Hypothetical: After she marries at 21 years of age, a woman suffers 10 miscarriages in 7 years, each one before the end of two months’ gestation. At age 28, after her last miscarriage, during which she also got very sick, she goes to a reproductive specialist. After a careful examination he says, "Look, the problem is simple: Your womb has been horribly scarred since your own birth. Your womb simply can’t expand to accommodate the growing fetus in your womb. It is medically certain that you will miscarry before the end of two months every single time.
"Now, so far you’ve only gotten sick once from the miscarriage. That’s because you’re older now, and you’re starting to wear out. You’re immune system can’t take the roller coaster ride anymore. If you get pregnant again, maybe once we can save your life. If you get pregnant again, after that, you will simply die.
“So, you really have three choices: (1) Tell your husband that from now on you two must refrain from all sex; (2) learn natural family planning, to keep your husband happy, but that is to take your life into your own hands, because like other measures to avoid conception there is a statistical failure rate; or (3) get your tubes tied. Since it makes no sense to keep your womb, because you’re not allowed to use it, morally, if you do keep it, since you’re not allowed to risk your life for sex, and since your womb can only create babies that must die before the end of two months gestation in the womb, long before they are viable, you’re not really offending nature or God by having your tubes tied. You’re only using marital sexuality unitively, to use the terminology of Humanae Vitae.”
The woman’s pastor is the diocesan bishop. He agrees that even NFP would be immoral, if another pregnancy will kill her, due to the statistical failure rate of NFP. “I’m sorry,” says the bishop, "But even NFP is immoral in your case. You’re not allowed to risk your life to make your husband sexually satisfied.
"Additionally, even though your womb can’t hold onto offspring for more than two months, and even though you are not allowed to risk using the womb ever again, and so must abstain from sex until you are an old lady, and clearly post-menopausal, you may not get rid of the womb, to make sex possible, since that would be birth control."
**
The bishop explains that if he hears that the woman has “used birth control” by getting her tubes tied, he will deny the woman Communion at Mass.
The woman goes home and tells her husband that he may never have sex with her again.
Six months later, he files for divorce.
Was the bishop’s advice correct? Or, is the bishop wrong, and where the womb is deadly if it is used again, and can not gestate a baby beyond two months, it is a “sick” womb morally able to be blocked-off by having tubes tied, to permit risk-free, non-death-defying sex?
I asked this question in another thread. I think that it deserves reconsideration.