Sep 13, 2021 | Medicine and treatment


Asallamualaykumm, this is for a lady to answer so please pass on, jzk I suffer with endometrosis I get cysts with it , even if I stop the bleeding with contraceptive it’s taking over my life I currently have 2 I’m waiting to get married and this could jeopardise my chance of having children. The doctors say I will not be able to prevent this happening as I have stage three and constant endometrial cysts which can onlly be removed via surgery I would like some advise on what to do best to control this I took the mirena coil but still got the cysts. I also have very painful large sized chest which are size JJ currently I’m only 5’2 not fat either the weight is all on my chest I’ve requested a reduction as this is painful I’d this permissible as it causes me so much pain and health issues the doctors agree and have referred me I have to carry the weight of them and the weight of the cysts it’s all a lot for me and my health I’m really fatigued please can you advise me with anything you can and keep me in your duas


In the name of Allah, the Inspirer of truth

Unfortunately, we are not in a place to give medical advice regarding endometriosis. We sympathise with your situation and would like to take this opportunity to ask you not to lose hope. Children are a blessing from Allah which He grants to those whoever He wishes. Endometriosis is not the end of the road and there are numerous cases of women who suffer from this condition but have still been able to have children. We understand the cysts can re-grow after surgery – you may wish to explore other homeopathic and natural remedies to help manage the endometriosis. We encourage you to continue to supplicate for healing from this condition and to make prayers for a righteous spouse and pious and healthy children.

Regarding having a breast reduction surgery, generally all types of cosmetic surgeries which cause a permanent change to your body are prohibited in Islam. There are exceptions made for life threatening conditions or where there is a genuine medical need. Similarly, there is precedence in Fiqh texts for dispensation when a permanent change is made to remove what is deemed an abnormality.  In order to determine whether there is scope for exemption in your situation, an experienced Muslim doctor should be consulted for medical advice. If they agree with the recommendation and substantiate the need for surgery, in your specific situation the surgery may be allowed.

And Allah knows best.

العناية شرح الهداية (1/ 125) وَالْمُثْلَةُ مَا يُمَثَّلُ بِهِ مِنْ تَبْدِيلِ خِلْقَتِهِ وَتَغْيِيرِ هَيْئَتِهِ سَوَاءٌ كَانَ بِقَطْعِ عُضْوٍ أَوْ تَسْوِيدِ وَجْهٍ أَوْ تَغْيِيرِهِ.

الأشباه والنظائر لابن نجيم (ص: 73) الضَّرُورَاتُ تُبِيحُ الْمَحْظُورَاتِ

الأشباه والنظائر لابن نجيم (ص: 78) الْحَاجَةُ تَنْزِلُ مَنْزِلَةَ الضَّرُورَةِ، عَامَّةً كَانَتْ أَوْ خَاصَّةً

تكملة فتح الملهم (١٩٥/٤): وأما قطع الاصبع الزاىٔدة ونحوه بانه ليس تغيرا لخلق الله وأنه من قبيل إزالة العيب وعيب فأجازه أكثر العلماء

مرقاة المفاتيح شرح مشكاة المصابيح (7/ 2819) قَالَ النَّوَوِيُّ: فِيهِ إِشَارَةٌ إِلَى أَنَّ الْحَرَامَ هُوَ الْمَفْعُولُ لِطَلَبِ الْحُسْنِ، أَمَّا لَوِ احْتَاجَتْ إِلَيْهِ لِعِلَاجٍ أَوْ عَيْبٍ فِي السِّنِّ وَنَحْوِهِ فَلَا بَأْسَ بِهِ

الفتاوى الهندية (5/ 360) إذا أراد الرجل أن يقطع إصبعا زائدة أو شيئا آخر قال نصير – رحمه الله تعالى – إن كان الغالب على من قطع مثل ذلك الهلاك فإنه لا يفعل وإن كان الغالب هو النجاة فهو في سعة من ذلك رجل أو امرأة قطع الإصبع الزائدة من ولده قال بعضهم لا يضمن ولهما ولاية المعالجة وهو المختار ولو فعل ذلك غير الأب والأم فهلك كان ضامنا والأب والأم إنما يملكان ذلك إذا كان لا يخاف التعدي والوهن في اليد كذا في الظهيرية.

Answered by: Bint Saeed

Checked & Approved by:
Mufti Abdul Rahman Mangera
Mufti Zubair Patel