvement at all. We conclude that the uniform application of heat (73°C) for 3 minutes to a healthy cervix is an effective treatment for cervical contact bleeding.

Original languageEnglish
Pages (from-to)51-52
Number of pages2
JournalCervix and the Lower Female Genital Tract
Issue number2
StatePublished - 1995
Externally publishedYes


  • Cervical spotting
  • Hyperthermia


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