Companion for
Catholics
For a couple desiring children, discovering their infertility can be devastating.This personal witness of two couples faith journey struggling with
infertility is uplifting and refreshing. This labor of love is also extremely
well researched and solidly within the teaching of the Catholic Church.
Highly recommended!
Rev. Alfred Cioffi
Senior Fellow
National Catholic Bioethics Center
This book provides excellent insights on physical realities, moral implications, psychological ramifications, and Church teachings related to
infertility. It is a much-needed resource, and I will recommend it to the
many couples who turn to Elizabeth Ministry for guidance.
Jeannie Hannemann
International Founder
Elizabeth Ministry
A guiding light to infertile couples wishing to learn more about treatment options in light of the Churchs teaching, and how to address this
suffering emotionally and spiritually. Offers great inner consolation, as it
addresses the difficult topics of infertility, discernment, miscarriage, and
adoption. A must-read for infertile couples!
Marie Meaney
Author of Embracing the Cross of Infertility
The Infertility
Companion for
Catholics
Spiritual
and
Practical
Support
for Couples
Angelique Ruhi-Lpez and
Carmen Santamara
Foreword by John and Claire Grabowski
Members of the Pontifical Council for the Family
Scripture texts used in this work are taken from The New American Bible
copyright 1991, 1986, and 1970 by the Confraternity of Christian Doctrine, Washington, DC, and are used by permission of the copyright owner.
All rights reserved. No part of The New American Bible may be reproduced
in any form or by any means without permission in writing from the publisher.
Imprimatur: Most Reverend Thomas G. Wenski
Archbishop of Miami
Given at Miami, Florida, on November 4, 2011
2012 by Carmen Santamara and Angelique Ruhi-Lpez
All rights reserved. No part of this book may be used or reproduced in any
manner whatsoever, except in the case of reprints in the context of reviews,
without written permission from Ave Maria Press, Inc., P.O. Box 428, Notre
Dame, IN 46556.
Founded in 1865, Ave Maria Press is a ministry of the United States Province of Holy Cross.
www.avemariapress.com
Paperback: ISBN-10 1-59471-289-1
E-book: ISBN-10 1-59471-344-8
ISBN-13 978-1-59471-289-0
ISBN-13 978-1-59471-344-6
ontents
Foreword ix
Preface xii
Acknowledgments xvi
Chapter 1
Am I Infertile? 1
Chapter 2
Chapter 3
Reproductive Technology
and the Catholic Church 23
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Chapter 8
Chapter 9
Chapter 10
Chapter 11
Chapter 12
F oreword
Foreword
xi
P reface
Trust in the Lord with all your heart,
on your own intelligence rely not;
In all your ways be mindful of him,
and he will make straight your paths.
Proverbs 3:56
Preface
xiii
xiv
Preface
xv
silently, thank you for taking the time to learn about this
journey and help us bear this cross.
Though we often express our raw emotions and painful
experiences with infertility, our intent is never to criticize or
judge others who have made or will make different choices.
The feelings we express are our own and are shared so that
others who are facing infertility and seeking to follow Church
teaching may know they are not alone and that there are
constructive ways of approaching these decisions and dealing
with the powerful feelings surrounding them.
However, we do hope to challenge those who are discerning which path to take by explaining why the Catholic Church
teaches as it does. We understand that what we say in this
book is not necessarily popular, but we encourage you to have
an open heart and mind. There have certainly been times
when we both questioned the Churchs teaching on these
issues, but through prayer, humility, and understanding, we
have come to recognize Gods love and wisdom in his Churchs
guidance. Our prayer is that this book will do the same for
you. Allow the Lord to surprise you and change your heart.
I will give you a new heart and place a new spirit within
you, taking from your bodies your stone hearts and giving
you natural hearts. I will put my spirit within you and make
you live by my statutes, careful to observe my decrees (Ez
36:2627).
We invite you to join our online community at www.
catholicinfertilityjourney.com, where we share experiences,
resources, and prayer requests with one another. We would
love to hear from you.
Acknowledgments
xvi
Acknowledgments
xvii
xviii
Chapter 1
mI
Infertile?
We are not human beings that have a spiritual experience.
We are spiritual beings having a human experience.
Pierre Teilhard de Chardin
What Is Infertility?
The Centers for Disease Control and Prevention (CDC)
reports that about 7.1 million women between ages 15 and 44
in the United States are considered to have impaired fecundity, which is characterized by the CDC as the inability to
conceive after one year of unprotected intercourse. According to this definition, about one in six couples is considered
infertile. This includes both married and unmarried women as
well as those having problems carrying a baby to term.3 About
7.4 percent of married women ages 15 to 44 are infertile (ie,
who are not surgically sterile, have not used contraception in
the past twelve months, and have not become pregnant). Of
that same age group, about 7.3 million have sought fertility
services at some point, including medical advice, medical
help to prevent miscarriage, diagnostic tests on the woman
and/or man, and ovulation drugs and Assisted Reproductive
Technology (ART).4
On one hand, these statistics tell us that we are not alone
in our struggle with infertility, and that is comforting. On the
other hand, its sad to see that so many others are suffering
from this too. Carmen shares how she and her husband felt
when they realized they were infertile:
Am I Infertile?
Female Infertility
Carmen shares her experience of finding a medical diagnosis for her infertility:
After one year of trying to conceive, I finally had some
blood work done and discovered I was hypothyroid. My
doctor was convinced that this was the cause of my infertility. I began taking a pill to regulate my thyroid levels,
but we still did not conceive. We went to another doctor
at this point, and by now my husband was more involved
because the time lapse since our first pregnancy indicated
that things were certainly different this time around. This
doctor looked at my NFP charts and said I had a luteal
phase deficiency (meaning that the period of time in a
womans menstrual cycle between ovulation and the possible implantation of an embryo was too short and could
potentially impede an embryo from properly implanting)
and thus prescribed progesterone suppositories. He was
very positive, and I remember feeling like we had found
the solution; I was so sure we were going to get pregnant
right after I started the medication. The answers seemed
to fit and were relatively easy to fix so we thought everything would be fine. However, this was not the answer
either, and I think the fact that my husband and I had so
much hope was one of the hardest parts of the journey.
Am I Infertile?
Male Infertility
The male fertility process involves the production of
mature sperm that must reach and fertilize the egg. Although
it may seem to be a simpler process than female fertility,
male fertility also requires many conditions to be met. The
male must be able to have and sustain an erection, have
enough sperm and semen to carry the sperm to the egg, and
have sperm of the right shape that move in the right way.
A problem meeting any of these conditions contributes to
infertility.10
Less medical research has been done in the area of male
infertility, partly because doctors will tend to recommend
Assisted Reproductive Technology (ART) or insemination
(discussed in greater detail in chapter 3) as the solution to
male infertility. As a result, there are fewer treatment options
to assist the underlying medical conditions of male factor
infertility.
Again, though not exhaustive, here are some common
causes of male infertility11:
Impaired production or function of sperm: Most cases of male
infertility are due to problems with the sperm, such as
Am I Infertile?
Secondary Infertility
Secondary infertility is defined as the inability to become
pregnant, or carry a pregnancy to term, following the birth
of one or more biological children. Those who suffer from
secondary infertility often feel like they are especially alone,
as if they do not belong in either the fertile or infertile world.
The added pressure of feeling like others may judge you for
desiring more children when you already have one or more
children is a common source of stress. There are even some
who feel that secondary infertility is not real infertility.
Carmen shares her experience with secondary infertility
after the birth of her two children:
Secondary infertility begs the question of whether we are
forcing Gods plan. Are we simply not meant to have children, or more than what we have? As my friends continued to have more children, I have been told I am falling
behind, and its hard to hear those types of comments. In
addition to having a strong desire or calling to raise more
Am I Infertile?
10
Am I Infertile?
11
Further Reading
Hannemann, Jeannie, and Bruce Hannemann. Infertility Journey:
Making Faith-Informed Decisions Under the Guiding Hands of
God. Booklet. Kaukauna, WI: Elizabeth Ministry International,
n.d.
Taylor, Jameson, and Jennifer Taylor. Babies Deserve Better:
What You Need to Know If Youre Struggling with Infertility.
Catholic Answers. Accessed September 8, 2011. www.catholic
.com/thisrock/2006/0604fea3.asp.
Chapter 2
hat
Does the
Catholic Church
Have to Do
with Infertility?
Angeliques Story
13
14
Unfortunately, the word obedience has a negative connotation. We may think of our parents scolding us as children
or even of possibly training a dog, but we dont think of it as
something we want to do ourselves. Yet, as challenging as
this is, we are each called to be obedient. It is a crucial part
of our relationship as Gods creation. Interestingly, the word
obedience comes from oboedire, which includes the root word
for to hear. Obedience simply means hearing or listening.
God doesnt only work through us and what we think. He
uses our friends and family as well as the Church to speak to
us. The scriptures tell us, Oh, that today you would hear his
voice: Do not harden your hearts (Ps 95:78). We know how
hard it can be to see the truth in the Churchs teaching. The
pain of infertility can be so profound it can cloud our vision
and make us only focus on one goalhaving a baby. But in
the end, what profit is there for one to gain the whole world
and forfeit his life? (Mk 8:36). With obedience, we can properly hear Gods voice as we walk along this infertility journey
instead of allowing society to dictate our decisions.
This is particularly challenging when one considers all
the competing voices in the world. We must know God well
enough to recognize his voice above all others in the stirring
of our consciences. God should first be our friend, as Blessed
Teresa of Calcutta said. The Lord is our Good Shepherd, and
the sheep follow him, because they recognize his voice. But
they will not follow a stranger; they will run away from him,
because they do not recognize the voice of strangers (Jn 10:4
5). When reading Church teaching, we form our consciences
and learn to recognize Gods loving voice. In a similar way, if
we learn to recognize Gods voice and his promptings in our
everyday life, we will be better equipped to hear his voice
while navigating the confusing world of infertility treatments,
instead of the voice of the stranger that we do not recognize.
As we continue the process of forming our consciences,
we may begin to question some of the treatments that were
previously acceptable to us. We have friends who, after pursuing multiple rounds of artificial insemination, began feeling
uneasy about their situation and halted treatment. They didnt
15
know why they felt this way at the time because their deeper
Catholic formation didnt come until later, but they had a
nagging sense that something just wasnt right. In our faith
tradition, this instinctual feeling that our actions are wrong is
called natural law, which expresses the original moral sense
which enables man to discern by reason the good and the evil,
the truth and the lie (Catechism of the Catholic Church [CCC],
1954). The truth of natural law is written in our hearts, and
as St. Augustine says, our hearts are restless until they rest
in God. So, it is likely that, in the instance of our friends who
halted treatment, their original feeling of uneasiness was the
Holy Spirit tugging on their hearts to make a change.
In addition to the natural law with which we are all
imbued, scripture and Church teaching also help guide us
in knowing right from wrong. The sixth Beatitude proclaims,
Blessed are the pure in heart, for they shall see God (Mt
5:8). The Catechism of the Catholic Church tells us that pure
in heart refers to those who have attuned their intellects and
wills to the demands of Gods holiness, chiefly in three areas:
charity; chastity or sexual rectitude; love of truth and orthodoxy of faith (CCC 2518). Thus, we are reminded that purity
of heart, of body, and of faith are intimately connected and
that the faithful are called to live out these beliefs so that by
believing they may obey God, by obeying may live well, by
living well may purify their hearts, and with pure hearts may
understand what they believe (CCC 2518).
This teaching reminds us that the Church is for us, not
against us, when it comes to helping us walk this arduous path
of infertility. The Church is our mother, and just as the loving
parents we also desire to be, it seeks only our good. We need
only open our minds and our hearts to understanding why it
teaches as it does. Angelique explains her initial encounter
with Church teaching on infertility treatment:
I had always heard that the Church did not accept some
infertility treatments, but before we were faced with
infertility, I never knew why. I am an avid researcher
by nature and as the months continued to pass without a