<![CDATA[The use of menstrual-delay pills during Ramadan represents an intersection of religious motivation, reproductive health, and Islamic legal considerations. This study aimed to analyze the motives, practices, reported health experiences, and Islamic legal perspectives concerning the use of menstrual-delay pills among unmarried women in Larangan Dalam Village, Larangan District, Pamekasan Regency. The study employed a qualitative method with a socio-legal approach. The primary informants were 10 unmarried women who had used menstrual-delay pills, while the supporting informants comprised one village head, two midwives, and two religious leaders. Data were collected through semi-structured interviews, non-participant observation, and documentation and were analyzed through data reduction, data presentation, and conclusion drawing and verification. The findings revealed that pill use was motivated by difficulties in making up missed fasts outside Ramadan and by a combination of the desire to worship throughout Ramadan and the perceived difficulty of making up missed fasts. Knowledge about the pills was obtained informally from family members and the surrounding community, while their use generally occurred without consultation with healthcare professionals. Reported experiences included headaches, weight changes, changes in menstrual timing, and no complaints among some informants. These experiences could not be established as direct effects of the pills because no clinical examinations were conducted. According to the Indonesian Ulema Council fatwa on menstrual-delay pills, their use solely to complete a full month of Ramadan fasting is considered makruh, but it may be mubah for women who genuinely experience difficulty making up missed fasts, provided that it does not cause harm. The findings underscore the need for reproductive health education involving both healthcare professionals and religious leaders.]]>
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