How Can I Perform Ghusl While Wearing Medical Patches?

Hanafi FiqhShafi'i Fiqh

Answered by Shaykh Irshaad Sedick


A year ago, I had a total hysterectomy; my doctor prescribed me HRT patches for at least four years. I change the patches twice a week. The HRT patches prevent heart disease, hot flushes, sweating, etc. I have a limited supply and cannot discard them every time I have to perform a Ghusl. May I wash over the surface of the patch?


In the Name of Allah, the Most Merciful and Compassionate. May Allah guide every aspect of our lives to that which pleases Him.

We advise that you follow the Hanafi ruling for your situation. As usual, you should perform your Purificatory Bath (Ghusl) and wipe more than half of the bandage/plaster with wet hands, and Allah knows best.

Please note: Strictness on the question (‘azima) is to follow the Shafi’i ruling (below), while the dispensation (rukhsa) is to follow the Hanafi School (below).

The Shafi’i Ruling

The Shafi’i school is the hardest in this matter, insisting on a complete ablution except for the injured part. A complete dry ablution must be performed at the appropriate point in the ablution sequence in place of washing the injured part. [Keller, Reliance of the Traveller]

If someone has a cast or dressing harmful to remove, it must be first applied when one has ablution, and after that, one must wipe it with water when one comes to it in the ablution sequence and perform a complete dry ablution at that point. Finally, when someone with such a bandage on the members of dry ablution (the face or arms) recovers and has his cast or dressing removed, he is obliged to make up (repray) all the prayers he performed with such an ablution. [ibid.]

The Hanafi Ruling

The Hanafi school requires someone with an injury who wants to pray to make a complete ablution (or bath, if needed). But if this would entail harm, when he comes to the injury in the ablution sequence, he is merely required to wipe it with wet hands to cover more than half of the injury. If this would also entail harm, or if he has a bandage that cannot be removed without harm, or he cannot reapply the dressing by himself and has no one to help him to do so, then he wipes more than half the bandage when he comes to it in his ablution. He may pray with such ablution and need not repeat the prayer later [al-Hadiyya al-’Ala’iyya]. When the dressing is applied, he doesn’t need to be free of minor or even major impurity (janaba) [Al-Lubab fi Sharh al-Kitab].

Additional Precautionary Measure

There is strong evidence for performing dry ablution (tayammum) in place of washing such an injury. To add it at the appropriate point of the ablution sequence as a precautionary measure would not interfere with the validity of following the Hanafi position discussed above. [Keller, Reliance of the Traveller]

I pray this is of benefit and that Allah guides us all.

[Shaykh] Irshaad Sedick
Checked and Approved by Shaykh Faraz Rabbani

Shaykh Irshaad Sedick was raised in South Africa in a traditional Muslim family. He graduated from Dar al-Ulum al-Arabiyyah al-Islamiyyah in Strand, Western Cape, under the guidance of the late world-renowned scholar, Shaykh Taha Karaan. 

Shaykh Irshaad received Ijaza from many luminaries of the Islamic world, including Shaykh Taha Karaan, Mawlana Yusuf Karaan, and Mawlana Abdul Hafeez Makki, among others.

He is the author of the text “The Musnad of Ahmad ibn Hanbal: A Hujjah or not?” He has served as the Director of the Discover Islam Centre and Al Jeem Foundation. For the last five years till present, he has served as the Khatib of Masjid Ar-Rashideen, Mowbray, Cape Town.

Shaykh Irshaad has thirteen years of teaching experience at some of the leading Islamic institutes in Cape Town). He is currently building an Islamic online learning and media platform called ‘Isnad Academy’ and pursuing his Master’s degree in the study of Islam at the University of Johannesburg. He has a keen interest in healthy living and fitness.