Author/Scholar : Dr. Abdullah Al-faqih
Date Of Issue : 21 Shawwal 1424
Question:What is the Fatwa if a woman examined by a doctor/ultrasound scan as treatment for her infertility from her vagina during the day of Ramadan? Does she need to make up for that day?
Answer:Praise be to Allah, the Lord of the Worlds; and may His blessings and peace be upon our Prophet Muhammad and upon all his Family and Companions. Inserting something in vagina for the purpose of a medical examination does not affect the fast as decided in the tenth session of the Council Of Islamic Fiqh, held in Jeddah in 1997 AD. The resolution contains many matters that do not affect the fasting. According to that resolution the following matters do not break fast: "Anything inserted into the vagina, such as pessaries, douches, scopes or fingers for the purpose of a medical examination. Insertion of a scope or intra-uterine device (IUD or "coil") and the like into the uterus. Insertion into the urethra - for males or females - of a catheter, opaque dye for diagnostic imaging, medication or solutions for cleansing the bladder". Therefore, this woman does not need to make up for the day in which she received the mentioned examination, unless there are some other reasons for that. However, we inform that it is better to undertake such examination after breaking the fast. As a general rule, a woman is not allowed to receive treatment from a male doctor except if there is no female doctor and she is in dire need for that treatment.
Allah knows best.
(Taken from : USIM Fatwa Management System)
With regards to vaginal examinations, Mufti Ebrahim Desai states: “If no medication has been inserted into the vagina, the fast will not be broken. If any gel or other substance was inserted into the vagina, the fast will break. Ultrasound scanning does not invalidate the fast.” With regards to injections, the Mufti states: “It is permissible to take an injection during fasting. The injection does not nullify the fast. (Ahsanul Fataawa vol.4 pg.432).”
My conclusion on this topic is although the transvaginal ultrasound itself will not broke the fast, for the ultrasound procedure, normally the doctor will put some gel such as KY Jelly to ease the scanning process. According to Mufti Ebrahim Desai, it is not allowed although the gel was used just as lubricant.