Sterilization for my health?

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Harma

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My husband is getting a vasectomy. We’ve used NFP and had 3 kids in 3 1/2 years. Yes, I’m tired. Yes, I’m overweight. But I also have a severe birth defect in my uterus, each pregnancy and resultant c-section (I can’t deliver naturally) has weakened my body. My doctor gives me every medical assurance a future pregnancy would result in the death of that baby and me. I’m of two minds: first, diabetics take medications, they don’t trust that God will handle their insulin, secondly, what a way to go, trusting God’s plan for marriage. Am I nuts for even debating him be sterilized? I would definitely try to avoid becoming pregnant in any case, but with my last baby I got pregnant from intercourse over 48 hours before ovulation. Fertile, we are. I don’t feel safe from pregnancy and I feel my marriage is already weakened by the fact that my birth defect makes intercourse painful.

Sorry for yet another sex question!!!
 
Harma,

Very sorry to hear of such a serious situation. Sounds like a very painful situation. I would suggest you contact the Paul VI institute --their approach to NFP is very different and they may have some other ways of assisting your suffering etc (they have doctors and others all around the country).

You are not incorrect to be concerned. For there is no reason that can make it ok for your husband to get sterilized. While it can be very tempting in this surrounding culture…such is not the way to go. Such is gravely sinful (mortally sinful) --it is a grave intrinsic evil (contrary to God and to Marriage and the love of marriage) and to be blunt – can put more at risk than your life – his and your eternal life.

The ends do not justify the means.

You seem there to have a rather serious reason to avoid another child --but you must use only moral means.

You note “first, diabetics take medications, they don’t trust that God will handle their insulin” – yes but insulin is a among* moral means* --not an intrinsic evil. What would you say to a diabetic who decided the way to deal with it is to just go ahead and get it over with and cut his arms and legs off! (though they were healthy). Certainly not a good moral approach.

By they way – as I understand it people can actually still conceive if after they have tied their tubes…

So what if your doctor told you – “Ok really the only way for you to certainly avoid death here would be to* kill your husband first*. Listen…we can arrange a surgery --and then I will make it look like an accident. That way you can get the insurance money too to help raise the other kids.” You would rightly walk out at the proposal of such evil (and call the police!).

The ends do not justify the means. Using another example can help bring that home. Forgive the directness 🙂

Due to the influence of the culture of death etc around us – it can be difficult to realize what is actually involved in thinking of sterilization (hence my examples above). We need to go against that culture…as did the early Christians…

vatican.va/holy_father/benedict_xvi/homilies/2006/documents/hf_ben-xvi_hom_20060108_battesimo_en.html (read past the beginning)

(and I personally draw strength from the early Martyrs: earlychristians.org/testimonies_martyrs/scillitan_saints.html)

One can yes have serious reasons to perpetually avoid a new conception…but one has to use moral means that are not gravely contrary to God and ones marriage.

Compendium issued by Pope Benedict XVI
  1. When is it moral to regulate births?
2368-2369
2399

The regulation of births, which is an aspect of responsible fatherhood and motherhood, is objectively morally acceptable when it is pursued by the spouses without external pressure; when it is practiced not out of selfishness but for serious reasons; and with methods that conform to the objective criteria of morality, that is, periodic continence and use of the infertile periods.
  1. What are immoral means of birth control?
2370-2372

Every action - for example, direct sterilization or contraception - is intrinsically immoral which (either in anticipation of the conjugal act, in its accomplishment or in the development of its natural consequences) proposes, as an end or as a means, to hinder procreation.

vatican.va/archive/compendium_ccc/documents/archive_2005_compendium-ccc_en.html

Read from the Fr. Tad of the National Catholic Bioethics Center (he appears on Catholic Answers and EWTN all the time)

ncbcenter.org/page.aspx?pid=315

(he too is rather direct there…)

You were very right to question such a course.

Know that in Jesus Christ and in his Church…is* true life*.

Get with a good Catholic Doctor (such as linked up with the Paul VI Institute) and a good Priest …

(Repentance and confession of our sins and prayer and good counsel can help us get our compass pointed right again – and help us rise above the “culture” around us. As difficult as it is – with grace etc we do all things in him who strengthens us (to borrow from St. Paul).
 
My husband is getting a vasectomy. We’ve used NFP and had 3 kids in 3 1/2 years. Yes, I’m tired. Yes, I’m overweight. But I also have a severe birth defect in my uterus, each pregnancy and resultant c-section (I can’t deliver naturally) has weakened my body. My doctor gives me every medical assurance a future pregnancy would result in the death of that baby and me. I’m of two minds: first, diabetics take medications, they don’t trust that God will handle their insulin, secondly, what a way to go, trusting God’s plan for marriage. Am I nuts for even debating him be sterilized? I would definitely try to avoid becoming pregnant in any case, but with my last baby I got pregnant from intercourse over 48 hours before ovulation. Fertile, we are. I don’t feel safe from pregnancy and I feel my marriage is already weakened by the fact that my birth defect makes intercourse painful.

Sorry for yet another sex question!!!
No you’re not nuts - you have a conscience, and good for you for caring about it.

A couple of things strike me here about your post and I do not mean in any way to offend. I’m a mom too and need to not have another one any time soon (much as we want to) for entirely different reasons, so please understand I get it.
  1. You seem surprised that you got pregnant from intercourse over 48 hours before ovulation. It strikes me that perhaps your understanding of NFP is not what it should be. Sperm can live up to five days in your body after intercourse. So if you have sex five days before ovulation, you could get pregnant because the sperm could still be there when the egg comes along. Also, the egg can live 24 to 48 hours, so if you have sex two days after ovulation, you could get pregnant because the egg could still be there when the sperm comes in.
  2. Have you gotten a second opinion? You say “my doctor”, so I’m assuming you’ve asked only one. A second opinion never hurts. A friend of mine who’s an obstetrician doing her residency at a Catholic hospital related a story about a girl who came in with an emergency, didn’t know she was pregnant it was so early, and was told it was a nonviable fetus and she should have it removed. She was overwhelmed, went home, week later came back for ultrasound and the baby was FINE. Always get a second opinion with a serious diagnosis.
  3. You do volunteer that you are overweight (I hear ya, warriors get battle scars, we get pounds and rearranging of our anatomies) and so may I ask you to consider what effect tackling the weight problem might have on your ability to sustain a future pregnancy? Not that you should necessarily have another one right away even if you got clearance healthwise (mental health is also to be considered, and three kids under 4 is a LOT to deal with), but if you didn’t fear death by pregnancy, perhaps you and your husband wouldn’t feel compelled to go to such lengths as sterilization.
  4. Find a doctor who understands your faithful concerns. It’s amazing what a difference it makes in diagnosis, and how many other options Catholic pro-life doctors know about with which others aren’t familiar. I had a couple of friends concerned about their fertility who were sent to an in-vitro clinic by their healthcare provider. Then they switched to a local pro-life clinic, showed the wife’s charts to the NaPro nurse, were told she needed Vitamin B6, and she was pregnant shortly thereafter. There’s a big bias in the medical profession. Don’t let yourself be a victim of it.
As I said, we’re not having more any time soon due to other grave reasons, and we practice a very strict form of NFP. We’re super fertile too but this is working so far.

VISIT the USCCB WEBSITE: great stories about NFP couples in grave situations and more info about other types of NFP that are strict but sure. NFP is an umbrella term for several different methods, so look around and find what works for you.
 
  1. You seem surprised that you got pregnant from intercourse over 48 hours before ovulation. It strikes me that perhaps your understanding of NFP is not what it should be. Sperm can live up to five days in your body after intercourse. So if you have sex five days before ovulation, you could get pregnant because the sperm could still be there when the egg comes along. Also, the egg can live 24 to 48 hours, so if you have sex two days after ovulation, you could get pregnant because the egg could still be there when the sperm comes in.
  2. Have you gotten a second opinion? You say “my doctor”, so I’m assuming you’ve asked only one. A second opinion never hurts. A friend of mine who’s an obstetrician doing her residency at a Catholic hospital related a story about a girl who came in with an emergency, didn’t know she was pregnant it was so early, and was told it was a nonviable fetus and she should have it removed. She was overwhelmed, went home, week later came back for ultrasound and the baby was FINE. Always get a second opinion with a serious diagnosis.
It struck me too that someone who is surprised at falling pregnant from sex 48 hours prior to ovulation probably isn’t understanding NFP very well. In fact, medically speaking, I think 48 hours prior to ovulation is just about the IDEAL time for sex in order to conceive!

I’d definitely get a second opinion. Many doctors still hold to the view of three c-sections and you’re done. My wife has had four and her doctor assures her there is no medical reason she can’t go on. This isn’t to dismiss the birth defect you speak of, but it can’t hurt to get another opinion.

I presume your husband is Catholic? If he is, then he needs to understand the Church teaching on this clearly (as outlined by Bookcat). If he isn’t, then he may not be bound by the Church’s teaching in quite the same way; but discuss with your priest. You can’t encourage him to sterilize himself (or use any form of contraception), but if he makes the choice against your wishes, there is no sin on your part. His own sin is then debatable…if Catholic, he should understand that it’s serious sin (grave matter)…if he isn’t Catholic, I think you should discuss with your priest as the matter is a little more complicated.

Having said all this, I feel for you and will keep you in my prayers. All the best.
 
My husband is getting a vasectomy. We’ve used NFP and had 3 kids in 3 1/2 years. Yes, I’m tired. Yes, I’m overweight. But I also have a severe birth defect in my uterus, each pregnancy and resultant c-section (I can’t deliver naturally) has weakened my body. My doctor gives me every medical assurance a future pregnancy would result in the death of that baby and me. I’m of two minds: first, diabetics take medications, they don’t trust that God will handle their insulin, secondly, what a way to go, trusting God’s plan for marriage. Am I nuts for even debating him be sterilized? I would definitely try to avoid becoming pregnant in any case, but with my last baby I got pregnant from intercourse over 48 hours before ovulation. Fertile, we are. I don’t feel safe from pregnancy and I feel my marriage is already weakened by the fact that my birth defect makes intercourse painful.

Sorry for yet another sex question!!!
If there is a health risk then you should simply abstain.
 
I presume your husband is Catholic? If he is, then he needs to understand the Church teaching on this clearly (as outlined by Bookcat). If he isn’t, then he may not be bound by the Church’s teaching in quite the same way; but discuss with your priest. …His own sin is then debatable…if Catholic, he should understand that it’s serious sin (grave matter)…if he isn’t Catholic, I think you should discuss with your priest as the matter is a little more complicated.
Little note. While there can be certainly a question of degree of culpability on the part of a non-Catholic – it is important to remember that this is a matter of* natural moral law* as well. But yes such can become complicated due to potential lack of clear vision.

As the Compendium points out : “Because of sin the natural law is not always perceived nor is it recognized by everyone with equal clarity and immediacy.”

Sin (both personal and original) can muddy our vision.
 
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