All perfect praise be to Allah, The Lord of the worlds. I testify that there is none worthy of worship except Allah and that Muhammad, sallallaahu ‘alayhi wa sallam, is His slave and Messenger.
First of all, we would like to thank you and your husband for your keenness on adhering to the straight path, abiding by the commands of Allah, and asking about the rulings on religious matters which you do not know of. May Allah bless you with steadfastness on the truth and grant you Paradise. We implore Allah to bestow well-being and recovery upon you.
The Islamic Shariah urges Muslims to reproduce and increase the population of Muslims because this is a source of honor and strength for the Muslim nation. Moreover, the parents are showered with blessings from their Lord because of their children. Allah, The Exalted, reminding the Jews of the blessings that He conferred upon them, says (what means): {And We reinforced you with wealth and sons and made you more numerous in manpower.} [Quran 17:6] At-Tabari cited the statement of Ibn Zayd reading, “It means that Allah blessed them with a great number of offspring and increased their population...” in his Tafseer (exegesis) book.
Abu Hurayrah narrated that the Prophet, sallallaahu ‘alayhi wa sallam, said, “Get married (and reproduce) for I will boast of your great numbers before the nations.” Therefore, Muslim spouses should not refrain from having children if they are able to do so.
Generally speaking, there is no religious impediment against preventing pregnancy temporarily due to a valid excuse; and when the excuse ceases to exist, the spouses should adhere to the basic principle, which is to reproduce. Please, refer to fatwa 89833. Preventing pregnancy permanently is impermissible, except for a Shariah-acceptable necessity. Please, refer to fatwa 96082.
As for the hardship that you face during your recurrent visits to the doctor because of your health condition, the hostility towards the Niqaab, or having to visit a male doctor, the most likely correct view – and Allah knows best – is that there is no religious impediment to preventing pregnancy temporarily in the light of these circumstances as long as you agree with your husband on that until your excuse ceases to exist. Some scholars held that it is allowed to delay pregnancy for less pressing excuses.
Shaykh Ibn ‘Uthaymeen was asked, “Is it permissible for the married woman to delay pregnancy until she finishes her college education?” He answered:
“She and her husband are entitled to delay pregnancy for an agreed-upon period of time for a particular purpose, and there is no harm in that. Taking contraceptive measures is permissible in principle because it was reported that the Companions, may Allah be pleased with them, used the method of ‘Azl (coitus interruptus) during the lifetime of the Messenger of Allah, sallallahu ‘alayhi wa sallam, and he did not forbid them to do that. Jaabir reported, ‘We used to practice coitus interruptus during the time that the Quran was being revealed.’ ‘Azl is a cause for delaying pregnancy...”
It is better to seek medical treatment so that you would be able to get pregnant and have children easily without having to face unbearable hardship. On the other hand, you should bear in mind that living in non-Muslim countries causes much inconvenience to the Muslims, especially the religiously committed Muslim women. It is advisable that you and your husband try to find a way to migrate to a Muslim country where you would spare yourselves such inconvenience. There is no doubt that living in a non-Muslim country is dangerous for your children's future as far as their creed and manners are concerned.
Allah knows best.