Reproductive issues from the Islamic perspective.

Abstract

The Islamic faith is regarded by its followers, Muslims, as a complete way of life. A multitude of nationalities practise Islam and also various sects, and as a result there are various interpretations of Qur'anic guidance relating to almost every matter. Only a fully qualified jurist of the highest rank can issue edicts on problems that are not already clearly addressed in the Qur'an. This applies to contemporary issues and any Muslim is at liberty to debate and dialogue with the religious leader to obtain a ruling on a specific question. Marriage is described as half the faith in Islam and to have children is seen as a great blessing. There is no religious objection to an infertile married couple pursuing any form of infertility treatment including in vitro fertilization, surgical sperm retrieval and micro-assisted conception methods. However, there must be strict control to ensure that the gametes belong to the husband and wife. This relationship is described as 'halal' (permitted), whereas any union of gametes outside a marital bond, whether by adultery or in the laboratory, is 'haraam' (forbidden). Therefore, donor sperm pregnancies are strictly forbidden in all schools of Islamic law. The advent of ovum donation and surrogacy has led some Islamic scholars to allow this procedure between co-wives thereby avoiding the 'haraam' relationship between sperm and egg, but there is still debate on the definition of the mother. Similarly, treating any other situation outside a marriage relationship, for example fertilization of an ovum from cryopreserved sperm after divorce of the couple or death of the husband would be 'haraam' and strictly forbidden. The Qur'anic guidance is quite clear that the couple can pursue all permitted treatments but may need to accept that they may not achieve a pregnancy. Adoption is encouraged in Islam with the specific rule that the child must be able to identify its biological father by keeping his name. It must be emphasized that Muslims will vary on their degree of adherence to the faith and the practitioner should present all the options to the couple without assuming which treatments they will or will not accept.