The name of the recipient of this letter was not released.

4 Menachem Av, 5711,

…With regard to your question concerning a woman who, according to the judgment of the doctors, would be in danger were she to become pregnant: Is such a woman permitted to use methods [of contraception]?

Our Rebbeim have ruled leniently [concerning the above issue] and have permitted the use of well-known methods [of contraception] at the time of intimacy or afterwards. See the Tzemach Tzedek, Even HaEzer, responsum 89, which permits [using such methods]. There is also a manuscript of his son, R. Yisrael Noach [of Niezhen,] which permits [such methods]. (Afterwards, I found [that the matter is discussed] in the responsa of Rasham,1 responsum 58, and his opinion is also to permit [such methods].) This approach runs contrary to the Rabbinic authorities who rule stringently concerning these matters (their views are cited in Sdei Chemed, Asifas Dinim, Maareches Ishus, sec. 1, and Peas HaSadeh on that source). For us, we follow only the directives of our Rebbeim. I also heard in the name of my revered father-in-law, the Rebbe, that there are several permitted methods. Consult a Rabbinic authority from the elders of the chassidic community who knows what is done in such instances. It is implicitly understood that all of these methods are to be employed by the woman and not by her husband.