A reader writes:
My wife is pregnant with our eighth child.
Pregnancy has been and is increasingly getting quite complicated and painful.
When not pregnant, my wife has a uterine condition that is very painful.What does the church teach about a hysterectomy in this situation?
Are there documents that the church has in this regard?Perhaps you can understand the moral and ethical questions that we as faithful Catholics are facing. We are not in a huge hurry to make a decision on this. We are simply trying to talk to the right people and read the correct recourses / documents about this matter. We are not sure where to start. Can you help us with some direction and point us in a direction that will lead us toward Gods will?
I’ll do what I can.
First, let’s look at the potential motives for getting a hysterectomy. One possible motive is to avoid the increasingly difficult pregnancies that you wife has been experiencing. This is not a permissible motive for a hysterectomy because it relies on the contraceptive effect of the hysterectomy as a means to the end of avoiding a difficult pregnancy. While it is licit to wish to avoid difficult pregnancies, doing so in a contraceptive manner (a manner that relies on the contraceptive effect of a thing or procedure) is not licit. So you could not get a hysterectomy for that reason. You could, however, use Natural Family Planning for that reason.
But that’s not the only reason that there seems to be in this case. Your wife also has a painful uterine condition when she is not pregnant. That can be a valid motive for a hysterectomy.
The U.S. bishops’ document Ethical And Religious Directives For Catholic Health Care Services (which is approved by the full body of bishops, not just a committee) states:
53. Direct sterilization of either men or women, whether permanent or temporary, is not permitted in a Catholic health care institution. Procedures that induce sterility are permitted when their direct effect is the cure or alleviation of a present and serious pathology and a simpler treatment is not available.
Whether your wife’s condition constitutes a valid reason in your particular case depends on how painful the condition is and whether there are better ways of treating it.
To explore that subject, you’ll need to talk both to doctors and–preferably–Catholic medical-moral experts.
In talking to doctors, be on your guard against possible contraceptive motives on the part of your doctor. Also, as with any major surgery, seek at least a second opinion, and be sure to ask about the downside of having the surgery as well as the downside of not having it.
If your doctor is older, try to find out if there are newer ways of treating the condition that he may not be aware of. (Also be aware that in former days doctors prescribed hysterectomies for all kinds of reasons that today would not be regarded as sufficient. This could also be a factor if your doctor is older.)
In talking to Catholic medical-moral experts, I would recommend the National Catholic Bioethics Center.
Ultimately, these things are judgment calls, and your wife will be the one who needs to make the call. It is only she who knows what she is really experiencing as a result of her condition, and after she has all the relevant facts, her judgment in the matter should not be second guessed by others.
The thing to do in a situation like this is pray, research, make the best choice you can, and then leave it in God’s hands. God knows that we’re dealing with limited knowledge and must make the best decisions we can. Wrestling with that fact is part of the human condition, and the fact we wrestle with it brings glory to God.
God bless, and I hope this helps!
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I am not a scientist. I don’t even play one on TV.