Uterine transplantation for women with Mayer-Rokitansky-Küster-Hauser disease (MRKH), a condition characterized by the absence of a uterus, presents a significant medical challenge. In Malaysia, laws and fatwas restrict medical interventions for this condition, prohibiting uterine transplantation. To address this issue, this study examines the role of fiqh al-Maalat (implications of action) in contemporary medical contexts. Employing a qualitative research method, the study focuses on the theoretical concept of fiqh al-Maalat applied in medical contexts, with an emphasis on prioritizing the importance of maqasid al-Shariah. Expert interviews were conducted to validate the study, particularly regarding uterine transplantation for MRKH syndrome. The findings underscore the necessity of uterine transplantation due to the increasing prevalence of MRKH syndrome in Malaysia, necessitating the adoption of transplantation methods. Consequently, this study advocates for a reassessment of laws and fatwas in alignment with the requirements of maqasid al-Shariah, considering the implications of permitting uterine transplantation in Malaysia. Further research is recommended to explore the ethical, legal and religious dimensions of uterine transplantation and to develop guidelines informed by fiqh al-Maalat principles.
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