Oh. Are we talking about nfp?

When I got married I wanted a million kids. I didn't think I'd want to think about nfp unless I couldn't conceive. I wasn't particularly pro or anti. It's just a tool which some people like and some people need.

I've always been irregular, but again, unless I had difficulty conceiving I didn't think it was important beyond a passing mention in regular gyno visits. (Ok, once when I went for a few months with nothing and then had nearly back to back periods. That seemed worth a special trip to the gyno. But nothing came of it except a note in my medical file.)

My first child was born less than two years after I got married. So, not immediately, but no difficulty.

My second was born when my first was three. My third was born when my second was two.

So, to understand where I am now, you have to understand all of that. Because my second was medically complicated. For four years she was in near constant emergency. I could not turn off. Being psychologically in crisis mode for four years changed my brain chemistry. When she became more stable, I couldn't. My brain couldn't handle not being in crisis. Or something. I have caregiver PTSD. So, I was depressed and anxious. I don't mean sad and scared. I mean I have a debilitating disease which made me incapable of getting out of bed for a few weeks. There were prior incidents, but that was the one which made me face this thing medically. It wasn't until I was in treatment that I realized how bad things had gotten.

Medicine made breathing easier. I could breathe. No weight on my chest. I could sleep; no nightmares about every imaginable horrible thing. I could interact with people. I could answer the phone. No more out of body experiences. I could go on, but suffice it to say, it was dramatic.

So, in treatment, I have several different medications. I have one regular med. I have one which I take when my regular med might need a boost. And I have one to take for breakthrough episodes.

I've been telling myself not to feel guilty about any of these, but I still do.

About once a month, but with quite a bit of flexibility, my anxiety gets really bad. It shouldn't have taken me a year to sort it out, but asking someone who is in a state of panic to figure something out is just not fruitful. When I am suffering from PMS my anxiety and my depression come back. They come back swinging. Hormones going crazy makes mommy go crazy. This is useful information. I cope, currently, by taking my booster med every day starting as soon as I notice and stopping when my period begins.

And what does any of this have to do with NFP? Well. This: None of these meds which I need are safe for pregnancy. None. There are meds which are, but changing medication isn't like swapping a lightbulb. It takes weeks for any new med to begin to work and some just don't work. There is not a better medication than the one I have for breakthrough episodes.

So, maybe I can risk pregnancy anyway? Is that what you're thinking? What's two or three awful weeks?

Let me tell you. I went on an antibiotic several months ago. I didn't stop taking my meds, but I didn't know that they wouldn't absorb as well while I was on antibiotics. So, my brain acted like I stopped. It was awful. Terrifying. Unbelievably. After that incident, I faced the fact that I don't think my body can handle pregnancy. Because, among other things, I've been pregnant before. It was wonderful in all the fanciful ways people discuss, but it's a hormonal nightmare.

A hormonal nightmare exactly when my medication wouldn't be an option. Not the regular. Not the booster. And definitely not the breakthrough treatment.

I thought about nfp. I looked into it. Everyone who loves it talked about resources. Resources which cost time or money or both. I had neither. Get a teacher. Get an app. Get an ovulation kit. Get get get. I wasn't going to. So I tried just reading and learning. The bottom line, for me, was that without significant help, I was very likely to get pregnant due to my irregular cycle. I know. I can hear you objecting. But symptoms. Got it. You know symptoms vary, right? It isn't as obvious for everyone. I tried to know and I couldn't. If you want more details I think you're rude.

So, I talked to my psychiatrist. Changing meds? My doctor really didn't want to do that. We could, but it would be hard. Did I want more babies now? (Will I be damned for answering? Honestly?) I don't want more babies. I want to want them. But I'm completely overwhelmed. Life is hard. Babies are a lot of work and they're physically draining. I want to want them. Oh, I love babies so much. And I love being a mom. And I love my kids. But no. No I don't want more, if the choice is mine. Is the choice mine? Is it a choice?

Isn't there a medical exception for birth control, she asked? She was very respectful of my faith and I was very open with her. There is. Kind of. But it isn't cut and dry.

I could talk to someone, but here's the thing: I already knew what any of the people I might ask would say before I asked. I knew who to ask if I wanted to hear yes and who to ask if I wanted a no. But I didn't know myself!

I prayed. I talked about it with my husband. I racked myself spiritually. I went to my good Catholic doctor. (I didn't know what he'd say. I knew he would give me whatever medical advice I needed, but spiritual stuff?) He didn't duck. He said, "God understands." That's all.

I'm using artificial birth control. I hope it's ok, but I'm sure God understands. We talk about it. We go way back and we're not afraid to scold each other.