If pregnancy tires a woman out, is it permissible for her to have her tubes tied?

Question : Honorable Shaykh. Yes, yes. This questioner says that she is thirty-four years old, and she is pregnant, and the pregnancy tires her out. She says it is her tenth pregnancy, and she has multiple illnesses, and she has anemia in her back. Is it permissible for her to have her tubes tied?

Answer : If the pregnancy tires her out with unusual fatigue due to her illness, there is nothing wrong with her doing what she mentioned, on the condition that it is done with her husband's permission, and a second condition that the tying not be permanent, because perhaps Allah the Exalted will cure her and she will become pregnant again. If it causes her pain that is not normal, meaning not ordinary due to her illness, there is nothing wrong with her having her tubes tied, but with two conditions: the first condition is her husband's permission, and the second condition is that the tying is not permanent. So that if Allah the Exalted grants her health, she has the tying undone and becomes pregnant.