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Our readers asked:

Can I use birth control for medical reasons and not to prevent pregnancy?
I am a thirty-something woman who is single and chaste. I do however, suffer from uncomfortable menstrual periods and was prescribed birth control by my gynecologist...since I am not married and engaged in any sexual activity, there is no chance of my contraceptive blocking life...does the Church have an official position on the use of birth control for medical reasons NOT involving actual conception of life?

Fr. Joe Anwsers:

The short answer to your question is: you are taking the medication prescribed by your doctor in order to regulate your menstrual cycle and ease your discomfort. The medication is achieving this effect. Neither you or your doctor intends that this medication be used for the purpose of birth control. In your case the situation is made even clearer by the fact that you are not sexually active and do not intend to be so. So your assumption that there is no sin involved in your taking the contraceptive in these circumstances is correct.

Now some background. The Church has a traditional guideline for determining the morality of such an action. It is called “the principle of double effect.” This applies to actions where two effects will follow, one bad and the other good. In order for a person to perform such an action, four conditions must be present:

1. The act itself must be morally good or at least indifferent.

2. The agent (person performing the act) may not positively will the bad effect but may merely permit it. The bad effect is sincerely not intended.

3. The good effect must be produced directly from the action, not the bad effect.

4. The good effect must be sufficiently desirable to compensate for allowing the bad effect.

The sum of these is that the good effect of an action is what is directly willed and the bad effect is an unintended by-product of the action.

In this case your intention is to regulate your cycle and ease your pain. You have no intention to practice birth control, and in fact have every intent to live a chaste life as a single person. Therefore your conscience can be clear!

The Author : Fr. Joe

See more articles by Fr. Joe (74).
1 comment about “Can I use birth control for medical reasons and not to prevent pregnancy?”
Nfpworks -- November 20th, 2008 at 5:17 pm

This isnt’ the best and most complete answer. Although one’s conscience can be clear, another question to ask is, “Do I really NEED to take the pill?” or “Are there any other options to treat my fertility isseus?” To quote Jason Evert in his Love, Sex & Babies pamphlet (Catholic Answers), “…many of these conditions [endometriosis, ovarian cysts, irregular cycles, cramps, etc.] have alternative remedies without …its adverse side effects,” such as an increase of risk of breast cancer, blood clots, etc. Look into the Pope Paul VI Institute for the Study of Human Reproduction, and find a Creighton Teacher near you.

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