Licit birth control use

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Ok I’m not going to give the whole crazy backstory (though I’ll give more than enough) and let me first say that both my wife and I plan to speak with both a priest and a Catholic OBGYN, but here’s the deal…

After a premature birth to our son at 25 weeks (thank God he survived and is thriving)) my wife was told she shouldn’t get pregnant again for at least two years because she had an emergency c-section. Well OK, we knew that we really didn’t try too hard with NFP because it was the first couple of months of marriage when she got pregnant with little Ignatius, so we’d have to make sure all the "i"s were dotted and "t"s are crossed.

Soon after starting her cycles again (went five months without due to pumping) well, she’s pregnant again (with a daughter to be born in late May). We were shocked. Why? Because her cycle did something totally bizarre in terms of basal temp and CM. The temps went up for four days above the LTL and then DROPPED the next day, and by then it was “too late” as it were.

It shouldn’t have been overly surprising though. My wife has a bicornuate uterus and cycles that range from 33-50 days or even longer. It’s nearly impossible in those much longer cycles to really determine when ovulation is taking place.

Her OBGYN said she needs to do something to get her cycles in a somewhat regular pattern due to health concerns (she has anemia and a blood clotting disorder) AND she is endangering her own life and the life of a future unborn child if she gets pregnant in the next two years.

Herein lies the problem. Her OB, not Catholic but a religious Christian that respects Catholic teachings, wants to put her on therapy that will regulate her cycles to a certain extent. However, the only things they can give her will affect her fertility. Obviously what both my wife and I want is to abide by Church teachings while also doing something to get her cycles in order so we can practice NFP properly! So what are we to do? Obviously we will strain to find alternatives that do not affect fertility and also are not dangerous because of her clotting disorder, but I simply want to know what you folks think about this:

If she takes something that impairs fertility (but does not act as an abortifacient ) in order to regulate her cycle, is that a licit reason? Does the fact that she cannot get pregnant for two years without endangering her life and the life of a child make it more licit or does it actually undermine the argument here?

It’s a very confusing situation indeed and we both want to follow the Church’s guidelines. But I don’t know how to comprehend the idea of not having relations with my wife for two years since her condition makes NFP nearly impossible without medical intervention… which would also impact her fertility!
 
If she has a clotting disorder, I would strongly recommend that you look into other options besides hormonal birth control of any kind. All hormonal birth control increases the risk of blood clots, especially in the deep veins of the legs. My mother ended up hospitalized for that very problem before she conceived me. Also, the localized ones, like the vaginal ring and patch, seem to cause clots at or near the site of the hormone delivery device.
 
If she has a clotting disorder, I would strongly recommend that you look into other options besides hormonal birth control of any kind. All hormonal birth control increases the risk of blood clots, especially in the deep veins of the legs. My mother ended up hospitalized for that very problem before she conceived me. Also, the localized ones, like the vaginal ring and patch, seem to cause clots at or near the site of the hormone delivery device.
Trust me, I know about those risks. She’s on thinners right now to prevent clotting which was the reason our son was born very early as a clot created havoc with her placenta and resulted in an abruption. Our little girl is at 28 weeks right now and seems A-OK as does my wife.

Her current OBGYN said the treatment she would order was one of those low-dose hormone ones that could possibly help with the cycles being so messed up and address other imbalances. But again, it would have the side effect of basically rendering her infertile while on the treatment (as far as I know again it wouldn’t be abortificiant because we would not accept that)

As I wrote above, we plan to speak with a Catholic OBGYN and a priest about this to cover all the bases, I just wanted some starting points here.
 
I had heard (and I’m in no way claiming accuracy with this) that so long as the only intent of the birth control pill (which is what I assume you’re talking about) is not to refrain from getting pregnant but to solve some other problem then technically you’re okay in taking it. But if any point of taking the birth control pill is to refrain from pregnancy then it’s not okay.

The ‘problem’ I see with your situation is that part of taking the pill would be to regulate cycles so you have a better understanding of when your wife is fertile so you wouldn’t get pregnant. So it’s sort of like you’d be taking the pill to not get pregnant, which to me, is a really grey area.

I think your idea of talking to a priest is spot on. Maybe google a practice in your area that is pro-Catholic teachings (it’s great that your OB/GYN respects Catholic practices) and see what other medical advice they might have to offer in your situation.
 
I had heard (and I’m in no way claiming accuracy with this) that so long as the only intent of the birth control pill (which is what I assume you’re talking about) is not to refrain from getting pregnant but to solve some other problem then technically you’re okay in taking it. But if any point of taking the birth control pill is to refrain from pregnancy then it’s not okay.

The ‘problem’ I see with your situation is that part of taking the pill would be to regulate cycles so you have a better understanding of when your wife is fertile so you wouldn’t get pregnant. So it’s sort of like you’d be taking the pill to not get pregnant, which to me, is a really grey area.

I think your idea of talking to a priest is spot on. Maybe google a practice in your area that is pro-Catholic teachings (it’s great that your OB/GYN respects Catholic practices) and see what other medical advice they might have to offer in your situation.
I am not sure, but I believe I heard somewhere:rolleyes: that if you are taking birth control pills for a licit reason, it is still important to practice NFP and abstain during days of fertility.
 
I am not sure, but I believe I heard somewhere:rolleyes: that if you are taking birth control pills for a licit reason, it is still important to practice NFP and abstain during days of fertility.
There are no days of fertility… BCP suppress ovulation as their primary function. The “period” one has on the pill is not a real period, it is withdrawal bleeding from a week of pills with no hormones. Going on the pill may appear to regulate one’s cycle, but truly, it only imposes an artificial “cycle” that has no relation to the woman’s real cycle. When she goes off the pill, her real cycle will reassert itself, either with the same problems she had before, or worse due to damage from the artificial hormones. These pills really solve nothing for women with hormonal issues. Except possibly endometriosis, by suppressing the cycle altogether.
 
I am not sure, but I believe I heard somewhere:rolleyes: that if you are taking birth control pills for a licit reason, it is still important to practice NFP and abstain during days of fertility.
That’s basically what we would do if a priest and Catholic OBGYN gave us the OK on this (basically “pretend” like there are fertile days much like someone who got a tubal ligation or vasectomy and then repented but could not get it reversed). I’m 100% supportive of NFP I just want to be able to you know, actually practice it and be as absolutely conservative as possible given my wife’s health situation. A 24 year old woman having 50 day cycles, some of which are ovulatory and some of which are not, is not normal. I don’t want to use artificial hormones at all, but her fertility signs and cycles are all over the map all the time, and have been even before we got married. That can’t be healthy and it’s impossible to practice NFP that way.
The ‘problem’ I see with your situation is that part of taking the pill would be to regulate cycles so you have a better understanding of when your wife is fertile so you wouldn’t get pregnant. So it’s sort of like you’d be taking the pill to not get pregnant, which to me, is a really grey area.
See that’s exactly where I’m confused. And you guys are giving me good starting points for these conversations with the docs and priest; I greatly appreciate it.
 
…My wife has a bicornuate uterus and cycles that range from 33-50 days or even longer. It’s nearly impossible in those much longer cycles to really determine when ovulation is taking place.

Her OBGYN said she needs to do something to get her cycles in a somewhat regular pattern due to health concerns (she has anemia and a blood clotting disorder)
It seems to me that we are getting confused because there are really two separate (albeit intertwined) issues: your wife’s general health problems and the desire to postpone pregnancy.

The Catholic Church teaches that you can’t use artificial means specifically to postpone pregnancy, no matter how grave the reason for postponing. But you can sometimes use medicines which prevent ovulation or are abortifacient in order to treat a health problem.

My question to you is what would the doctor recommend to your wife if she was not sexually active? Would the treatment be the same? If she does need treatment even if pregnancy was not an issue, then are hormones the right treatment? Or are there other treatments that address the underlying problems rather than merely treating symptoms?
 
There are no days of fertility… BCP suppress ovulation as their primary function. The “period” one has on the pill is not a real period, it is withdrawal bleeding from a week of pills with no hormones. Going on the pill may appear to regulate one’s cycle, but truly, it only imposes an artificial “cycle” that has no relation to the woman’s real cycle. When she goes off the pill, her real cycle will reassert itself, either with the same problems she had before, or worse due to damage from the artificial hormones. These pills really solve nothing for women with hormonal issues. Except possibly endometriosis, by suppressing the cycle altogether.
Thank you grandiosa. That definitely makes sense. I believe the NFP use during the pill was to prevent the “breakthrough pregnancies” that can result in a spontaneous abortion. I can’t say whether the pill would be an effective treatment for women with hormonal issues, I have not yet had reason to delve deep, so to say. But what you say makes a lot of sense.

I believe the OP mentioned that they did not want anything that acted as an abortificent. Maybe I am wrong, but I thought all of the birth control pills have the potential to act as an abortificient?

Did the doctor discuss the risk/benefit ratio in light of her clotting disorder? Birth control pills come with a HIGH risk of blood clots. If I am not mistaken, can’t they cause a stroke? That would be horrible!! Two years IS a long time, but God may be calling you to abstain. Maybe not, but it is important to consider as one of your options. I will pray for you during this difficult time, that you will hear the voice of the Holy Spirit while you prayerfully research your options.

BTW, my heart goes out to you and your wife. It is hard to have the beauty of childbirth marred by health concerns and the trauma of a premature birth. Praise God your son is thriving!!👍 What a difficult time that must have been for you both.
 
BTW, my heart goes out to you and your wife. It is hard to have the beauty of childbirth marred by health concerns and the trauma of a premature birth. Praise God your son is thriving!!👍 What a difficult time that must have been for you both.
He spent more than four months in the hospital, so yes it was extremely trying. He’s got very mild hydrocephalus and needs a nebulizer treatment every day to address his chronic lung disease caused by the time he spent on the ventilator, but he is perfectly on target with development for a child at his (corrected) age. A certified miracle if you ask me!

It’s months before my wife actually has any treatment for these health issues so (no offense) obviously we aren’t going to be making any decisions based on what people say on the Internet. We’re turning to the pros.

And, of course, we would most gladly choose any treatment to get her cycles in some kind of order and her mild hormonal imbalance (she also has a thyroid issue but that’s a whole other deal) and that didn’t have a single side effect on fertility. We just found out about what this doctor’s first recommendation was yesterday. We’re not going to just say “oh yeah sure” without exploring every option and deliberate with Catholic experts.
 
I believe the NFP use during the pill was to prevent the “breakthrough pregnancies” that can result in a spontaneous abortion.
NFP use in conjunction with hormonal birth control is not possible. There are no markers to let anyone know what is going on with the body. Ovulation is suppressed, so there will be no thermal shift. Cervical mucus is changed, so it is useless for information. If a breakthrough ovulation should occur, it would most likely not be discovered until too late. The markers would be all out of whack and useless. When on hormonal birth control, nothing the reproductive system does bears any relation to reality. The hormones basically impose a false reality upon the woman’s whole body.
I believe the OP mentioned that they did not want anything that acted as an abortificent. Maybe I am wrong, but I thought all of the birth control pills have the potential to act as an abortificient?
Yes, all hormonal birth control has the potential to be abortifacient. Suppressing ovulation is the primary function. Changing cervical mucus to be thick and too sticky for sperm to navigate is a secondary function, that some doctors claim should actually be termed as the primary one. After all, if sperm can’t get in, nothing else can happen even if ovulation should occur. But, if both of those functions should fail, then the tertiary functionality of hormonal birth control is to thin out the lining of the uterus into which the fertilized egg implants. It makes it less deep and rich, harder for the zygote to “stick” to. At that point, you have an early abortion of a conceived human life. 😦
 
He spent more than four months in the hospital, so yes it was extremely trying. He’s got very mild hydrocephalus and needs a nebulizer treatment every day to address his chronic lung disease caused by the time he spent on the ventilator, but he is perfectly on target with development for a child at his (corrected) age. A certified miracle if you ask me!
It IS a miracle. Having to leave your baby in the hospital was probably more than “trying.” My son was born at 35 weeks. He had many problems with weight gain, feeding and some respiratory issues. His breathing and feeding issues have resolved themselves, though he has slight hypotonia and is developmentally delayed. I can’t imagine how it would have been for him at 25 wks. Your little bugger must have been tiny. :ouch:Praise God, he is doing so well, may he continue to grow stronger everyday.

I was always so glad I was able to bring him home with me. I couldn’t imagine the trauma of having to be seperated from my baby so soon after his birth.
It’s months before my wife actually has any treatment for these health issues so (no offense) obviously we aren’t going to be making any decisions based on what people say on the Internet. We’re turning to the pros.
Of course not!🙂 But it does help to talk to lots of people and get lots of perspectives cause sometimes it can help us formulate the right questions to ask “the pros.”
And, of course, we would most gladly choose any treatment to get her cycles in some kind of order and her mild hormonal imbalance (she also has a thyroid issue but that’s a whole other deal) and that didn’t have a single side effect on fertility. We just found out about what this doctor’s first recommendation was yesterday. We’re not going to just say “oh yeah sure” without exploring every option and deliberate with Catholic experts.
It is clear you have given your Faith first priority in the past, and I am sure you will both continue to do so. God bless!🙂
 
I think speaking to your priest is definitely a good thing to do, but sometimes the priests aren’t fully formed on the true effects of hormonal birth control.

My recommendation would be to seek out the Pope Paul VI Institute. They use the Creighton Model of NFP and have a very good success rate (both w/ pregnancy and preventing pregnancy). They also use one of the most scientific and researched methods of NFP - Creighton. For a small fee you can send in your charts, bloodwork, medical records, etc and have Dr. Hilgers (or one of his counter-parts) evaulate your situation and give you the true Catholic approach. I don’t think they EVER use bc for anything b/c for them the root of the problem is what needs to be established - not covered up.

Basically, while it sounds like a good idea to use bc to prevent pregnancy for your wife’s health and the health of any unborn children, its really like putting a band-aid on a huge laceration. It may cover up the problem, but once you remove it, the problem rears its ugly head again. All hormonal bc supresses ovulation and therefore supresses any problems w/ the woman’s reproductive cycles. What PPVI does is evaluate exactly what is causing the problems and treat the actual cause. Then with the cause resolved, you are free to use NFP to plan your family. All without hormonal bc.

FYI PPVI does use some hormones as treatments, but never as a birth control. I think the only licit use of bc is if you are not sexually active. The ends don’t justify the means in other words. The principle of double effect doesn’t really hold true b/c the ‘treatment’ isn’t really treating the underlying disease like removal of the entire tube for a tubal pregnancy. As soon as the section of tube that is diseased & contains the baby is removed, the woman is back on track - health wise. However, the use of bc to prevent ovulation and/or regulate her cycles does not continue after bc use is stopped. Instead, the woman goes back to her unusual cycles. However, during that time, if God willed, a baby may have been conceived and rejected by the woman’s body due to the hostile nature of the bc on her endometrium. At least that’s the way I understand the situation.
 
You might want to look at the Pope Paul VI Institute in dealing with your wife’s cycles.
popepaulvi.com/
I would think taking care of that instead of covering it with hormones would do more good in the long run. Hormones can mess up your cycle even more…I as on the pill (before being Catholic) for about 4 years and I was pretty regular before that. Nothing but irregularity after. I have long cycles 36-50+ days–which means a LONG phase 2. I never understood how the pill or hormones “regulate” anything–because it appears they only “regulate” as long as you take them.

God bless!
 
As others have said, it’s possible for this to be a licit use BUT I would highly recommend that you seek out a physician who is NFP-only and familiar with alternative means for fixing/regulating cycles (perhaps even look into the Pope Paul VI Institute). As a physician-in-training (ie medical student), I know we’re (incorrectly) taught that the Birth Control Pill is a miraculous cure-all that will fix any woman’s problems. I wish they didn’t fill people’s heads with that inaccuracy but they do. So most physicians enter the field thinking “all I have to do is prescribe a BCP and they’ll be all better.” And it will look that way because the woman will have “regular cycles” (because the BCP is supressing her natural cycles and imposing a false cycle-looking non-cycle on her) and everything will be “happy.” I’m not saying anything bad about your current physican - she probably just doesn’t know that it probably won’t do what she thinks it will. THANKFULLY there are a growing number of doctors who know other things to do than just sticking a woman on BCP. SO… seek out one of them 🙂
 
As others have said, it’s possible for this to be a licit use BUT I would highly recommend that you seek out a physician who is NFP-only and familiar with alternative means for fixing/regulating cycles (perhaps even look into the Pope Paul VI Institute).
Both of these ideas are very good.

BUT…

There isn’t one NFP-only doctor or even one that is familiar with NFP anywhere near me. Of the three different practices that I have been to, only one doctor didn’t roll his eyes when I said I used NFP. :rolleyes: And she didn’t understand what it was, she just didn’t roll her eyes.🤷 I would have to travel about 5 hours each way to see an NFP only doctor.

And, the Pope Paul VI Institute is in Nebraska. They use the Creighton Model. If you use another, do you have to learn Creighton first? Does anyone know their policy on looking at charts of women that aren’t patients? Or looking at charts that aren’t Creighton?

I know these are really good ideas. I just wonder how realistic they are.
 
If you practice NFP, I would assume that you took a course with an instructor. She might be a great person to give you some good advice. I am an instructor for the Couple to Couple League for Natural Family Planning, and can tell you that CCL has a great website. Check it out! They can get you connected with an instructor close to your home, who can help you sort all of this out.
I once had a client who thought that she was blessed with some sort of extreme fertility–she really felt that she ovulated more or less continually, all cycle long! Of course, this is not possible, but she really enjoyed thinking this. When I saw her charts, it was easy to see that she was not documenting her information nearly as often as she should have been, and didn’t have a good understanding of the method. But her attutude was that God had given her this extreme fertility, and she wanted to please Him by not standing in His way. She has thirteen children now.
So find a good instructor, if you do not already have one. We’ve seen (or heard) it all, and can help! And if she can’t help, she can check with someone more knowledgable (if she’s in CCL, she can call CCL Central for help.)
 
Both of these ideas are very good.

BUT…

There isn’t one NFP-only doctor or even one that is familiar with NFP anywhere near me. Of the three different practices that I have been to, only one doctor didn’t roll his eyes when I said I used NFP. :rolleyes: And she didn’t understand what it was, she just didn’t roll her eyes.🤷 I would have to travel about 5 hours each way to see an NFP only doctor.

And, the Pope Paul VI Institute is in Nebraska. They use the Creighton Model. If you use another, do you have to learn Creighton first? Does anyone know their policy on looking at charts of women that aren’t patients? Or looking at charts that aren’t Creighton?

I know these are really good ideas. I just wonder how realistic they are.
I know the pain of not knowing any NFP-only doctors. I’m struggling through a similar situation myself. The kicker is that there’s someone in the area but my insurance doesn’t cover their practice and my husband and I can’t afford a) different insurance or b) to pay out of pocket/out of service costs. :eek: But I have found a primary care physician that is familiar with NFP enough to listen to us.

I hear Pope Paul VI can consult long distance (you wouldn’t have to go to Nebraska). I think they do prefer that you use Creighton charting… but I’m not sure on that. The best thing to do would be to contact them and ask. The worst they can do is say no. 🤷
 
You could always abstain for two years…you did it before you can do it again.
 
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