Contraception

1. Contraception Catholic Church Teachings

2. Sexual Expression within Marriage Catholic Teachings

3. The Bible • God commanded Adam and Eve to “be fruitful and multiply” – sex as a means of becoming co-creators with God • Marriage as a Covenant – something that cannot be broken (the Book of Hosea) • Sex within marriage was something to be celebrated (the Song of Songs)

4. The Catholic Church • Sex is the means of procreation – to fulfill God’s commandment to “be fruitful and multiply” • Sex is also a means for the expression of love between the husband and wife (church terms – unity of the couple) • Sexual intimacy is the complete giving of oneself to another – therefore it only belongs in a committed, loving marriage relationship

5. The Catholic Church does not teach that a couple must have as many children as they possibly can • Limiting the number of children and timing when you have children is a decision that belongs solely to the couple involved • The Catholic Church does teach that certain methods used to limit or space the number of children are immoral or, in some cases, seriously sinful

6. Contraception Basic Statistics and information

7. History • Various means of contraception have been around since ancient times – but most were ineffective • Rubber condoms were invented in the 17th century • The first really effective method of contraception available for most women was the Rhythm Method (early 20th century)– but giving out knowledge about it was illegal in many countries! • The Birth Control Pill first became available in 1960

8. There are five basic types of contraceptives: • Abortifacients • Hormonal • Barrier • Sterilization • Natural

9. Abortifiacients • Any method that destroys life after conception takes place • Generally prevent the implantation of the fertilized ovum on the uterine wall • Includes the IUD • A small copper or rubber device implanted inside the uterus • About 95% effective • Not recommended for women who have not yet had children • Has some serious possible side-effects • Many hormonal methods are also abortifacients

10. Hormones • Various combinations of the hormones estrogen and progestin suppress ovulation and/or cause changes in the uterine environment that prevents implantation of the fertilized ovum • Includes the various types of birth control pills, inserts (such as Implanon), injections (Depo Provera), vaginal rings (NuvaRing) and skin patches • Reliability ranges from 91 to 99% - with the most reliable being ones that do not rely on the woman to remember to do something every day

11. Cannot be used by women with high blood pressure, migraines, are diabetic, or are taking anti-convulsant medications. Women over 35 who smoke should not use hormonal contraceptives. • May not be effective on women taking certain types of antibiotics • Can be prescribed to alleviate other types of gynecological problems • Cost depends on type, but ranges between $200 and $400 a year. It may be covered by insurance.

12. Barrier Methods • Prevent the sperm from reaching the egg, thus preventing contraception • Includes the condom – currently the only contraceptive for men (84% effectiveness) • For women includes the diaphragm, the contraceptive cap, the sponge and certain types of spermicides • The condom, the sponge and spermicides do not require a prescription • Effectiveness ranges between 80 – 94%

13. Sterilization • An operation that: • Prevents the sperm from entering the seminal fluid in men • Prevents the ovum from entering the Fallopian Tube in women • Is permanent and nearly 100% effective • Is becoming increasingly popular among couples who have all the children they want • Is expensive (especially for women) but is often covered by insurance • Is generally considered not to be reversible

14. Natural Family Planning (NFP) • Is not the Rhythm Method! • Uses the woman’s natural fertility cycles to decide when to have intercourse • Requires some training and the cooperation of both spouses • Can be used to help get pregnant when the couple is ready to have a child • Cost: the cost of a BBT thermometer and the initial classes (usually less than $100) • Side effects: none • Effectiveness: 98% for Sympto-Thermal Method when used correctly and consistently

15. The Catholic Church and Contraception History

16. The Bible • Contraceptive methods were available in the ancient world • Contraception is not specifically mentioned because the Biblical Jews believed that all children were a gift from God – it was not conceivable to them that anyone would want to prevent the birth of a child • Abortion came under the prohibition of murder, although a child in utero was only considered to be alive after it “quickened”

17. Early Church • All sexual acts that did not involve the conception of children were condemned • Abstaining from sexual relations was the only method approved of to prevent conception

18. The Modern Church • Casti Connubii – (1930) – Pope Pius XI • Stresses the sanctity of marriage • Sex within marriage is both for procreation and to promote the love (unity) between husband and wife • Allows the “Rhythm Method” of contraception • Humanae Vitae (1969) – Pope Paul VI • Each act of sexual love between husband and wife must be open to both the unitive and procreative principles • Recognizes that couples do have good reasons to postpone or to space the births of children • Is the current Church teaching

19. Familiaris Consortio (1981) – Pope John Paul II • Document deals with family life in general – only a short portion talks about contraception • Reiterates the teaching of Humanae Vitae (in light of new contraceptives) • A refusal of the couple to be open to the creation of new life in each act of sexual intercourse leads to a “falsification to the inner truth of conjugal love. . . .” • Pope Benedict XVI homily on anniversary of Humanae Vitae (9/0/08) • Contraception “means negating the intimate truth of conjugal love, with which the divine [gift of life] is communicated”

20. The Catholic Church and Contraception Teachings

21. The Church divides contraceptives into three categories: • Abortifacients • Artificial Methods • Natural Methods

22. Abortifacients • Any methods that destroys life after conception • Includes: • Abortion at any stage of the pregnancy • Emergency contraceptives (“Morning After Pill”) • IUD • Any type of hormonal method that changes the lining of the uterus so that a fertilized ovum cannot be implanted • The use of an abortifacient is seriously sinful in all circumstances and can result in excommunication

23. Artificial Methods • Any method that works against the body’s natural rhythm of fertility/infertility • Includes: • Hormonal methods, including the Birth Control Pill • Barrier Methods, including the condom • Sterilization • Artificial methods are morally illicit – meaning that they should not be used by Catholics and their use can be considered sinful • Methods used for medical reasons, even though they also prevent conception, are legitimate

24. Natural Methods • Any method that works with a woman’s natural fertile/infertile cycle to prevent conception • Includes: • The Calendar Method (Rhythm) • The Basil Body Temperature Method (BBT) • The Sympto-Thermal Method • Natural Methods are morally acceptable to postpone the birth of one’s first child, to space the births of children and to have no more children when the family is complete