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Angela S. wrote:

Hi, guys —

I am a 36 year old Catholic. My husband is also Catholic and we are striving to raise our two children Catholic. I've run into a difficulty that I wanted clarification on. I've recently had surgery to try to correct a medical problem related to menstruation, but the surgery apparently didn't work.

Now, to put it rather bluntly, I bleed all the time. My doctor suggested two possibilities:

  • a hysterectomy (at 36!?) or
  • a course of medication to control the symptoms.
    <The medication, unfortunately, also serves as a low-dose birth control pill.>

My husband and I currently practice the calendar method as we are not interested in having any more children unless God says otherwise. My medical symptoms, however, have begun to have a serious impact on my life.

  • Would the Catholic Church forbid me to take the medications to control my symptoms
    if the medication also acts as a birth control?

Angela

  { Would the Church forbid these medications for my medical issue if the meds act as a birth control? }

Mike replied:

Hi, Angela —

I talked with one of my colleagues today about your situation.

The Church would not forbid you to take this medication because the goal of the medication
is not directed toward contracepting life but making you physically better.

Mike

Eric replied:

Hi, Angela —

It would be permissible to take the medication but the question is whether you can have relations with your husband while on the medication.

If it acts in a contragestive or abortifacient manner the answer would be no. The answer may have some nuances.

I think you need help from someone more competent than us.

Eric

Mary Ann replied:

Angela —

You may take the hormone, but you would need to practice abstinence during your fertile times, because the pill causes abortions as one of its modes of actions. You would be taking it under the principle of double effect — a neutral or good action (taking a hormone) for a good effect (therapy for a disorder) also has bad effects that you don't intend (aborting a child, and separating the unitive and procreative meaning of the marital act).

The first bad effect is of such gravity that one must do whatever one can to avoid it. The second bad effect cannot be helped, and the Church has specifically said that necessary medical therapies that cause temporary or permanent infertility can be pursued however, the pill doesn't really cure anything; it just addresses symptoms.

I would advise you to contact a NaProTECHNOLOGY physician or a Creighton Model fertility Care Specialist (a lay person or nurse trained in this, who helps a doctor).

The physicians have developed more refined and very successful ways of dealing with endometriosis and other problems. If they use hormones, they are different ones than the pill, and can be taken in a way that doesn't endanger your health, as the pill does.

Mary Ann

Ted Furton from the National Catholic Bioethics Center replied:

Hi, Mike —

Your answer is correct, in my opinion.

Ted Furton
NCBC

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