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Surgery to remove the testes if any is permissible to prevent the risk of cancer. Medical specialists should provide explanation and advice to Muslim individuals who are affected by CAH and AIS and their parents to undergo treatment in a way that avoids any difficulties with religious regulations.

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The sexual orientation of a khunsa can also contribute to the determination of gender. If the attraction is to males, the situation is comparable to that of a hermaphrodite whose gender has been determined as female, Discussion In Malaysia, the implications of Islamic regulations for the three cases described above are as follows. In the first case, once AA has gone through the due process and received approval by the religious authorities in Malaysia for reassignment to the male gender, AA is to be regarded as male and no longer khunsa musykil.

He will need to abide by the laws of Islam as a Muslim male and will be entitled to the rights of a Muslim man. He will be allowed to marry and is responsible for the sustenance and well-being of his wife. He can pray as a man, his Aurat is that of a man, and he is entitled to double the inheritance of his female siblings.

BB at present is still a khunsa musykil, needs to be informed of this status, and treated accordingly, until the choice of gender has been made. Thus, this person can be regarded a Muslim female and be accorded the obligations and rights as such. In all three cases, the surgeries performed were in accordance with the fatwas issued in Malaysia at that time. In light of the discussions above, Muslim patients with DSDs and their families need to be counseled on both the societal and the religious implications of gender assignment.

However, the timing and extent of surgery should be decided upon by the individual, the parents, and the medical experts involved.

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Gonadectomy, according to the fatwa from Malaysia, is also permissible for the prevention of malignancy. Sexual intercourse in Islam is only allowed within the sanctity of marriage, and a person with DSD is allowed to marry, once the gender has been conclusively determined.

Where fertility issues are concerned, assisted conception is allowed.

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This also has implications for the inheritance laws, where children of a married man or woman have the right to portions of inherited wealth or assets. Thus, it makes sense to include a religious authority in the multidisciplinary team that manages these patients, as many decisions made in the course of the clinical management of families of individuals with a DSD affect the religious aspects of life and, therefore, the outcome of the individual patient, their families, and the community.

The confidentiality of information exchanged with regard to the patients and their families must be stressed, keeping in mind that the aim is the achievement of optimal outcome for the patient and families with DSD. Muhammad, Ibn Qudamah, al-Mughni.

Also, Muhammad Ahmad, al-Ramli, Nihayat al-Mukhtaj, Hussin Printed Ambiguous genitalia: Medical, socio-cultural and religious factors affecting management in Saudi Arabia.

Pusaka: Mengapa bahagian lelaki melebihi bahagian perempuan?

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Al Herbish, Sex reassignment: A challenging problem-current medical and Islamic guideline. Disorders of sex development: Diagnostic approaches and management options—an islamic perspective. Malaysian Journal of Medical Sciences. Al-Oadah of Saudi Arabia. Rulings on transgender and sex-change matters. Couch RM. Disorders of sexual differentiations.

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Medicine North America. Gender assignment for children with intersex problems: An Egyptian perspective. Egyptian Journal of Surgery.

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