Is it necessary, when performing ghusl (for both janabah and menstruation combined), to have a specific intention for both, or is the intention for one sufficient for the other? What is the ruling for someone who forgets to say "Bismillah"? Does madhy (pre-seminal fluid) exit without arousal, and what is its ruling for someone who suffers from OCD? How many times is it obligatory to perform istinja'?

If a woman has both major ritual impurity (janabah (definition)) and menstruation (hayd), and she intends to remove both with a single ghusl (definition) (ritual bath), this is sufficient according to the majority of scholars. If she intends to remove only one of them, there is a difference of opinion regarding its sufficiency. The preferred view for a woman who suffers from obsessive-compulsive disorder (waswasa) is that it is sufficient, in order to alleviate her waswasa. The place of intention (niyyah (definition)) is the heart, and uttering it verbally is not prescribed. Forgetting to say "Bismillah" at the beginning of ghusl does not cause harm, as it is a sunnah (definition) (recommended act) according to the majority of scholars. Cleansing with water (istinja (definition)') involves removing the substance of the impurity and its trace, while cleansing with stones or tissues removes its substance and its non-negligible trace. Madhy (pre-ejaculatory fluid) is a thin, white discharge that emerges upon thinking about sexual matters or foreplay. A person suffering from waswasa should not pay attention to doubts about its emission; rather, they should assume the original state, which is that it has not been emitted.