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Joan wrote:

Dear Sirs,

My husband had cancer on four separate occasions. He has had extensive radiation and six months of chemotherapy. During chemotherapy, the doctors told us not to get pregnant, so we did (NFP) Natural Family Planning. We did not freeze any sperm because we did not want to go against Church teachings.

Now we are trying to get pregnant and have found out that there is no sperm in his semen due to all of the chemotherapy. The doctors would like to do a testes biopsy to see if there is sperm in his testicles.

  • Would it be against Church teachings to pursue this?

Please help!

Sincerely,

Joan

  { Would doing a testes biopsy to see if he has sperm in his semen be against Church teaching? }

John replied:

Hi, Joan —

First, for others reading this question let me explain:

A biopsy is a medical procedure that involves either cutting into or using a needle to take a sample of a particular organ so it can undergo laboratory tests. For instance, liver biopsies are very common if liver cancer is suspected.

I believe that a biopsy of the testes, to see if there is sperm in his testicles, would not violate Church teaching in that it is not a sex act which is contraceptive by its nature, such as masturbation. Also, this does not involve the fertilization and subsequent examination of an egg as is done (IVF) In-vitro fertilization.

I see no problem.

John DiMascio

Bob replied:

Joan —

A testes biopsy is not contradictory to Church teaching.

Masturbation for the sake of achieving a sperm sample is, but the surgical methods are fine.

Peace,

Bob

Eric replied:

Hi, Joan —

First, we commend you for so courageously following the Church's teaching in such a difficult situation. Undoubtedly, this has not been an easy path for you to follow.

Answering your question would require knowing more details on how the biopsy is conducted.

  • If the biopsy involves surgically collecting a tissue sample, I can see no objection to this.
  • If a semen sample has to be produced, however, it would have to be obtained in a legitimate manner, i.e., not through masturbation.

One solution I've heard for legitimately obtaining a semen sample is to have conjugal relations using a condom with a hole poked through the end, which preserves the fertility of the act while permitting a sample to be collected.

I'm not 100% certain that the legitimacy of this technique has been established, so one should probably verify this with an expert on the subject. (None of which we are at AskACatholic.com.)

Eric Ewanco

Edward Furton, of the National Catholic Bioethics Center replied:

HI Mike,

My understanding of Church teaching in this area is that John, Bob and Eric's answers are correct.

Eric said:
One solution I've heard for legitimately obtaining a semen sample is to have conjugal relations using a condom with a hole poked through the end, which preserves the fertility of the act while permitting a sample to be collected.

The above comment is fine, though there has been no definitive ruling on this approach from the Magisterium. You will find reputable theologians who approve and who disapprove of this method.

The Center itself has theologians who disagree on this issue. Given that no definitive teaching is available, and the fact that reputable opinion is divided, the couple is free to follow the light of a well-formed conscience. Hence, they may proceed as Eric has suggested.

Edward J. Furton
Director of Publications and Ethicist
The National Catholic Bioethics Center

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