
Is a Medical Test Mandatory for Sharia Marriage in Saudi Arabia?
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If you are planning to get married in Saudi Arabia under Sharia law (Nikah), you might wonder: Is a medical test mandatory before marriage? The answer is yes. A premarital medical test is legally required before you can register your marriage. This article explains everything in simple terms—what the test involves, why it’s required, and how it helps.
What Is Sharia Marriage in Saudi Arabia?
Sharia marriage is the only legally recognized form of marriage in Saudi Arabia. It is called Nikah and is based on Islamic law. For it to be valid, the marriage must meet these conditions:
- Mutual consent from both the bride and groom
- The presence of two witnesses
- A dowry (Mahr)
- Legal registration with the authorities
To complete the registration process, a premarital compatibility certificate is required. This is where the medical test comes in.
Is the Medical Test Mandatory?
Yes, the premarital medical test is mandatory. It is a legal requirement, not a religious one. This medical test is required for all couples who want to register their Sharia marriage officially.
The Saudi Ministry of Health launched this program to ensure the health of both partners and their future children. Without this certificate, you cannot complete your marriage contract.
The certificate is valid for six months, so plan your test ahead of time.
What Does the Medical Test Include?
The premarital screening checks for several genetic and infectious diseases. These conditions can seriously affect both partners and any future children. The test includes:
- Sickle Cell Anemia
- Thalassemia
- Hepatitis B and C
- HIV/AIDS
These are the most common health issues targeted in the test. The goal is to identify risks and help couples make informed choices.
Where Can You Take the Test?
There are over 300 medical centers in Saudi Arabia offering this screening. Couples can:
- Book appointments together or separately
- Visit the nearest health center
- Get the results within a few days
If you live outside Saudi Arabia, you can take the test abroad. You’ll need to authenticate the test results through the Saudi Embassy in your country. After that, you can submit them to the Saudi authorities for your marriage process.
Why Is the Medical Test Important?
The test is not just a legal formality. It is a public health measure with several goals:
1. Protecting Public Health
It helps reduce the number of children born with genetic disorders like sickle cell and thalassemia.
2. Preventing Infectious Diseases
It prevents the transmission of diseases like hepatitis and HIV between partners.
3. Supporting Family Planning
Couples can decide whether to continue with the marriage if there are serious health risks.
4. Reducing Future Medical Costs
Early detection can reduce the cost and stress of long-term medical care.
Is There Any Proof It Works?
Yes. From 2004 to 2009, over 1.5 million couples were screened in Saudi Arabia. Some key results:
- Sickle cell cases: 70,962
- Thalassemia cases: 29,006
- At-risk couples identified: 8,925
- Couples who canceled marriage due to risks: 1,425 (26.5%)
This shows the program is effective. It helps couples avoid passing on serious conditions to their children.
Do People in Saudi Arabia Support It?
Studies in 2021 and 2023 show that most people in Saudi Arabia understand the value of premarital testing. The support is especially strong among:
- Educated individuals
- People with previous marriage experience
- Parents with awareness of genetic risks
Public awareness is growing fast. Many couples now see the test as a way to protect their future.

How to Get the Compatibility Certificate
The process is simple and clear:
- Book an appointment at a certified health center
- Take the tests for both genetic and infectious diseases
- Receive your results (shared only with you and your partner)
- If all is fine, you get a compatibility certificate
This certificate is needed to proceed with legal marriage registration.
For couples living outside Saudi Arabia:
- Take the tests at an approved lab
- Authenticate the results via the Saudi Embassy
- Submit them to get your certificate
What Happens If There’s a Health Risk?
If the test finds a genetic or infectious risk, the couple receives counseling. You are still free to marry, but the health team will explain the risks involved.
In some cases, couples choose to cancel the marriage. This is more common when both partners carry the same genetic trait, such as sickle cell anemia.
Does It Align with Islamic Law?
Yes, the test aligns with Islamic values, though it is not part of Islamic law itself. Sharia emphasizes:
- Protection of life
- Responsibility toward family
- Informed decision-making
By identifying serious health issues early, this program promotes care, responsibility, and well-being—all central to Islamic teachings.
Final Thoughts
The premarital medical test is mandatory for Sharia marriage registration in Saudi Arabia. It is not a religious requirement, but a legal and health-focused step. It helps protect families from inherited and infectious diseases.
If you’re planning to marry in Saudi Arabia:
- Schedule your test early
- Understand what the test includes
- Follow the steps to get your compatibility certificate
- Talk openly with your partner about the results
This step ensures your marriage begins on a healthy and informed foundation. It’s not just a rule—it’s a way to safeguard your future together.