More about Birth Control

Posted by VasserVeibel at 03:38 PM on July 14, 2005 | TrackBack

My husband hates it.

Unfortunately, using a diaphragm is our only option without having a halachic or medical issue. I'm terrified of an IUD, and hormonal birth control (pill, norplant, seasonal, etc) are contra-indicated because of a medical condition (not to mention the fact they make me NERVOUS). And my husband is complaining because he can "feel" the diaphragm.

So I have a conondrum - I am using the diaphragm on mikvah night and in that first week when I know I'm ovulating. And so far, I've been using it the rest of the time, but I'm beginning to consider not using it towards the end of my cycle. BUT! that puts me at some risk - because my cycle is irregular, without a ovulation kit or a sonogram really, I don't know if I'm ovulating at the time we're together. So there is a chance, no matter how small it is.

But the percentage of that chance is about the same as the percentage of me that secretly wants to get pregnant again. But my marriage can't handle another pregnancy right now.

My husband says he is willing to use a condom (!) but that I'm the one that has to ask the Rov (he's too embarrassed). I don't feel like I can do it.

To this is what goes through my head about this whole thing:
Does this make me a bad Jew because I am using birth control? Does this make me a bad mother because I can barely take care of the kids as it is and now I want another one? Does this make me a selfish woman because I want to be pregnant? Does this make me a weak person because I can't be "man enough" to ask the Rov such a shayla?

I can't afford to get pregnant now, even though I want to. My body, mind and soul can't handle it. But I really, really, really have the baby fever, bad.

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On July 14, 2005 at 07:27 PM, Desde said:

you're husband's a tough sell, huh? (first the hair thing, and now this...) Umm, I don't know what to tell you. I highly doubt you would be allowed to use a condom instead. The only condoms I've heard of being "okay" are ones with holes in them, used for sperm collection for infertility treatments and/or testing, not birth control. Not that I'm an expert or anything! What about spermacide? Might be far easier to get a heter for that than a condom! (Okay, it's not as effective as a diaphragm, but more effective than skipping b/c altogether!)

Oh, and I should have said this first, but no, you are neither a bad Jew, a bad mother, a selfish woman, nor a weak person. If your husband isn't "man enough" to ask, why should you be? And I suspect that after one try he'd complain more about the condom than he does about the diaphragm... they supposedly significantly cut down sensation, for him.

On July 14, 2005 at 11:22 PM, dvoe said:

Hmm - sorry to hear about the difficulties and your being torn. It's funny how your head can "know" one thing (ie - having another child right now is overall not a good thing) but your ovaries (or hormones? or something else?) can be screaming another thing.

Not to discourage you from asking a question since I do not know your specific circumstances or halachic authority's stance -- but I know that condoms are usually considered problematic from a halachic standpoint (for example, see this question - http://www.yoatzot.org/question/1260 ) It's also unclear to me why you are interested in them if the issue with the diaphragm is that your husband can feel it.

In any case, I would also encourage looking into just using spermicide and no diaphragm - if that would be better. The suppositories and gels in individual applicators are generally easy to use (but be sure to research effectiveness). In terms of your ovulation issue (*especially* since you say that your cycles are irregular) if you'd like to potentially be able to figure out more about what your body is doing - and perhaps use that info in making birth control decisions, reading the book Taking Charge of Your Fertility (see www.tcoyf.com) might be helpful.

Good luck with everything...

On July 15, 2005 at 11:07 AM, grumpygirl said:

honestly, vasser, this makes me a little ticked with your husband. *nobody* loves birth control... he doesn't like that he can feel it? why doesn't he try squatting on the floor with the slimy diaphragm and trying to get it in place without it flying across the room like a frisbee... that might make him appreciate it a whole lot more.

no, i don't think you're a bad jew. (i'm the bad jew...) i think your husband is being unreasonable, and he's putting you in a lousy position.

i hope it's ok to be saying this on this forum, i really do. because judaism isn't a religion i really follow--except for yorkzeit candles and the fabulous kugel i bake--i try very hard not to make judgements here. i try to keep an open mind and remember that most of you follow laws that i don't, and i really respect those choices. but honestly, if he were my husband i'd want to punch him in the head.

On July 15, 2005 at 12:47 PM, fake said:

They make spermicidal gels and foams which form a physical barrier to the cervix in addition to the spermicidal properties. They're less effective than condoms, but you can't feel it in there. Anyway, why don't you tell your doctor what your limitations are and ask him/her for advice?

On July 15, 2005 at 05:12 PM, grumpygirl said:

just an fyi: spermicide, without a barrier method, has a 26% failure rate (without being crude, you'd be better off with withdrawal, which has a 19% failure rate). neither are good choices.

On July 15, 2005 at 05:33 PM, kuzo said:

Purchase "Conscious Conception: elemental journey through the labirynth of sexuality" here. It has some good, spiritually grounding hashgafa & tachlis too by midwives, parents, men, wome, Jews, non-Jews...

On July 15, 2005 at 05:45 PM, grumpygirl said:

kuzo, there seems to be a far bigger issue here than figuring out which birth control to use.

On July 17, 2005 at 12:06 AM, hmmm said:

I would strongly recommend that you try the cervical cap, which works similar to the diaphragm as both a spermicide holder and a barrier (but is a more effective barrier) - it's a more effective form of birth control than a diaphragm but much smaller and less likely to be felt

another option is the sponge but i think its somewhat less effective as birth control (still more effective than spermicide alone).

Both of these are more comfortable than a diaphragm and the cap is more effective. They both rely on the same heter as the diaphragm - if you rely on the heter to use the diaphragm, you can use these methods. Switching seems all pro and no con to me, and you may find your problem solved.

On July 17, 2005 at 12:37 AM, hmmm said:

I was googling the cap a bit, and I'd forgotten, that the cap is less effective for women who've already had children, so it may not be ideal for you. I think in the end it depends on whether you can get a good fit so you might still want to look into it (The statistics on effectiveness generally vary a lot, because the cap needs to fitted and inserted properly to be effective.) However, the sponge might be a better alternative for you.


On July 17, 2005 at 02:05 PM, malka said:

i can totally relate to your birth control dilema. I have struggled with and still struggle with it for years. I have a wonderful large family and decided a few years ago that was it, I am in my later forties, and while i'm enjoying the relataive easing of burden, still feel the pull for more and feel a bit of guilt for not having the bitachon of the early, crazy, wonderful baby and toddler filled years, feel guilty for not bringing down all the neshamos I physically could, and that maybe some financial and child difficulties we are having is related to stopping Hashem's brochos. Is is such a personal and difficult decision to know where to draw the line btwn practicial reality " what you can handle" and going out on a limb to the nth degree........

On July 18, 2005 at 05:58 PM, Anonymommy said:

This reply may be much delayed (I've been out of town), but I wanted to give you another birth control option. I had a miscarriage in January, and the doc said we couldn't try to conceive for two regular cycles, so we needed a non-barrier method of birth control. We (sucessfully) used Vaginal Contraceptive Films, which are essentially spermacide which comes in a thin film and dissolves- so there's nothing for him to feel.

The other part of this, maybe his feeling the diaphram is psychosomatic? As in, he knows it's there- so he *thinks* he feels it so much that he actually "does"? Maybe ask him to talk about the whole situation with you- maybe there's an underlying resentment about using birth control in the first place that is manifesting itself in another way.

I don't think you are a bad Jew, and I certainly don't think it makes you a bad mother! On the contrary- you're restraining from having more children (even though you want them) in order to spend your attentions on those you already have! B'sha'ah Tova means just that- in good time- and may you have children in a GOOD time, when you are physically, spiritually and in all other ways ready for them.

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