Controversial Jurisprudential-Medical Issues of Treatment and Refusal of Treatment in Patients with Premenstrual Syndrome, a Narrative Review Running: Jurisprudential-Medical Issues of Refusal of Treatment in PMS

Background: In the last two decades and as a result of the strengthening of the theory of contractual relationship between doctor and patient, the patient has the right to know the type of disease, the type of treatment and the right to consent to start treatment. Refusal to treat premenstrual syndrome disorder, which is treatable, may be accompanied by physical and mental injuries in some people. The purpose of is investigating the jurisprudential-medical bases of refusing to treat patients with premenstrual syndrome (PMS). Material and Method: This research is a descriptive-analytical narrative review. The method of collecting information is library-based and it is done by referring to documents, books and articles. Results: Four famous jurisprudential rules, such as the "harmful rule (ḍarar): Harm is not legitimate in Islam", "rule of domination", "autonomy" rule, and taking treatment in accordance with the ruling "La Osr-Haraj (No Hardship Rules)" regarding the treatment or refusal to treat PMS sufferers have been examined. If the patient refuses to allow the treatment, citing evidence of self-control (rule of dominance), the doctor is not allowed to treat. However, according to Islamic principles, a person does not have the right to harm himself, but permission to treat is not considered compulsory. Conclusion: In the condition of refusal to treat patients with PMS, the doctor is only required to try her best to dissuade the patient from her decision and not to participate in harming the patient.