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Sunday, October 12, 2008

 

Some facts about birth control


Human sexual appetite is so strong that it’s not realistic to rely on personal discipline or religious belief. Priests and nuns who are supposed to be models of chastity have been known to succumb to the lure of sex.

The most cited reason for birth control is the need to limit fa­mily size. Responsible parents, as a general rule, do not want to have more children than they can nurture and educate within their means. Studies by economists and demographers show a positive correlation between poverty and family size.

Preventing the transmission of venereal diseases, especially HIV/AIDS, is another reason. These diseases can be contracted by both homosexuals and heterosexuals.

Genetically determined diseases should not be passed on to offspring. There are two kinds: sex-linked and autosomal disorders. Examples of sex-linked disorders are hemophilia and Down’s syndrome. Hemophilia occurs in males and transmitted by females. Examples of autosomal disorders are achrondroplasia, cystic fibrosis and Marfan’s syndrome. Genetically determined diseases are caused by mutation or aberrations during mitosis. These disorders can be detected early enough for parents to make an informed decision on what to do. It’s best for hemophiliacs not to have children at all.

Victims of rape and incest should be allowed to terminate pregnancy.

Contraception

The natural methods do not involve chemical or mechanical devices. The most common is flushing the vagina with water (douching) after intercourse. Although widely practiced, it has never been effective.

The rhythm method or the timing of intercourse during a “safe period” is based on the fact that both ova and spermatozoa survive only for 24 to 48 hours after release. However, this method is fallible because it’s not easy to time ovulation. The most fertile period is between 10 to 17 days of a regular 28-day menstrual cycle which is sometimes variable. For most women therefore the so-called safe period could be longer and may not follow a regular cycle. This is the method that the Catholic Church advocates.

The last natural method is coitus interruptus or the withdrawal of the penis before ejaculation. Considerable will power is involved to make this effective.

The best known of the artificial methods is the condom. It was invented in Europe in the 16th century. Early versions were made of linen. Condoms today are made of siliconized latex. The condom is still the best protection against AIDS and other venereal diseases. They are mandatory in brothels in some European countries.

Other mechanical devices are diaphragms or caps. These are inserted in the vagina to prevent the sperm from penetrating the uterus. For this reason, they are called intrauterine devices or IUDs. They are made either of metal or plastic. The more expensive IUDs are coated with a spermicidal compound. They are not easy to insert into the uterus and often require the help of a trained person. IUDs have to be retained for 6 to 8 hours after intercourse.

The contraceptive pill is by far the most convenient to use and the most effective as proven by clinical trials. It inhibits ovulation. The pill is made of a synthetic steroid that mimics the female sex hormones estrogen and progesterone. It has to be taken continuously for 21 days followed by a 7-day interval during menstruation. Women older than 35 might experience blood clotting due to the pill. Progesterone taken alone is not as effective as estrogen/progesterone.

Post-coital contraceptives, also known as the morning-after pill, contain synthetic estrogen stilboestrol. This chemical prevents the implantation of any fertilized egg. It’s not as effective as an ordinary contraceptive pill but is used after unplanned intercourse or emergencies like rape.

Abortion

In countries where abortion is legal, it is performed before the 24th week of pregnancy before the fetus becomes viable.

Roe vs. Wade that the US Supreme Court promulgated in 1973 permits abortions during the first six months of pregnancy.

Miscarriage or the natural expulsion of the fetus occurs in about 20 percent of normal pregnancies.

Drugs like prostaglandins and mitepristone can induce abortions.

Late-term abortions should be performed only by a surgeon.

Since abortions are illegal in the Philippines, they are performed sub-rosa. Laws against abortions should be revisited to allow victims of rape and incest to terminate their pregnancies.

Sterilization

This involves surgery to render a person unable to conceive. In the male the procedure is to divide each vas deferens where it emerges from the inguinal ring. This is called vasectomy. In the female the procedure is to ligate the uterine tubes. In either case, ova and spermatozoa are kept apart.

The Catholic view

Pope Paul VI issued Humanae Vitae 40 years ago to reiterate the Catholic Church’s prohibition of artificial birth control. Opposition to it was immediate and widespread. Catholic and Protestant theologians found fault with the Pope’s reasoning. Catholic bishops openly criticized it. The laity were encouraged by all this to defy the Papal edict.

The purpose of marriage, according to Humanae Vitae, is to foster love between the partners and for them to have children.

The late ‘60s were a period of growing secularization in Europe, North America and Latin America. July 25, 1968, is a convenient date to mark the decline of the influence of the Catholic Church in these continents.

When John Paul II became Pope he expanded Humanae Vitae by introducing the “theology of the body.” This became, during his 27-year reign, the basis of Catholic sexual morality. He argued that human sexuality is a reflection of the creative love that emanates from the Trinity. In this sense, it is the expression of God’s love for humanity. Birth control “changes the language” of sexuality by preventing life-giving love from becoming the dominant force.

With this teaching Humanae Vitae became the orthodoxy of the Catholic Church on sex and marriage.

Most of the Catholic countries ignored these Papal edicts. Recent surveys show that Catholics in Europe and the Americas do not agree with the Church’s teaching on birth control, often by majorities exceeding 80 percent.

Rep. Edcel Lagman is probably right. There’s an undercurrent of support for his Reproductive Health Bill.  

   
 

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