Just a theoretical question here…
If one spouse contracts AIDS after marriage, then should the couple abstain from sex forever (to prevent transmission)? Or what?
Unfortunately this is not a theoretical question for many people. In several African and Asian nations, the highest risk factor for contracting HIV for a young women is to be married. In sub-saharan Africa, 57% of all HIV infections are among women.
Several Bishops Conference have sought to give guidance in this extremely difficult issue.
“There are couples where one of the parties is living with HIV/AIDS … The Church accepts that everyone has the right to defend one’s life against mortal danger. This would include using the appropriate means and course of action.
Similarly where one spouse if infected with HIV/AIDS they must listen to their consciences. They are the only ones who can choose the appropriate means in order to defend themselves against the infection. Decisions of such an intimate nature should be made by both husband and wife as equal and loving partners.”
A Message of Hope from the Catholic Bishops to the People of God in South Africa, Botswana, and Swaziland, 30 July 2001.
The Bishops of Chad spoke of the Church’s responsibility to uphold the teaching of the Church with regard to conjugal fidelity and chastity but also recognised the role of the conscience as the “ultimate moral rule”. They, too, left to the intimate space of the marital relationship the decision about how best to prevent the spread of HIV from one marital spouse to the other.
“ … the role of the Catholic Church is not promote the use of the condom but rather conjugal fidelity and chastity … It is our duty to say that there are better means than the condom to protect oneself against AIDS: conjugal fidelity …
… The ultimate moral rule is our conscience. It is up to each and everyone of us to … assume one’s responsibility according to the situation in which one finds oneself. Because ‘no one is bound to do the impossible’, spouses cannot be asked to abstain from sexual intercourse; we therefore understand that a person, through love, may be led to use the condom to protect himself/herself or to protect his/her partner.”
The Bishops of Chad Statement on AIDS, October 2002
This is not just an issue in Africa and Asia. I have met plenty of serodiscordant couples in the United States.
There has not been a definitive Church teaching regarding the role of sexual expression in a marriage in which one spouse is HIV+. As was noted in other postings, there is study going on among several Pontifical Councils. This is an issue that demands much thought and should not be rushed because the ramifications of any pronouncement have great impact. Unfortunately, the press does not bother to look at nuances in Church teaching.