Fertility, birth control...cancer

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hoping4more

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This is long, complicated and ongoing issue with my wife and me, I’ll try to be concise. She became catholic at the age of 12. I meet her when we were 21, we became married at 22/23 and I converted to Catholicism 8 months later that Easter. I really did not know other Catholics than her family and one of her parents was my sponsor for confirmation. Not to mention we werent the most faithful at that time, wish we grew more in our faith, not that we were particularly bad, just wish we were better, etc.

Anyways, shortly after I joined her parents ‘found’ out about the sex abuse scandels and pretty much convinced her to not go to Mass either. I went along with it more or less thinking it would get resolved after a while (I didn’t realize the time scale of the scadels at the time). At the same time we were poor, in grad school and she was scared to get pregnant and refused to practice NFP. I went along with this for a couple of years. Later we had kids; she wanted to use contraceptives in between kids and not NFP because of the stress of having little kids and not wanting more at the time, etc. At about this time I became much more concerned about our childrens faith (all toddler ages) and took them to church on my own. Still no communion since we weren’t doing NFP, but I took them(still not baptisted).

1 year ago we started trying to have another, I vowed(to myself, not her yet) I would not go back to contraceptives. Unfortunately she was unable to conceive, probably due to still nursing. A few weeks ago all that changed, she was diagnosed with breast cancer at 33. Chemo now, surgery in a few months and radiation, then hormone therapy for at least 5 years. She is basically starting a false menopause now from the chemo, but might still become pregnant if we aren’t careful. When she is own the Tamixfen(hormone treatment) and become pregnant she would have to stop immediately as it can cause birth defects. Obviously we both are devastated not just from the disease but also our plans to have at least another child. I am also concerned how to move forward intimately.

She wouldn’t want to, and the doctor said she cannot use the pill, but she does not trust NFP (not that it has failed us, she just doesn’t trust it), and only wants to use physical contraceptives. I could insist on NFP and she might give in, but then if she got pregnant and with the additional risks for her and the baby, she wouldn’t forgive me and I would be pretty hard on myself. If I insist on celibacy, well I would struggle mightily, and she would see it as grounds for divorce.

There is a lot happening so fast and I don’t know what to do, I am stuck. Thanks all.
 
I have nothing except to say I will pray for your family.

i do suggest speaking to your priest now. 🕊️🕊️🙏
 
I really encourage you to talk to your pastor for spiritual guidance. This is a complex mix of feelings and Church teaching, and your wife is coming from an understandably emotional place as she processes the news of cancer.

Please don’t be afraid to talk to your pastor.
 
Another option would be, given that your wife is highly unlikely to regain her fertility at all this, that you consider a vasectomy
Vasectomies are not allowed by the Church.
You have the choice of condoms and/or diaphragm.
Once again, not allowed.
medicall staff may advise your wife to consider a copper IUD
Nope.

First, Everyone needs to make right with the Church and go to confession. Then, Go through your Diocesan Office and they should have someone qualified to discuss you situation.
 
She wouldn’t want to, and the doctor said she cannot use the pill, but she does not trust NFP (not that it has failed us, she just doesn’t trust it), and only wants to use physical contraceptives. I could insist on NFP and she might give in, but then if she got pregnant and with the additional risks for her and the baby, she wouldn’t forgive me and I would be pretty hard on myself. If I insist on celibacy, well I would struggle mightily, and she would see it as grounds for divorce.
A couple of thoughts:
  1. Even if you had no moral issues about contraception, would barrier methods be effective enough for your situation?
  2. If your wife’s health is as you describe, it’s unlikely that the first thought on her mind is going to be, “I, a cancer-suffering mother of small children, am going to divorce my husband for not having sex with me because he’s afraid for my health.” That’s not going to be her first, second, third, fourth, fifth or sixth thought.
  3. Make sure your wife understands that you love her and that you fear for her health in the event of pregnancy, and you are concerned about the well-being of a child conceived accidentally during cancer treatment.
Best wishes!
 
I don’t think you do anyone a favor by saying, “we know you can’t be virtuous, here are all the best ways to sin.”

Recommending that people sin, encouraging them to do so, is also grave matter in itself.
 
This situation really requires a good sit down for spiritual direction and an explanation of Church teaching. It’s a bad situation but hopefully straightforward honesty will prevail 🙏
 
The reality is, Christ promised that we would never face a situation where sin is our only choice.
 
First, I am very sorry for you and your wife.
All I write here is NO medical advice. My sister was on tamoxifen for over 5 years after breast cancer in her twenties, and really, getting pregnant on this is nothing one should risk - and, the moral discusson beside, a condom is a risk, as every non-invasive and non-hormonal method is. I would search for a oncology focused fertility center to check the following:
  1. Could a pregnancy after tamoxifen, if possible, be a risk for her tumor prognosis?
  2. Are there at least a few days safe with nfp ? maybe not as much as with “nfp under best circumstances”, but enough for a good sexual relation. Interestingly, not caused by religious belief (as nfp is not a thing in germany as a moral choice), there were doctors offering her this alternative and me, too, as I ca´t use hormonal contraception, even If I would like to use it (what I don´t.),
This should not sound like “be thankful for what you have and don´t lament”, please don´t get me wrong.
 
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I think the best advice you could receive here is to talk to your pastor about this. I will pray for your and your family.
 
The reality is, Christ promised that we would never face a situation where sin is our only choice.
We have two options always. Right and wrong. We can conveniently do what the world desires. Or we buckle down and follow the Church. In this situation I believe the OP knows what must be done. This requires a Priest!
 
Possibly. Only her physician would know how long the treatments will be and whether there are alternatives. My advice would be to go through the Diocese and see if someone knowledgeable could give suggestions. That’s assuming she would cooperate. After all, we’re dealing with two people who have diverging ethical viewpoints.
 
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She’s not a prisoner.
You’re right! She’s free to choose. By the way, I’m glad you’re a physician 👨‍⚕️ Anyways, she’s not onboard with the Church teaching. So one of them has to switch sides. Abstinence would be the safest option but understandably quite difficult. Perhaps this resource could help: https://www.ncbcenter.org
 
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I feel it is unrealistic for a married couple to not have sex for many many years.
So, military spouses who are at home for years while spouse is deployed can just say “this is unrealistic” and throw morals out the window?

What about spouses who have illnesses that prevent sex? What spouses where one moves to a far away place to set up a home and sends for their family years later?

Breast cancer treatment in general does not last for “years”

 
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