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Beyond its spiritual significance, fasting during this month represents a distinct physiologic and cultural practice that may influence women\u2019s reproductive health. This narrative review integrates findings from published studies to summarize current evidence on the impact of Ramadan fasting (RF) on the menstrual cycle, fertility, polycystic ovary syndrome, pregnancy, and breastfeeding. Relevant literature was identified through PubMed and Embase using keywords related to Ramadan and women\u2019s health, with emphasis on qualitative synthesis and critical interpretation rather than quantitative comparison. Across the literature, RF appears to cause mild and temporary menstrual irregularities without major hormonal changes. Fertility hormones generally remain stable. Among pregnant and breastfeeding women, most studies report no significant differences in maternal or neonatal health between fasting and non-fasting groups, though findings vary by region, nutritional intake, and gestational timing. While immediate birth outcomes appear largely unaffected, long-term effects have been elucidated through recent studies. Collectively, the evidence highlights the physiologic adaptability of women during RF while revealing the need for more comprehensive research on RF\u2019s effect on women\u2019s health. Gaining insight into this area of research contributes to a more inclusive and culturally sensitive approach to healthcare, targeting the unique needs of female Muslim patients. This will allow healthcare providers to leverage this research to establish rapport with their patients and deliver attuned, quality care.<\/jats:p>","DOI":"10.1177\/17455057261435746","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T12:32:32Z","timestamp":1775133152000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Exploring the impact of Ramadan fasting on women\u2019s reproductive health: A narrative review"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9977-0109","authenticated-orcid":false,"given":"Sehar","family":"Hussain","sequence":"first","affiliation":[{"name":"California University of Science and Medicine, Colton, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sana","family":"Ahsan","sequence":"additional","affiliation":[{"name":"California University of Science and Medicine, Colton, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1244-312X","authenticated-orcid":false,"given":"Alysha","family":"Ali","sequence":"additional","affiliation":[{"name":"California University of Science and Medicine, Colton, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hira","family":"Khan","sequence":"additional","affiliation":[{"name":"California University of Science and Medicine, Colton, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sedra","family":"Tibi","sequence":"additional","affiliation":[{"name":"California University of Science and Medicine, Colton, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6108-5621","authenticated-orcid":false,"given":"Hina","family":"Mohsin","sequence":"additional","affiliation":[{"name":"California University of Science and Medicine, Colton, CA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Zouiten S. 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