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Obstetrics
and Gynaecology
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Menstruation
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During
the menstrual period a woman should cease to carry out her prayers.
After cessation of menstruation she will perform the "tuhr"
bath and resume her prayers again. She is in no debt for the prayers
she has missed and need not repeat them later.
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Fasting
also is not permissible during menstruation, whether it is the obligatory
Ramadan fasting or voluntary fasting. The woman, however, is required
to make for the days obligatory fasting was broken and she will later
fast for an equal number of days.
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Sexual
intercourse is prohibited during the menstrual period. The Quran says:
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"They
ask you concerning menstruation. Say it is a hurt and a pollution,
so keep away from women during their periods and do not approach them
until they become clean. But when they have purified themselves you
may approach them in any manner, time or place ordained for you by
God. For God loves those who repent to Him constantly and He loves
thosc who keep themselves pure and clean." (2:222) but intercourse."
(Muslim-Termizi) The prohibition applies to actual vaginal intercourse.
Other forms of sexual play are permitted. When his companions asked
him, the prophet said:
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"You
may do everything It is reported that on occasion the prophet covered
the genital area of his menstruating wif'e with a cloth (Abu-Dawood)
and became intimate with her. Aisha, wife of the prophet, was once
asked about how free a husband was, concerning his menstruating wife,
and she answered : "Everything but intercourse" (Al-Bukhari).
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Medical
literature concerning intercourse during menstruation has been divergent.
Various authors reported that it plays an aetiological role in male
urethritis, introduction or flare up of infection in the female genetical
tract and increased uterine bleeding. Other literature claims that
it bears no harms whatsoever, but this comes from quarters that also
exonerated homosexuality and anal coitus from having any harm. And
the inside goings on in the sphere of medical research over the past
few decades have introduced an element of justifiable suspicion
or at least reserve in unconditional acceptance of published data
as all who see that sphere from inside feel.
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Whether
esthetic or medical reasons testify for or against intercourse during
menstruation, the fact remains that it is prohibited by Islam (as
it is by Judaism, with many more restrictions).
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During
Hajj (pilgrimage) or umra (ritual visit to Kaaba) menstruation prohibits
a woman from the Tawaf (circumnavigation or walking around the Kaaba
for seven turns) which is an integral part of the proceedings. The
prophet was reported to say:
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"Tawaf
is prayer except that God permitted talking during it so if you talk
say only good words." (Termizi, Darokotny)
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Aisha,
the wife of the prophet, is reported to have said: The prophet came
in one day and found me crying (because her period had started before
she made her tawat). The prophet said:
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"This
is something that God has written on the daughters of Adam. Proceed
with all the rituals and tinish them except that you will not make
tawaf until you took your (postmenstrual) bath." (Muslim)
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It
is for this reason that women tried since the early days of Islam
to have some control over the time of onset of the period, and if
possible to be able to postpone it until they have comfortably made
their tawaf. A concoction made from the leaves of the Arak tree was
tried, as well as other plant preparations. This need is much more
pressing nowadays, since Hajj and umra are performed by large groups
of people bound by a fixed schedule and flight bookings that limit
the ability of women to manoevre their time. Now that we have at our
disposal safe, easy and reliable means of postponing the onset of
menstruation, this problem is nearly solved. Female hormone-containing
pills such as contraceptive pills are given daily by mouth so that
they preserve the integrity of the lining of the uterus at the time
when the woman's own natural hormones are waning and thus can no more
support this lining with the result that it bleeds, breaks and fragments
and is discharged as menstruation. The prescription of such pills
for this purpose (or for the purpose of completion of the fasting
of Ramadan) is now common practice unless of course there is a medical
contraindication. The best chance of success is to start the pill
early enough usually on the fifth day of the period preceding Hajj
or umra. A late start carries less promise, and for the purpose of
contraception is certainly nonreliable. The doctor has to fore-warn
the woman that while on the pill she might have some blood spotting,
and that to cure it she should not stop taking the pill. As a matter
of fact she should take a higher dose (two or more pills daily) in
order to stop this spotting. This blood spotting is called breakthrough
bleeding, and denotes that more hormone is needed to preserve the
lining of the uterus and prevent it from breaking up. This bleeding
is also NOT menstruation and should not ban her from tawaf or prayer.
Technically such women belong in the group called "Mustahad"
that will be described shortly.
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There
is no religious basis to blemish this practice of willfull postponement
of menstruation. The legal dictum maintains that originally
all things are permitted except those that are specifically prohibited.
The practice fulfills one of the goals of jurisprudence, which is
to make things easier for people.
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