Back to Contraception IV: A Rabbi’s Role & Beginning Marriage
What is the prohibition of wasting seed? What are the implications for the permissibility of various contraceptive methods?
In Brief
What is the basis for prohibiting hashchatat zera (wasting seed)?
Early authorities derive it from narratives in Bereishit:
- Er and Onan sinfully avoid conception with Tamar, and some of our sages identify their act with hotza’at zera le-vatala (releasing seed in vain).
- Alternatively, the moral ruin of “all flesh” in the generation of the Flood may have included wasting seed.
The prohibition may also be considered a corollary of the obligation to procreate.
Are women prohibited in hashchatat zera?
- If the prohibition is a corollary to the mitzva of procreation, then women, who are not obligated in that mitzva, might not be directly subject to the prohibition, either.
- If the prohibition relates to the conduct of “all flesh,” then women would be fully subject to it.
When a couple have intercourse but conception is impossible, is that considered hashchatat zera?
No. A normal act of marital relations with no impediment to sperm is not considered hashchatat zera.
What was the Talmudic moch, and what halachic debates surround it?
The moch was cotton wadding inserted vaginally to prevent pregnancy. There are different views among early authorities on how it worked and under what circumstances it would be permitted.
When is the moch permitted in practice?
In cases of concern for potential danger to a woman’s life (learn more here), Halacha allows her to use a moch. When alternative methods exist, authorities generally discourage the moch because of hashchatat zera.
How do modern barrier contraceptives compare to the moch?
- The diaphragm and cervical cap cover the cervix, but do not fill the vaginal canal as a moch did. Practical rulings on their permissibility vary widely. Many authorities equate them to the moch, while others consider them permissible methods.
- The sponge fills more of the vaginal canal, and is thus less readily permitted than the diaphragm or cervical cap.
- The condom is usually permitted only in extremely pressing cases, where no other method is viable.
Are spermicides permissible?
Spermicides are widely permitted as a contraceptive method because they are placed in advance of intercourse, do not interfere with the normal course of relations, and are understood to impede sperm rather than directly destroy them.
Is abstention or the fertility awareness method a valid halachic contraceptive?
Abstention avoids hashchatat zera, but is in tension with the mitzva of ona (marital intimacy). While periodic, short-term abstention is sometimes permitted as a contraceptive method, there is more readiness to permit contraceptives when the alternative would be long-term abstinence.
In our next piece, we discuss sterilization, hormonal contraception, the IUD, and halachic rankings of various methods.
In Depth
Hashchatat Zera
In the first installments of this series, we discussed circumstances in which contraceptive use is halachically permissible. Now, we can turn our attention to the permissibility of specific contraceptive methods. In this piece, we look at the prohibition of hashchatat zera (wasting or ruining seed) and a related Talmudic passage on contraception. We then discuss modern methods of contraception for which this prohibition is potentially relevant—barrier methods and spermicides—and conclude with a discussion of abstention as a contraceptive method.
In our next piece, we’ll discuss the prohibition of sterilization (sirus), and its implications for contraceptive methods that permanently or temporarily impair fertility. We’ll conclude by looking at different approaches to deciding which methods are halachically preferable, and at choosing a method in light of Halacha.
As we saw in the opening piece in this series, Yehuda’s second son, Onan, married Tamar, his deceased elder brother’s widow, but avoided procreating with her.
בראשית לח: ז – י
וַיְהִי עֵר בְּכוֹר יְהוּדָה רַע בְּעֵינֵי ה’ וַיְמִתֵהוּ ה’: וַיֹּאמֶר יְהוּדָה לְאוֹנָן בֹּא אֶל אֵשֶׁת אָחִיךָ וְיַבֵּם אֹתָהּ וְהָקֵם זֶרַע לְאָחִיךָ: וַיֵּדַע אוֹנָן כִּי לֹּא לוֹ יִהְיֶה הַזָּרַע וְהָיָה אִם בָּא אֶל אֵשֶׁת אָחִיו וְשִׁחֵת אַרְצָה לְבִלְתִּי נְתָן זֶרַע לְאָחִיו: וַיֵּרַע בְּעֵינֵי ה’ אֲשֶׁר עָשָׂה וַיָּמֶת גַּם אֹתוֹ:
Bereishit 38:7-10
And Er the firstborn of Yehuda was bad in the eyes of God, and God caused him to die. And Yehuda said to Onan, come to your brother’s wife and have yibum [a levirate marriage] with her and establish zera [seed] for your brother. And Onan knew that the zera would not be his, so that when he had relations with his brother’s wife he would waste [shichet] to the ground so as not to give zera to his brother. And what he did was bad in the eyes of God, and He caused him to die as well.
Rashi explains that Onan attempted the ‘withdrawal method’ of contraception:1
רש”י בראשית לח:ט
ושחת ארצה – דש מבפנים וזורה מבחוץ:
Rashi Bereishit 38:9
And he would waste to the ground – thresh inside and scatter outside.
This contraceptive method, though only about 80% effective,2 has been in practice since ancient times. While the verses make Onan’s behavior clear, his brother Er’s sin is more opaque. The Talmud contends that Er’s sinful action was the same as Onan’s, though Er’s motivation differed.
יבמות לד:
אמר רב נחמן בר יצחק: דכתיב “וימת גם אותו” אף הוא באותו מיתה מת. בשלמא אונן, משום לא לו יהיה הזרע אלא ער, מ”ט [=מאי טעמא] עבד הכי? כדי שלא תתעבר ויכחיש יפיה
Yevamot 34b
Rav Nachman bar Yitzchak said: For it is written, “And He [God] caused him [Onan] to die as well.” He [Onan], too, died the same way [as Er]. It makes sense for Onan, because the zera would not be his. But Er, what is the reason that he acted thus? In order that she not become pregnant and her beauty diminish.
Whether in evasion of fraternal responsibility or in pursuit of enhanced pleasure, both brothers’ motivations seem selfish. The continuation of the story highlights Tamar’s eagerness to conceive, and thus puts the brothers in an even more negative light.
In order to learn from this narrative, we should attempt to clarify whether the brothers’ sin was in the specific contraceptive method they used or in the very practice of contraception itself. This question has broader implications because the Talmud links their sin to the prohibition of hotza’at zera le-vatala, spilling zera (semen) in vain:
נדה יג.
דא”ר יוחנן כל המוציא שכבת זרע לבטלה חייב מיתה שנאמר וירע בעיני ה’ (את) אשר עשה וימת גם אותו
Nidda 13a
For Rabbi Yochanan said: Whoever discharges semen in vain is liable for death, for it is said, “And what he did was bad in the eyes of God, and He caused him to die as well.”
The prohibition of hotza’at zera le-vatala is not clearly stated in the Torah. Early halachic authorities suggest different derivations, with somewhat different halachic implications.
I. Corollary of Pirya Ve-rivya According to Tosafot, hotza’at zera le-vatala is a corollary of peru u-rvu, and thus at issue specifically for those commanded to procreate.
תוספות סנהדרין נט: ד”ה והא פריה ורביה
דשב ואל תעשה נמי הוא, דמי שמצווה על פריה ורביה מצווה שלא להשחית זרע.
Tosafot Sanhedrin 59b s.v. ve-ha pirya ve-rivya
For it [pirya ve-rivya] is also a command of desisting from an action, for one who is commanded in pirya ve-rivya is commanded against hashchatat zera.
This statement may imply that contraception through spilling zera—and perhaps other forms of contraception—is not prohibited when the command to procreate has already been satisfied. (Or, as in male fertility testing or treatments, when the zera is discharged not le-vatala, in vain, but for the very purpose of procreation.3)
Rabbeinu Tam spells out another implication of seeing the prohibition of hotza’at zera as a corollary to the mitzva of pirya ve-rivya: Women, who are not obligated in the mitzva, would thus not be subject to the prohibition. Rabbeinu Tam uses the term hashchatat zera (wasting or ruining seed), which is often used interchangeably with hotza’at zera le-vatala but leaves room for a more expansive understanding of the prohibition, not restricted to the act of a man releasing his own semen in vain.
תוספות יבמות יב: ד”ה שלש נשים משמשות במוך
ור”ת [=ורבינו תם] אומר…והאשה…לא הוזהרה אהשחתת זרע כיון דלא מיפקדה אפריה ורביה
Tosafot Yevamot 12b s.v. shalosh nashim meshamshot be-moch
Rabbeinu Tam says…and the woman…is not cautioned against hashchatat zera, since she is not commanded in pirya ve-rivya.
Some authorities, however, rule that this position still leaves room for a woman to be prohibited from hashchata of her husband’s zera, even if she has no analogous prohibition for her own oocytes:
תוספות הרא”ש כתובות לט.
אף על פי שנשים אינן מצוות בהשחתת זרע מ”מ [=מכל מקום] אין לה להשחית זרע האיש אם לא מפני הסכנה
Tosafot Rosh Ketubot 39a
Even though women are not commanded regarding hashchatat zera, in any case a woman may not destroy a man’s zera if not on account of danger.
II. Broader Culpability An alternative perspective connects hotza’at zera le-vatala to a desire to avoid procreating, but extends culpability for it beyond those commanded in pirya ve-rivya. The Torah reports that “all flesh” engaged in ruinous behavior that precipitated the flood, and according to one rabbinic tradition, this ruin involved hotza’at zera le-vatala:
מסכת כלה רבתי ב: ז
תאנא דור המבול כלן מוציאין שכבת זרע לבטלה היו, הוו בהו אצטגניני, אמרי עלמא לא פחות משיתא אלפי שנין, לא נוליד, ואנן נחיה לעלמא כוליה, אמר להם הקדוש ברוך הוא, שמתם עצמכם עיקר, הריני עוקר שמיכם שלא תעלו בחשבון עולם. מנא הני מילי, דכתיב באונן והיה אם בא אל אשת אחיו ושחת ארצה, שהיה מחמם את עצמו ומוציא שכבת זרע לבטלה, וכתיב בדור המבול כי השחית כל בשר את דרכו על הארץ.
Masechet Kalla Rabbati 2:7
It was taught in a baraita: The Generation of the Flood all were spillers of zera in vain. There were among them astrologers, they said, the world will last no less than six thousand years, we will not procreate, and we will live for as long as the world lasts. God said to them: You have made yourselves paramount [ikar]; behold, I will uproot [oker] your legacy so that you are not counted in the reckoning of the world. Whence are these matters known? For it is written regarding Onan, “so that when he had relations with his brother’s wife he would waste to the ground [shichet artza],” for he would get himself heated and spill zera in vain, and it is written regarding the generation of the flood “for all flesh ruined [hishchit] its way upon the Earth [al ha-aretz].”
The use of the language “hishchit,” or ruined, in this midrash helps explain why the prohibition of hotza’at zera le-vatala is often characterized as part of the broader prohibition of hashchatat zera, wasting or ruining zera. Earlier, we raised the question of whether a woman’s exemption from prohibition might still leave constraints on a woman’s handling of semen. According to another school of thought, women have no exemption from this prohibition. Rather, the prohibition applies directly to women, perhaps even extending to treatment of the ovum.
Ramban, for instance, concludes that if “all flesh” is considered culpable for hashchatat zera in the generation of the Flood, then even those not directly obligated in the mitzva of pirya ve-rivya, like women, would be directly subject to the prohibition, whatever its precise contours:
חדושי הרמב”ן נדה יג.
…שאע”פ [=שאף על פי] שאינן מצוות על פריה ורביה ורשאי מן התורה ליבטל, איסור הוא בהשחתה…בהשחתה “כל בשר” כתיב.
Ramban Nidda 13a
…For even though they [women] are not commanded in pirya ve-rivya [procreating] and the Torah permits desisting from it, it is a prohibition of hashchata [of zera]…regarding hashchata “all flesh” is written.
If that is the case, then perhaps specifically contraception entailing hashchatat zera is at issue, regardless of whether peru u-rvu has been fulfilled, and other contraceptive methods would be permissible when they do not conflict with fulfilling peru u-rvu.
In the nineteenth century, Rav Ya’akov Ettlinger suggests that hashchatat zera falls under the broader prohibition of bal tashchit, not being wasteful:
ערוך לנר נדה יג.
…י”ל [=יש לומר] דבהשחתת זרע איכא ג”כ [=גם כן] משום בל תשחית
Aruch Le-ner, Nidda 13a
…One can say that with hashchatat zera there is also a concern on account of not wasting [bal tashchit]…
In other words, the prohibition of hashchatat zera can be understood as a specific concern about actively wasting or ruining semen, an imperative to treat zera as valuable in its own right, as opposed to a more widespread concern about contraception in general.
If Conception Isn’t Possible
Sexual intercourse is not considered a violation of hotza’at zera le-vatala even if it takes place when a couple are unable to conceive. For instance, a baraita details presumed effects of relations at different stages of pregnancy, and makes no suggestion that there would be any halachic restraint or concern for zera le-vatala at that time.
נדה לא.
תנו רבנן שלשה חדשים הראשונים תשמיש קשה לאשה וגם קשה לולד אמצעיים קשה לאשה ויפה לולד אחרונים יפה לאשה ויפה לולד…
Niddah 31a
Our Rabbis taught in a baraita: the first three months, sexual relations are difficult for a woman and also difficult for the baby, the middle are difficult for the woman and good for the baby, the last are good for the woman and good for the baby…
Tosafot state more clearly that being able to conceive is not a precondition for permissible marital relations.
תוספות יבמות יב: ד”ה שלש נשים משמשות במוך
…ואילונית דלא איתסרו בתשמיש משום דלאו בנות בנים נינהו…
Tosafot Yevamot 12b s.v. shalosh nashim meshamshot be-moch
…a woman who does not go through puberty, that they were not prohibited in sexual relations on account of not being fertile…
The specific concern of hashchatat zera applies if zera is wasted or destroyed or if something interferes with the normal course of sexual relations, sometimes referred to as derech tashmish. See, for example, Rosh, who addresses a case where a woman has an anatomical blockage that prevents ejaculation from taking place internally:
שו”ת הרא”ש כלל לג סימן ג
וששאלת אשה שיש לה אוטם ברחם בענין שאין השמש דש כראוי לו ומתוך האוטם פעמים שהוא דש בחוץ ולעולם הוא זורה בחוץ. ומספקא לך מי אמרינן כיון שמתכוין לשמש כראוי מותר מידי דהוה המשמש את עקרה…יראה שהוא אסור, כיון דלעולם הוא זורה בחוץ קרינן ביה ושחת ארצה…
Responsa of Rosh 33:3
You asked about a woman who has a blockage in her reproductive organs, so that the male member does not thresh as is fitting for it and because of the blockage sometimes he threshes externally, and he always scatters [ejaculates] externally. And it is doubtful to you if we say that since he intends to have intercourse as is fitting, it is permissible as it is to have intercourse with an infertile woman…It seems that it is prohibited. Since he always scatters externally, we call it “wasting toward the ground”…
Rosh specifically contrasts this situation with that of a woman who is infertile, in which case relations are permitted. Thus, the concern is not regarding sexual relations when a couple couldn’t conceive. In the nineteenth century, Ben Ish Chai provides a rationale for this:
שו”ת רב פעלים חלק ג – אה”ע ב
השחתת הזרע לאו משום שגורם שילך הזרע לאיבוד בלא הולדה אלא האיסור משום דמשליך זרעו במקום שלא הותר לו להשליך, כי הבורא יתברך גזר שלא ישליך הזכר את זרעו אלא בנקבה, שהיא מן המין שלו במקום שהוא מיוחד להשלכת הזרע,
Responsa Rav Pe’alim III, EH 2
Hashchatat zera is not on account of causing the zera to go to waste without conception, but rather the prohibition is on account of casting his zera in a place where it was not permitted to cast it, for the Creator decreed that a male may only cast his zera inside a female, who is of his species, in the place that is designated for casting seed.
According to Ben Ish Chai, God charges us with treating sperm in a specific way, but this is not reducible to attempting conception. On some views, even anal relations would be permissible for a married couple on an occasional basis.4
We’ve seen that the prohibition of hashchatat zera is not necessarily a corollary of pirya ve-rivya, and that relations between husband and wife are permissible even when they cannot conceive.
It follows that this prohibition need not rule out contraceptive methods that do not entail “wasting” zera. We’ll discuss such methods in our next piece. First, though, we’ll discuss both Talmudic and contemporary contraceptives that do potentially involve hashchatat zera.
The Moch
A contraceptive method available in Talmudic times that raised questions of hashchatat zera was the moch. A moch was a type of cotton wadding that a woman would insert vaginally to prevent conception:
רש”י נדה ג. ד”ה משמשת במוך
ממלאה אשה אותו מקום מוכין לשאוב את הזרע שלא תתעבר…
Rashi, Nidda 3a, s.v. meshameshet be-moch
A woman fills that place [the vaginal canal] with wadding to absorb the zera so that she not become pregnant…
A moch could potentially be inserted either before intercourse to impede the flow of semen into her body or afterwards to remove semen from it.
As we saw in our discussion of contraception and danger to health, the Talmud discusses the moch when it takes up the case of three women for whom a new pregnancy was considered uniquely dangerous: an eleven-year old (in an era when marriage of minors was not unheard of), a pregnant woman (believed to be at risk of miscarriage from relations if carrying twins),5 and a breastfeeding mother:
יבמות יב:
תני רב ביבי קמיה דרב נחמן שלש נשים משמשות במוך קטנה מעוברת ומניקה קטנה שמא תתעבר ושמא תמות מעוברת שמא תעשה עוברה סנדל מניקה שמא תגמול בנה וימות…דברי ר”מ [=רבי מאיר] וחכ”א [=וחכמים אומרים] אחת זו ואחת זו משמשת כדרכה והולכת ומן השמים ירחמו משום שנאמר שומר פתאים ה’ (תהילים קטז:ו)
Yevamot 12b
Rav Bibai repeated a tannaitic teaching before Rav Nachman: Three women have sexual relations with a moch: a minor [between 11-12], a pregnant woman, and a nursing woman. A minor lest she become pregnant and lest she die, a pregnant woman lest her fetus miscarry, a nursing woman lest she wean her child [on account of a new pregnancy] and lest he die…the words of Rabbi Meir. But the sages say: Each of them continues to have relations as normal and may they have mercy from the Heavens, as it is said, “God protects the foolhardy” (Tehillim 116:6).
There are so many ways to interpret this passage that it is difficult to draw decisive halachic conclusions from it. Here are three of the main interpretations:
I. Prohibition During Intercourse On a simple reading of Rashi, the moch in question was inserted before sexual relations, for use during intercourse.
רש”י יבמות יב:
משמשות במוך – מותרות לתת מוך במקום תשמיש כשהן משמשות כדי שלא יתעברו.
Rashi, Yevamot 12b, s.v. meshamshot be-moch
They have intercourse with a moch – They are permitted to insert a moch [cotton wadding] in the place of intercourse [vaginally] when they have intercourse in order that they not become pregnant.
Tosafot explain that Rashi’s use of the term “permitted” to describe Rabbi Meir’s position implies that he would permit only these three women to use a moch and prohibit other women from using one. It would follow that the sages prohibited all other women from using a moch.
תוספות יבמות יב: ד”ה שלש נשים משמשות במוך
פי’ הקונטרס מותר לשמש במוך אבל שאר נשים אסור משום השחתת זרע…
Tosafot, Yevamot 12b, s.v. shalosh nashim meshamshot be-moch
Rashi explained that it is permissible to have intercourse with a moch, but other women are prohibited because of hashchatat zera…
II. Permission After Intercourse In contrast, Rabbeinu Tam says it is only permitted to insert the moch after relations, to clean out semen. Inserting it beforehand would be forbidden because intercourse and ejaculation would not take place in its usual way. He maintains that the sages allowed all women, including the three for whom pregnancy would be dangerous, to choose whether or not to use the moch after intercourse, whereas Rabbi Meir required these three women to insert it:
תוספות יבמות יב: שלש נשים משמשות במוך
…ור”ת [=ורבינו תם] אומר דלפני תשמיש ודאי אסור ליתן שם מוך דאין דרך תשמיש בכך והרי הוא כמטיל זרע על העצים ועל האבנים כשמטיל על המוך אבל אם נותנת מוך אחר תשמיש אין נראה לאסור דהאי גברא כי אורחיה משמש…ומשמשות במוך דקתני הכא היינו צריכות לשמש במוך.
Tosafot, Yevamot 12b, s.v. shalosh nashim meshamshot be-moch
…Rabbeinu Tam says that before intercourse it is certainly prohibited to insert a moch there, for this is not the way of intercourse, and it is like casting zera on trees and on rocks when he ejaculates onto a moch, but if she inserts the moch after intercourse, it does not seem that it should be prohibited for the man has intercourse as is his [usual] way…and “they have intercourse with a moch” that is taught here means they [the three women] need to use a moch.
III. Permission During Intercourse Some early authorities cite Rashi that the moch is inserted prior to sexual relations for use during intercourse, while embracing the view of Rabbeinu Tam that the sages permit all women to use the moch, but disagree with Rabbi Meir about requiring it in the Talmud’s three special cases. Here, for example, is fourteenth century commentator Rav Yosef ibn Chabib:
נימוקי יוסף יבמות ב:
משמשות במוך. פירש רש”י ז”ל מותרות לתת מוך במקום תשמיש כשהן משמשות כדי שלא יתעברו והקשו עליו…לפיכך פירש חייבות לשמש במוך משום סכנה דידה או דולד:
Nimukei Yosef, Yevamot 2b
Have intercourse with a moch. Rashi commented “They are permitted to insert a moch [cotton wadding] in the place of intercourse [vaginally] when they have intercourse in order that they not become pregnant, and [other early authorities] raised a difficulty regarding [his position]…and therefore explained they [the three women according to Rabbi Meir] are obligated to have intercourse with a moch because of risk to her life or the fetus’s.
In the sixteenth century, Maharshal rules clearly that one should indeed mix and match Rashi and Rabbeinu Tam’s interpretations in this way. He adds that, in his view, women are not subject to the prohibition of hashchatat zera. Addressing the question of intercourse taking place in its usual way, Maharshal argues that the moch does not interfere, since the two bodies are in contact and taking pleasure from each other.
ים של שלמה יבמות א:ח
…נראה פי[רוש] רש”י עיקר, דמשמשים במוך לפני תשמיש קאמר, ואין זה כמטיל על העצים, דסוף סוף דרך תשמיש בכך, וגוף נהנה מן הגוף…אבל מ”מ [=מכל מקום] נראה דג”כ [=דגם כן] דעת ר”ת [=רבינו תם] עיקר, דאף שאר נשים מותרות, דאין איסור בנשים, מאחר שאינה מצווה על פריה ורביה, וג’ נשים דהכא צריכי קאמ[ר]…וא”כ [=ואם כן] הלכה כחכמים, שאינה צריכה לשמש, אבל מותרים.
Yam Shel Shlomo, Yevamot 1:8
…It seems that Rashi’s interpretation is the fundamental one, that it refers to having intercourse with a moch [inserted] before intercourse, and this is not like casting [zera] on trees, for in the end this is the way of intercourse, and a body takes pleasure from [another] body…but in any case it also seems that Rabbeinu Tam’s view is the fundamental one, that other women are also permitted, for there is no prohibition for women, since she is is not obligated in pirya ve-rivya. And the three women here need [to use a moch] is what is said…And if so, the halacha is like the sages, that she [one of the three women] does not need to use [the moch], but is permitted to.
For a Woman
Though he typically would permit use of a moch during relations only in cases of danger, Rav Moshe Feinstein suggests that having relations with a moch in place would not actually raise direct questions of hashchatat zera for a woman. At the point of insertion, it is not certain that the husband will have relations with her. During relations, Rav Moshe considers her passive in contrast to her husband and the moch:
שו”ת אגרות משה אה”ע ד:ע
אך קצת יש לדון אם נימא שהיא מצווה על השחתת זרע הבעל יש איסור עליה…אבל מסתבר דזה שמשימה המוך קודם התשמיש שאין עדיין זרע אין שייך עליה אז שום איסור דהא יכול שלא לבעול…ועל עת התשמיש אף להסוברים שאינו דרך תשמיש הא אינה עושית כלום ולא שייך עליה שום איסור…אבל מ”מ [=מכל מקום] שלא ליתן יד לפושעים שיבואו להקל יותר לא טוב לפרסם הדבר רק לצנועין
Iggerot Moshe EH 4:70
But it should be discussed briefly whether, if we say that she [a woman] is commanded regarding hashchata of the husband’s zera, there is a prohibition upon her…But it stands to reason that when she places the moch prior to intercourse when there is still no zera, no prohibition at all applies to her, for he might not have relations with her…And regarding during intercourse, even according to those who think that it is not the way of intercourse, she is not doing anything active and no prohibition at all applies to her…But in any case, so as not to encourage sinners who will come to be more lenient, it is not good to publicize the matter except to those who are careful with mitzvot…
Rav Moshe does not condone women freely using a moch during relations; he simply does not consider a woman liable in such a case for hashchatat zera. He also does not relate here to whether there is an aspect of hashchatat zera in a woman removing a moch from her body.
In Cases of Danger
The Talmudic passage on the moch discusses a method of contraception that raises halachic concerns of hashchatat zera, whether removing semen or interfering with the normal course of relations, and weighs its use in cases of unique danger.
Though there are notable dissenters,6 when other methods of contraception were scarce, it became accepted halacha to permit use of a moch during intercourse in cases of concern for potential risk to life, rather than force a couple into long-term abstinence or divorce. (See more in our discussion here.) For example, here is Chazon Ish’s ruling to this effect:
חזון איש אישות לז
ולדינא נראה דבמקום ספק סכנה יש להתיר מוך ק”ת [=קודם תשמיש].
Chazon Ish, Ishut 37
The practical halacha is that in a case of potential risk to life, one should permit [inserting] a moch prior to intercourse
Barrier Contraceptives
Our discussion of the moch lays the groundwork for learning about modern barrier methods of contraception. As their name suggests, barrier contraceptives physically block sperm from entering the cervix, so that it cannot reach the fallopian tubes where fertilization could take place. Barrier contraceptives are often used in conjunction with spermicide, which increases their efficacy and extends it for a few hours. (We discuss spermicides below.) Major barrier methods of contraception include the diaphragm and cervical cap, the contraceptive sponge, and condoms.
The halachic permissibility of using barrier methods as a form of contraception depends on what lessons we draw from the discussion of the Talmudic moch.
The Diaphragm and Cervical Cap
The diaphragm and cervical cap are typically made of flexible latex, and sit behind a woman’s pelvic bone to cover the opening of the cervix; the cervical cap obtrudes slightly less than the diaphragm. The diaphragm is about 87% effective after first childbirth,7 the cervical cap about 78%.8
An early contraceptive device known as a pessary, which would cap the cervix (and was often held in place by an arm extending into the uterus), bears similarity to these modern devices. In nineteenth-century Galicia, Maharsham weighed the halachic status of a rubber pessary:
שו”ת מהרש”ם חלק א סימן נח
…ששמעתי שבזה”ז [=שבזמן הזה] נותנים הרופאים לנשים כאלה כמין כיסוי של גומיע דק ונקרא בלשונם פעסאר שמכסין בו פי האם, והוא המקור, מסביב שלא יקלוט הזרע. וא”כ [=ואם כן] התשמיש כמו בשאר נשים, אלא דכמו דבמעוברת סגור פי המקור, כן ה”נ [=הכי נמי] בזה. ואינו דומה כלל למשמשת במוך, דהוי כמשליך זרעו על המוך, משא”כ בנ”ד [=מה שאין כן בנידון דידן] ויש לומר דכ”ע [=דכולי עלמא] מודו להקל במקום סכנה.
Responsa of Maharsham 1:58
For I have heard that nowadays doctors give women a sort of thin rubber cover, which is called in their language a pessary, with which they cover the cervix, which is the uterus, all around, so that it does not take in the zera. And if so, intercourse is as with other women—but just as with a pregnant woman the cervix is closed, so too with this [device]. And it is not similar at all to having intercourse with a moch, where the man is like one who casts his zera upon the moch, which is not the case in our situation, and one can say that everyone would agree to be lenient in a situation of risk to life.
Though he was ultimately conservative about applying this ruling, Maharsham rules here that the pessary is not comparable to the moch because intercourse takes place in its usual manner. Therefore, the halacha regarding its use should be more lenient than that regarding use of a moch.
Other halachic authorities do not make such a clear distinction between barrier devices. For example, writing about seventy years ago, Rav Moshe Feinstein argues that the diaphragm and moch work similarly and are subject to comparable halachic analysis:
שו”ת אגרות משה אה”ע א סימן סג
אבל בראבערס שמכנסת האשה לתוך רחמה כמוך פשוט שהוא כדין המוך שיש להתיר [במקום סכנה]…דכיון שהוא בתוך רחמה הוא דרך תשמיש לדידהו [פוסקים מסוימים] דדרך תשמיש שסברי במוך הוא מה שיציאת הזרע הוא עכ”פ [=על כל פנים] בתוך רחם האשה אף שהוא שם על המוך כיון דגם המוך הוא שם בהרחם וביאה אין בה דינים איך שתהיה שיהיה שייך בה דיני חציצה ולכן הוי בכל אופן דרך תשמיש אף שעשה באופן שלא תתעבר דכמה ביאות שאינה מתעברת מהם…
Iggerot Moshe EH 1:63
But the rubbers [diaphragms] that a woman inserts inside her womb [vagina] like a moch, it is straightforward that the halacha is like that of a moch, which can be permitted [when pregnancy would be dangerous]…for since it is inside her womb [vagina] they have intercourse in what they [certain halachic authorities] consider the normal manner. For the normal manner of intercourse that they thought of with the moch is that the discharge of zera is in any case within the woman’s womb [vagina], even though he puts it on the moch, since the moch is also there in her womb [vagina]. And intercourse does not have laws of somehow there being a relevant law of chatzitza [barrier] and therefore it is in any case the normal manner of intercourse even though he did it in a way that she would not become pregnant, for there are many episodes of intercourse from which a woman does not become pregnant…
Rav Moshe does not consider the difference in position between the moch and more deeply inserted devices such as the diaphragm and cervical cap to be a key halachic factor. He also rejects the idea that a wholly internal barrier would constitute a halachic impediment [chatzitza] within the vaginal canal in a way that would affect the status of intercourse using these methods.
The dispute as to whether the diaphragm and similar devices are halachically comparable to a moch or whether they can be more easily permitted persists to more recent times. Some halachic authorities, including Rav Mordechai Eliyahu, consider the diaphragm (and the sponge—see below) to be hashchatat zera, and thus no better than the moch, especially since after relations the semen may be removed along with the barrier:
הרב מרדכי אליהו, השימוש באמצעים למניעת הריון, תחומין לא, תשע”א
…הרי דיאפרגמה וספוגית בוודאי שהם כזורה זרעו על עצים ואבנים ממש, ואין מי שיתיר זאת…האחרונים נחלקו בכוונת הרא”ש אם אוטם זה נמצא בכניסה לנרתיק, שאז זהו ממש זורה לחוץ, או שמדובר בכעין הדיאפרגמה הנתונה פנימה, שעקב החסימה אח”כ [=אחר כך] הזרע יוצא לחוץ, אבל תחילה נשפך לפנים. ובכל זאת קבע הרא”ש שהדבר אסור.
Rav Mordechai Eliyahu, “Use of Contraceptives,” Tehumin 31, 5771
…The diaphragm and sponge are certainly like actually casting his zera on trees and stones, and there is no one who would permit this…The later authorities debate the intent of Rabbeinu Asher if this blockage [ed.: in his responsum cited above] is found at the entrance to the vagina, in which case this is really scattering [ejaculating] outside, or if it refers to something like a diaphragm that is placed internally, where on account of the blockage the zera goes outside afterwards, but is first spilled internally, and even so Rabbeinu Asher established that the matter is prohibited.
Others, like Rav Yehuda H. Henkin—in a 1977 responsum following the ruling of his esteemed grandfather Rav Yosef Eliyahu Henkin—draw on an argument similar to Maharsham’s to rule that the moch is distinct from the diaphragm or cervical cap, because the diaphragm and cervical cap do not fill the vaginal canal and are not felt in a way that interferes with intercourse:
שו”ת בני בנים א:ל
היוצא לע”ד [=לפי עניות דעתי] שמוך בשעת תשמיש אינו תשמיש כרגיל אלא כמטיל זרעו על העצים ועל האבנים או כמעשה ער ואונן כלשונות הראשונים, ואינו ענין לגורל הזרע בלבד אלא שאי אפשר לדוש ולזרוע כרגיל כציור רש”י שממלאה אותו מקום מוכין. אבל ביאפרא”ם פשיטא שאינו דומה לזה, ובשו”ת מהרש”ם חלק א’ סימן נ”ח כתס כן מסברה, וכן דעת הגמו”ז [=הגאון מורי וזקני] זצלה”ה ואמר שדיאפרא”ם אינו כמטיל זרעו על העצים ועל האבנים…
Responsa Benei Banim 1:30
What emerges in my humble opinion is that a moch at the time of intercourse is not the regular manner of intercourse but like one casting his zera upon wood and stones, or like the act of Er and Onan, in the language of the early authorities. And this is not solely a matter of the fate of the zera but that it is impossible to thresh and to sow [zera] as usual, as in Rashi’s description she fills that place [the vaginal canal] with mochin. But it is clear-cut that the diaphragm is not similar to this, and in Maharsham 1:58 he wrote this based on logic, and so was the opinion of my grandfather, who said that the diaphragm is not like casting zera upon wood and stones…
There are reports that Rav Shlomo Zalman Auerbach was swayed by this argument as well.9 Rav Nahum Rabinovitch embraced it.10
The halachic status of the diaphragm remains subject to debate. Some authorities permit its use only in cases of danger. Others consider it a first-line option of contraception, especially when hormones might lead to chronic spotting or are not a viable option.
What are the implications of the debate about the permissibility of the diaphragm?
Whether or not using a diaphragm is considered to entail hashchatat zera, like the Talmudic moch, is debated. Halachic debates, even in everyday practical matters, are common. There is no shortage of cases in which one school of thought maintains that something is kosher while another does not.
This debate has a different type of import, though. It directly affects what contraceptive options are available to halachically observant couples. This is particularly significant because the range of options available to all couples, observant or not, is fairly limited. Furthermore, as we discuss here, there is a wide halachic consensus prohibiting one of the most common contraceptive methods, the condom, leaving a need for an effective permissible method that is non-hormonal and does not require inserting a device into the uterus.
If the diaphragm is considered halachically acceptable in a wide range of cases where the moch would not be, then it can be a contraceptive option well-suited to women who need short-term contraception, or who cannot use hormonal contraceptives or an IUD, or perhaps even those who simply have reservations about those methods. If it is permitted only in very limited circumstances, then women seeking more reliable contraception without an unusually compelling need are typically restricted to hormonal methods or an IUD, or to some degree of abstention.
The stakes are high, and practical rulings vary widely among communities and halachic authorities. Dafna Meir, a prominent National Religious Israeli nurse and birth control educator (who also fitted diaphragms), shares her concern that many couples for whom the IUD or hormonal contraceptives are unsuitable may not be aware of any other option ever possibly being permissible:11
דפנה מאיר, מניעת הריון-שיקולים דתיים ובריאותיים, 21.10.12, בבלוג דרך נשים
בתחום ההלכה יש רבנים מומחים לנושאים מגוונים, כגון כשרות, התרת עגונות, תרומת איברים, טיפולי פוריות, וגם אמצעי מניעה. לא כל הרבנים מכירים את כל סוגי אמצעי מניעת ההריון, ואופן פעולתם….גם הרופאים נוטים להמליץ לרוב על מגוון מצומצם של אפשרויות. אצל רופא הנשים הממוצע בישראל נשים לא תוכלנה לקבל, כמעט אף פעם, רעיונות לדרכים נוספות למניעת הריון, מלבד הורמונים והתקן תוך רחמי, המותרים בדרך כלל גם על פי ההלכה.נשים רבות בישראל משתמשות באמצעים אלו כבחירה ראשונה בגלל נוחות השימוש והיעילות הגבוהה, וכל עוד תופעות הלוואי שלהם קלות ונסבלות….לעומתן, ישנן נשים רבות שאינן יכולות להשתמש בהתקן תוך רחמי או הורמונים….אי לכך, לא ניתן לצפות ששני סוגים בלבד של אמצעים יתאימו לכול הנשים והזוגות. רבים חושבים שאלו הם האמצעים היחידים שקיימים, או היחידים שמותרים הלכתית, ולא כך הוא…
Dafna Meir, “Contraception: Religious and Health Considerations,” October 21, 2012, Derech Nashim Blog
In the realm of Halacha, there are rabbis who are experts in a variety of fields, such as kashrut, releasing agunot, organ donation, fertility treatments, and also contraception. Not every rabbi is acquainted with all the types of contraceptive methods, and how they work…Even doctors tend to recommend a limited range of possibilities. From the average gynecologist in Israel, women will almost never be able to receive ideas for additional methods of contraception, aside from hormones and the IUD, which are usually also halachically permissible. Many women in Israel use these methods as their first choice because of ease of use and high efficacy, and as long as their side effects are light and bearable…In contrast to them, there are many women who cannot use an IUD or hormones….accordingly, one cannot expect only two types of methods to suit all women and couples. Many think these are the only methods that exist, or the only ones that are halachically permissible, and it is not so….
In questions of contraceptive permissibility and contraceptive methods, it is always better to ask a halachic question rather than to assume that something is prohibited. A couple may not be aware of the full range of relevant opinions or of how a halachic authority rules in individual cases (which is often private and unwritten).
As Meir points out, whether lenient or stringent, a halachic authority on these issues needs to be carefully chosen. (Learn more about a rabbi’s role in these decisions here.) And, as with other contraceptive decisions, it is worthwhile for a couple to take time to learn about the relevant health information and halachot.
The Contraceptive Sponge
A contraceptive sponge, usually treated with spermicide, is approximately 80% effective in women who have given birth and 88% effective in women who have not.12 The sponge fills the upper part of the vaginal canal, so it more closely resembles a moch than the diaphragm does. Rav Dr. Mordechai Halperin explains:13
הרב ד”ר מרדכי הלפרין, ספוגיות, שאלות ותשובות של מכון שלזינגר, 2018
הספוגיות הן ספוגיות הספוגות בקוטלי זרע. רמת היעילות של קוטלי זרע עם או בלי ספוגיות היא נמוכה יחסית לשאר אמצעי המניעה (יש כ 20% כשלונות בשנת שימוש). מבחינה הלכתית, ספוגיות הרבה פחות מומלצות מנרות או משחות של קוטלי זרע, בגלל המילוי החוסם מכנית את פנים הנרתיק.
Rav Dr. Mordechai Halperin, Sponges, Responses of Schlesinger Institute, 2018
Contraceptive sponges are sponges saturated with spermicides. The level of efficacy of spermicides with or without sponges is low as compared to other contraceptives (there is a failure rate of about 20% per year of use). From a halachic perspective, sponges are much less recommended than spermicidal suppositories or creams, because they fill up and structurally block the inner part of the vagina.
As we’ve seen above, some halachic authorities, including Rav Mordechai Eliyahu, equate both the sponge and the diaphragm with the moch. Rav Yehuda Henkin maintains that, although the sponge is treated more stringently than the diaphragm, the lower vagina is still not filled by the sponge, and this allows for skin-to-skin contact. Therefore, he would permit its use in pressing situations, even where he would not have permitted use of amoch.14
Contraceptive Sponge, Q&A, yoatzot.org, 2019
Rav Yehuda Henkin…does permit the use of the contraceptive sponge since it does not prevent sperm from entering the vaginal canal (as a condom does), and does not interfere with normal relations (although it is not inserted as deeply in the vagina as a diaphragm).
The classic use case for a sponge with spermicide would be where a short-term contraceptive with greater efficacy than spermicide alone is needed immediately (sooner than a diaphragm could be procured or fitted). However, it is less clear that the sponge would be permitted when the one-size-fits-most diaphragm is readily available.
Condoms
The condom is a thin sheath of latex or a similar material placed over the penis just before intercourse to block sperm from entering the vagina.15 Used in conjunction with spermicide, condoms are about 87% effective.16
Condoms resemble the moch in being felt during intercourse and in directly receiving sperm. They are potentially subject to more halachic leniency than the moch, because they are thin and do not take up space within the vaginal canal. On the other hand, condoms are potentially viewed more stringently than the moch because they completely encase the man’s member, leaving no direct skin contact and blocking the release of semen into the vagina.
Based, on this last point, Maharsham argues that condoms should be treated more stringently than a moch and can only be permitted in cases of direct risk to life:
שו”ת מהרש”ם ג: רסח
שהוא גרוע ממוך. דהתם שופך זרעו בתוך גוף הרחם אלא שנופל על המוך משא”כ בנ”ד [=מה שאין כן בנידון דידן] שמוציא זרעו לתוך כיס המכסה כל האבר והכיס חוצץ מסביב ואינו נוגע בגוף הרחם כלל הוי הוז”ל [=הוצאת זרע לבטלה] ממש. ואין שום צד להקל אלא משום פ”נ [=פיקוח נפש]
Responsa Maharsham 3:268
For it is worse than a moch. For there he spills his zera inside the womb [vagina] itself, but it falls on the moch, which is not the case in our situation where he expels semen into a pouch that covers the entire male organ, around which the pouch creates a barrier, and he does not touch the womb [vagina] itself at all, it is truly hotza’at zera levatala, and there is no way to be lenient except on account of saving a life.
On the other hand, Rav Chayim Ozer Grodzinski rules in the 1930s that condoms can be permitted in a case of danger because it is doubtful whether they present as great a halachic impediment to relations as a moch:
שו”ת אחיעזר חלק ג סימן כד:ה
…והנה במשמשת במוך…דעיקר האיסור משום שאינו כדרך כל הארץ וע”כ [=ועל כרחך] כל הני ג’ נשים משמשת במוך משום סכנה דבזה הוי כדרך כל הארץ וכן כל הני דאיכא סכנה. ויש להסתפק בנרתיק דק אולי אין זה כדרך כל הארץ…הא גלי קרא בסנהדרין נ”ה דשני משכבות דגם שלא כדרכה חייב….י”ל [=יש לומר] דאיסור תורה ליכא, ואינו אלא מד”ס [=מדברי סופרים] ומשום מצות עונה התירו…והנני מסכים עם רומעכ”ת [=רום מעלת כבוד תורתו] להורות היתר בדבר.
Responsa Achiezer 3 24:5
…Regarding intercourse with a moch…where the fundamental prohibition is on account of it not being in the way of all the world, and perforce all these three women have intercourse with a moch because of danger, for in this is it like all the world and so it is in all these cases where there is danger. And one can doubt regarding a thin pouch perhaps it is not like the way of all the world…The verse [as expounded] in Sanhedrin 55 reveals that there are two types of intercourse, for one is liable even for [relations] not in the normal way [anal intercourse]….One can say that there is no Torah prohibition [with a condom], and it is only rabbinic and on account of the mitzva of ona, they permitted it…and behold I agree with his honor to permit the matter.
According to Rav Chayyim Ozer, relations with a condom are clearly more the proper way of relations than relations with a moch and intuitively seem no worse than anal relations. Once anal intercourse is recognized as a form of intercourse, such that some halachic authorities permit it even with ejaculation, wouldn’t relations with a condom also be considered an act of relations, at most a rabbinic prohibition? A rabbinic prohibition could be overridden by danger and the importance of fulfilling mitzvat ona.
Currently, the most prominent halachic approach allows for using a condom to prevent pregnancy specifically in cases of danger where no other option is available.17
שו”ת ציץ אליעזר ט:נא – קונטרס רפואה במשפחה שער ב:י
מובן שצריכים שיקול דעת גדול עד מאד כדי להחליט על התרת השימוש באופן הנ”ז [=הנזכר] של לבישת כיס על האבר, וכן חקירה מרובה מפי כמה רופאים מומחים אם אמנם הסכנה גדולה ויש פחד מבוסס שאמצעי מניעה אחרים לא יועילו, אז רק אז יש מקום לדון להתיר אם הבעל כבר קיים פו”ר [=פריה ורביה]… או במקרה אחר נדיר ביותר ולזמן קצוב…
Responsa Tzitz Eliezer 9:51, Treatise on Medicine and Family 2:10
It is understood that we need very great perspicacity to decide about permitting intercourse in the manner described of wearing a pouch over the male organ, and so, too, extensive investigation from several expert physicians as to whether indeed the danger is great and there is a well-grounded fear that other contraceptives will not suffice, then only then is there room to discuss permitting it if the husband has already fulfilled pirya ve-rivya…or in another very rare case and for a limited time…
In an article that inspired some controversy, Rav Saul David Botschko, of France and now Israel, has argued for a more lenient approach to condom use when other methods are ruled out, based in part on the possibility of embracing Maharshal’s ruling that a moch could be permitted more widely for use during intercourse and part on logic that parallels Rav Chaim Ozer’s.18
Spermicide
Another modern contraceptive method that has raised questions about hashchatat zera is spermicide. Spermicides, chemical compounds inserted vaginally as gels, foams, films, or suppositories to immobilize sperm, are roughly 79% effective19—though some varieties claim higher efficacy—and last for about three hours. Some halachic authorities have concluded that using spermicides violates the prohibition of hashchatat zera, taking the view that a woman is culpable for hashchatat zera as well as a man. For example, in a 1976 responsum, Rav Eliezer Waldenberg was reluctant to permit their use for this reason:
שו”ת ציץ אליעזר ט:נא – קונטרס רפואה במשפחה שער ב
דהמשחה או האבקה והפתילה הרי משחיתים הזרע, מיד עם כניסתם לשם…הרדב”ז שדעתו ששימת מוך קו”ת [=קודם תשמיש] (שבפעולה זה כשימת המשחה ורק שם יוצא שלא כדרך תשמיש) הר”ז [=הרי זה] כעשיית מעשה בידים וא”כ ה”ה לפי”ז [=ואם כן הוא הדין לפי זה] גם בשימת המשחה. וכמו”כ [=וכמו כן] יש לדון ולומר דמצד הבעל נחשב באופן כזה כעושה מעשה השחתה בידים…מכיון שמטיל זרעו במקום שישחת מיד…
Responsa Tzitz Eliezer 9:51, Treatise on Medicine and Family 2
For the cream or the powder and the suppository are mashchitim zera, immediately when it enters there…Radbaz, whose opinion was that inserting a moch prior to relations (which is an action similar to applying the cream, except that there [with the moch, semen] comes out not in the normal way of relations) is a direct action [of hashchata]. And if so, that is also the law regarding applying the cream…And likewise one can say that from the perspective of the husband, he is considered in this way as performing the action of hashchata directly…since he casts his zera in a place where it will be instantly destroyed…
Despite the time that elapses between the insertion of spermicide and its effect on the sperm, Rav Waldenberg views use of spermicide as a direct act of hashchatat zera, for which both husband and wife would be liable.
In contrast, Rav Kook, in a 1933 responsum, argues that an early spermicidal powder does not interfere with relations and is not hashchatat zera. He adds that the powder acts only indirectly on the semen and is not necessarily effective in destroying sperm:
שו”ת עזרת כהן (ענייני אבן העזר) סימן לז
והנה בזה שנתחדשה תרופה של אבקה, שסגולתה לסגור פי הרחם, בודאי רק מבפנים הוא סותם פי המקור, שלא יקלוט הזרע, ואין לזה שום ענין עם הא דמבואר בשו”ע אה”ע סי’ כ”ג ס”ה, והוא מתשובת הרא”ש, באשה שיש לה אוטם ברחם וע”י [=ועל ידי] כן כשבעלה משמש עמה זורה מבחוץ אסור, דכאן הוא זורה מבפנים, ודמי ממש למש”כ [=למה שכתוב] שם בהג”ה, אבל מותר לשמש עם…איילונית הואיל ומשמש כדרך הארץ…ויש עוד לצדד בזה שע”י [=שעל ידי] האבקה אינו כ”א [=כי אם] גרם השחתה, ומצינו שגרם הוא קיל ממעשה בפועל…סו”ס [=סוף סוף] עיקר האיסור בהשחתה דעשיה כתיב, כהא דער ואונן, וכיון שהאבקה היא הפועלת אחר כך את פעולת ההחלשה או המתת הזרע נחשבת פעולתה לגורם… ובפרט כשיש עדיין ספק בפעולת ההשחתה של האבקה, ונחשב לא ברי הזיקא,
Responsa Ezrat Kohen 37
Regarding the new powder medicine, which can seal off the cervix, certainly it only closes the cervix from within, so that it does not take in the semen, and this has no relation to what is explained in Even Ha-Ezer 23:65 [about hashchatat zera] from the responsum of Rosh about a woman who has a blockage in her reproductive organs such that when her husband has relations with her he scatters [ejaculates] outside of her, which is prohibited. For here he scatters [ejaculates] internally, and it is very like what is written there in Rema’s gloss, “but it is permissible to have relations with an…infertile woman since he has relations in the normal manner”…And one can further add to this that the powder only indirectly causes hashchata, and we have found that indirect causation is more lenient than an active deed…At the end of the day, the fundamental prohibition is written regarding hashchata through an action, like the story of Er and Onan, and since the powder acts after [relations] to weaken or kill the zera, its action is considered indirect…especially when there is still a doubt regarding the powder’s function of hashchata, so it is not considered certain damage [to the sperm].
The view that spermicidal action is indirect, even more so if combined with the view seen earlier that a woman is not culpable for haschatat zera, could also potentially provide grounds for permitting use of spermicide.
In 1952, Rav Moshe Feinstein ruled that spermicide is a halachically permissible contraceptive option, without voicing concern for hashchatat zera.20 More recently, writing in the 1980s, Rav Yosef Shalom Elyashiv argued that spermicides do not present a concern of hashchatat zera for a different reason, because they are only effective if left in place undisturbed for a few hours, so destruction occurs after relations:
רב אלישיב, קובץ תשובות ו:נה
שימוש בקצף למניעת הריון…אם כוונתו לה”ספריי” הנקרא דלפן אשר יעילותו באופן שאינה רוחצת את המקום תוך שש שעות לאחר תשמיש, והואיל ואפשר למנוע את פעולתו על ידי רחיצה לכן במקום צורך מותר להשתמש בהסם הנ”ל.
Rav Yosef Shalom Elyashiv, Kovetz Teshuvot 6:55
Using a foam for contraception…If he means the spray called Delfen, which is effective only if she does not clean out the area within six hours after relations, and since it it possible to prevent the action through washing, therefore in a case of need it is permitted to use the aforementioned pharmaceutical.
In practice, use of spermicide is widely permitted in a range of cases. However, its relatively low efficacy means that it is rarely a first-line contraceptive unless it is combined with other contraceptive methods, typically barrier methods that recall the moch.
Abstaining
Given the halachic preference for methods that do not raise concerns of violating a prohibition, is abstention permissible as a contraceptive method? While it raises no concerns about hashchatat zera (or sterilization), abstention does potentially conflict with the mitzva of ona, of having marital relations at regular intervals. (Learn more about the halachot of marital intimacy here.)
Indeed, if abstention raised no halachic concerns, it is hard to see how use of the moch would ever be permitted. In the nineteenth century, Rav Avraham Sofer makes this point, suggesting that when using a moch is permitted, a major consideration is allowing for fulfillment of the mitzva of ona:
שו”ת כתב סופר אה”ע כו
המורם מדברינו להלכה דנקטינן כשיטת רוב ראשונים בתרתי דאסור לשמש במוך כל דאפשר בלא”ה [=בלאו הכי] … אבל כל היכא דלא אפשר לקיים מצות עונה בלא”ה [=בלאו הכי] מותר,
Responsa Ketav Sofer EH 26
What emerges from our words as halacha is that we maintain like the view of most early authorities in both regards, that it is prohibited to have sexual intercourse with a moch whenever it is possible without one…but wherever it is not possible to fulfill the mitzva of ona without this, it is permissible [to use a moch].
As we saw above, there is a halachic consensus to permit even condoms in situations where pregnancy would be dangerous and all other contraceptive methods are precluded. (We’ll see in our next piece that this consensus extends to tubal ligation in similarly extreme circumstances.) Even though these methods are difficult to permit, they are considered preferable to long-term abstinence. This reflects the centrality of sexual relations as a key element of marriage, which we discuss here.
Still, when very effective, very short-term contraception is required, abstention may be the preferred option, both halachically and medically.
Closer to our time, Rav Moshe Feinstein discusses abstention around the time in a woman’s cycle that she could potentially conceive. He notes that this is in tension with the mitzva of ona, but permits it as a form of contraception subject to a couple’s discretion when pirya ve-rivya has already been fulfilled and another pregnancy or child would be difficult.
שו”ת אגרות משה אה”ע א: קב
…דקודם שקיים פו”ר [=פריה ורביה] אינו רשאי לדלג הימים שיכולה להתעבר ולבעול רק בימים שלפי דעת הרופאים בזמננו לא תוכל להתעבר שהרי יש עליו חיוב הבעילה בשביל פו”ר [=פריה ורביה]. אבל אם כבר קיים פו”ר [=פריה ורביה] והחיוב הוא רק מצד מצות עונה רשאים לעשות כן אם קשה לפניה העיבור או צער הגידול…
Iggerot Moshe EH 1:102
For before he has fulfilled pirya ve-rivya, he is not permitted to skip the days when she can become pregnant and have relations only on the days when she cannot become pregnant according to the view of the doctors of our time, for behold he has the obligation of intercourse for the sake of procreation. But if he already fulfilled pirya ve-rivya and the obligation [to have relations] is only from the standpoint of the mitzva of ona, they are permitted to do this if pregnancy or raising children is difficult for her…
In a later responsum, he limits permission to abstain to cases in which it will not have a negative effect on the couple or lead the husband to improper sexual fantasizing:
שו”ת אגרות משה אה”ע ד: עד
באיחור הטבילה אם ליכא צער לבעל וגם בטוח בנפשו שלא יהרהר ח”ו [=חס ושלום]…
Iggerot Moshe EH 4:74
…With delaying immersion, [it is permissible] if there is no distress to the husband and he is also certain regarding himself that he will not have improper sexual fantasizing, heaven forfend…
Fertility Awareness Method
A more structured approach to the method of intermittent abstention described by Rav Moshe is known as the Fertility Awareness Method (FAM). A woman using FAM tracks physical signs such as basal body temperature, cervical position, and cervical secretions to identify her fertility window, during which the couple abstain. On its own, FAM is about 77% effective.21
For a couple who observe the laws of nidda, and thus typically need to refrain from sexual relations for at least eleven or twelve days each cycle, abstaining at fertile times can be a strain on the relationship. Therefore, halachically observant couples who practice the Fertility Awareness Method often do so in conjunction with use of barrier methods or spermicides during the fertile window, and must relate to the halachot governing those methods.
In our next piece, we complete our exploration of contraceptive methods, this time with reference to the prohibition of sirus (sterilization), and then conclude our series on contraception with a discussion of which methods are preferred.
Further Reading
- Rav Yehuda H. Henkin, Responsa Benei Banim 1:30. Available here.
- Nishmat HaBayit vol. I: Contemporary Questions on Women’s Reproductive Health (Maggid Books, 2021).
- הרב אליקים ג’ אלינסון. תכנון המשפחה ומניעת הריון. הוצאת מורשת, תשל”ז.
- הרב שאול דוד בוצקו. “מניעת הריון בהלכה: אמצעי המניעה השונים ודירוגם והרחבת היתר השימוש בקונדום.” צהר מג, תשע”ט. ניתן למצוא כאן.
- הרב שאול דוד בוצקו. “מניעת היריון בהלכה – תשובה לתגובה.” צהר מג, תשע”ט. ניתן למצוא כאן.
- הרב גבריאל גולדמן והרב מנחם בורשטיין. ספר פוע”ה ג: הריון ולידה. מכון פוע”ה, תשפ”א.
- הרב ד”ר מרדכי הלפרין. “דיאפרגמה – דעת הגרש”ז אויערבאך לפני חזרה ולאחריה.” מכון שלזינגר. ניתן למצוא כאן.
- הרב אריה כ”ץ. ” שימוש בקונדום למניעת הריון.” שאגת כהן א, תש”פ. ניתן למצוא כאן.
- הרבנית ד”ר תרצה קלמן. תכנון המשפחה ואמצעי מניעה (מכון המחקר נשמת הבית, 2019). ניתן למצוא כאן.
- הרב נחום אליעזר רבינוביץ. “שימוש בגלולות למניעת הריון.” ישיבת ברכת משה. ניתן למצוא כאן.
- הרב ד”ר אברהם שטיינברג. “מניעת הריון.” אנציקלופדיה רפואית הלכתית (מהדורה חדשה תשס”ו). ניתן למצוא כאן.
Notes
1. Alternate explanations of the brothers’ sin include:
יבמות לד:
…ולא כמעשה ער ואונן דאילו התם שלא כדרכה
Yevamot 34b
…Not like the act of Er and Onan, for there [with Er and Onan] it was not in the normal way [anal intercourse].
3. The Talmud provides initial precedent for permitting hotza’at zera, at least by indirect means, to test whether a man who suffered a genital injury is considered halachically fit to marry. This permission was extended by halachic authorities to other medical tests, including semen testing for fertility evaluation.
יבמות עו.
אמר רב מרי בר מר אמר מר עוקבא אמר שמואל ניקב בעטרה עצמה ונסתם כל שאילו נקרי ונקרע פסול ואי לאו כשר שלח ליה רבא בריה דרבה לרב יוסף ילמדנו רבינו היכי עבדינן א”ל [=אמר ליה] מייתינן נהמא חמימא דשערי ומנחינן ליה אבי פוקרי ומקרי וחזינן ליה
Yevamot 76a
Rav Mari son of Mar said Mar Ukba said Shemuel said: If he had a puncture in the corona itself and then it closed up, as long as [the puncture] tears open when he has a seminal emission, he is unfit [to marry]; and otherwise, he is fit. Rava son of Rabba sent to Rav Yosef: Let our Rabbi teach us how to proceed. He said to him: We bring hot barley bread and place it on his anus and he emits semen, and then we check him.
שו”ת שאילת יעבץ א: מג
ואיברא לצורך אף להוציא זרע לבטלה להשחיתו על הארץ שרי, כדאשכחן לענין בדיקת הניקב בגובתא דש”ז [=דשכבת זרע] דמותבינן ליה אבי פוקרי. ש”מ [=שמע מינה] דאיסור חמור זה הותר מכללו אצל צורך מצוה.
Responsa She’eilat Ya’avetz 1:43
But indeed, where necessary, even hotza’at zera le-vatala to waste it on the ground is permissible, as we find in the matter of checking the puncture in the vas deferens that we bring him [bread] upon the anus. Learn from this that this serious prohibition was permitted in the case of mitzva.
שו”ת ציץ אליעזר כא: לו
אנו מוצאים לכמה וכמה מגדולי הפוסקים שהתירו הוצאת זרע למטרת בדיקה רפואית. ולכן בהיות שכבודו כותב שביצוע בדיקת הזרע לאחר התשמיש אצל האשה אינה מדויקת ביותר. יש לדעתי להתיר לבעלים לשלוח את הזרע לבדיקה. ב) ובזה אצטט לכבודו כמה וכמה פיסקאות מספרי גדולי הפוסקים שמצאתי שמתירים זה
Responsa Tzitz Eliezer 21:36
We find a number of great halachic authorities who permitted hotza’at zera for the purpose of a medical test, and therefore given that his honor writes that performing a post-coital test of semen [taken from] the wife is not particularly precise, there is in my opinion room to permit the husband to send the zera for testing. (2) And in this I will cite for his honor a number of passages from the works of great halachic authorities that I found who permit this.
רמ”א אה”ע כה
ויש מקילין ואומרים שמותר שלא כדרכה אפילו אם הוציא זרע, אם עושה באקראי ואינו רגיל בכך (גם זה טור בשם ר”י). ואף על פי שמותר בכל אלה, כל המקדש עצמו במותר לו קדוש יאמרו לו (דברי הרב).
Rema EH 25
There are those who are lenient and say that it is permissible not in the normal way [anally] even if he ejaculates, if he does it on an occasional basis and is not accustomed to it. And even though he is permitted in all these, whoever sanctifies himself through [refraining from] that which is permitted to him is said to be holy.
שו”ת אגרות משה אה”ע א סג
מתנה הר”י בזה ב’ תנאים דאם מתכוין להשחית זרע אף אם הוא פעם הראשון אסור, ואם רגיל לעשות כן תמיד נמי אסור אף דאומר דהוא מתאוה לזה משום דא”א [=דאי אפשר] להתאות לזה תמיד ולכן הוי ודאי עיקר כוונתו להשחית זרעו ורוצה להטעות עצמו וזה אסור. אבל באקראי שמתאוה מותר…
Iggerot Moshe EH 1:63
Ri made two conditions [to permit anal intercourse], for if he intends to be mashchit zera even if it is the first time it is prohibited, and if he is accustomed to do this always it is also prohibited even though he says that he desires it, because it is impossible to desire this always, and therefore hashchatat zera is certainly his fundamental intention and he wants to fool himself and this is prohibited. But on an occasional basis when he desires it is permissible…
תוספות יבמות יב: ד”ה שמא תעשה עוברה סנדל
ור”ת [=ורבינו תם] מפרש דסנדל הוא כשהאשה מתעברת תאומים אם משמשת בלא מוך נכנס השכבת זרע בין שני הולדות ודוחק אותם ועושה את האחד סנדל
Tosafot, Yevamot 12b, s.v. shema tei’aseh ubarah sandal
Rabbeinu Tam explained that a sandal [a type of miscarriage] is when a woman is pregnant with twins, if she has intercourse without a moch, and the semen comes between the two fetuses and pushes them and makes one a sandal.
6. Rabbi Akiva Eiger seems to take this approach, though it seems that he was not familiar with Maharshal’s ruling:
שו”ת רבי עקיבא איגר מהדורא קמא סימן עא
ע”ד [=על דבר] אשר דן מעכ”ת [=מעלת כבוד תורתו] באשה קשת רוח שבכל לידה מקשת לילד ובצער גדול, ותמיד היא בכלל סכנה, להתיר לה לשמש במוך ליחן /ליתן/ מוך באותו מקום קודם תשמיש. לענ”ד [=לפי עניות דעתי] לא נראה להתיר, כי לא מצינו מאן דמתיר במפורש
Responsa Rabbi Akiva Eiger (first edition), 71
Regarding the matter that his honor discusses with a woman who is bitter in spirit, who with each childbirth has difficulty giving birth and is in great distress, and she is always in danger, to permit her to have intercourse with a moch, to place a moch in her vagina prior to intercourse. In my humble opinion it does not seem correct to permit, since we have not found someone who explicitly permits it.
שו”ת שיח נחום צד, שימוש באמצעים למניעת הריון
מותר לאשה להשתמש בדיאפרגמה כדי למנוע ממנה להתעבר, ואין בכך משום השחתת זרע.
Responsa Siach Nahum 94, Use of Contraceptives
It is permissible for a woman to use a diaphragm to avoid becoming pregnant, and there is no hashchatat zera in this.
20. Rav Feinstein compared spermicide to a kos shel ikarin (sterilizing potion) and noted that its effect is temporary and inserting it is undertaken specifically by the woman:
שו”ת אגרות משה אה”ע א: סב
אבל לענין המשיחה בסם שאין דבר חוצץ בין הזרע שלא יכנס להרחם רק שנוטל בזה כח ההולדה שיש בהזרע מסתבר שאינו אלא ככוס של עיקרין וממילא עדיף מכוס של עיקרין דאף שאסור לאיש הוא משום דכיון שנעקר ממש דמי לסרוס….דלא מיעקר כלל אלא הזרע שבפעם זה. וגם יותר מסתבר שכיון שנעשה אחר שיצא הזרע מן האיש אין להחשיב זה מעשה באיש אלא באשה שהאשה מותרת לשתות כוס של עיקרין אף בלא צער להרבה שיטות…לכן נלע”ד [=נראה לפי עניות דעתי] להתיר במעשה המשיחה.
Iggerot Moshe EH 1:62
But regarding applying a medicine, where nothing obstructs the zera to prevent it from entering the uterus, but it only removes the power of conception in the zera, it stands to reason that it is only like a kos shel ikarin, and naturally is preferred to a kos shel ikarin. For even though [a kos shel ikarin] is prohibited to a man, it is on account of him becoming completely infertile similar to sirus…but it [spermicide] does not make him infertile at all except for this zera this time. And also it is more logical that since it takes effect after the zera has left the man, one should not consider a deed of the man but rather of the woman, for the woman is permitted to drink a kos shel ikarin even without distress according to many opinions….Therefore, it seems fitting in my humble opinion to permit the action of applying [the spermicide].
Sources
Hashchatat Zera
בראשית לח: ז – י
וַיְהִי עֵר בְּכוֹר יְהוּדָה רַע בְּעֵינֵי ה’ וַיְמִתֵהוּ ה’: וַיֹּאמֶר יְהוּדָה לְאוֹנָן בֹּא אֶל אֵשֶׁת אָחִיךָ וְיַבֵּם אֹתָהּ וְהָקֵם זֶרַע לְאָחִיךָ: וַיֵּדַע אוֹנָן כִּי לֹּא לוֹ יִהְיֶה הַזָּרַע וְהָיָה אִם בָּא אֶל אֵשֶׁת אָחִיו וְשִׁחֵת אַרְצָה לְבִלְתִּי נְתָן זֶרַע לְאָחִיו: וַיֵּרַע בְּעֵינֵי ה’ אֲשֶׁר עָשָׂה וַיָּמֶת גַּם אֹתוֹ:
Bereishit 38:7-10
And Er the firstborn of Yehuda was bad in the eyes of God, and God caused him to die. And Yehuda said to Onan, come to your brother’s wife and have yibum [a levirate marriage] with her and establish zera [seed] for your brother. And Onan knew that the zera would not be his, so that when he had relations with his brother’s wife he would waste [shichet] to the ground so as not to give zera to his brother. And what he did was bad in the eyes of God, and He caused him to die as well.
רש”י בראשית לח:ט
ושחת ארצה – דש מבפנים וזורה מבחוץ:
Rashi Bereishit 38:9
And he would waste to the ground – thresh inside and scatter outside.
יבמות לד:
אמר רב נחמן בר יצחק: דכתיב “וימת גם אותו” אף הוא באותו מיתה מת. בשלמא אונן, משום לא לו יהיה הזרע אלא ער, מ”ט [=מאי טעמא] עבד הכי? כדי שלא תתעבר ויכחיש יפיה
Yevamot 34b
Rav Nachman bar Yitzchak said: For it is written, “And He [God] caused him [Onan] to die as well.” He [Onan], too, died the same way [as Er]. It makes sense for Onan, because the zera would not be his. But Er, what is the reason that he acted thus? In order that she not become pregnant and her beauty diminish.
נדה יג.
דא”ר יוחנן כל המוציא שכבת זרע לבטלה חייב מיתה שנאמר וירע בעיני ה’ (את) אשר עשה וימת גם אותו
Nidda 13a
For Rabbi Yochanan said: Whoever discharges semen in vain is liable for death, for it is said, “And what he did was bad in the eyes of God, and He caused him to die as well.”
תוספות סנהדרין נט: ד”ה והא פריה ורביה
דשב ואל תעשה נמי הוא, דמי שמצווה על פריה ורביה מצווה שלא להשחית זרע.
Tosafot Sanhedrin 59b s.v. ve-ha pirya ve-rivya
For it [pirya ve-rivya] is also a command of desisting from an action, for one who is commanded in pirya ve-rivya is commanded against hashchatat zera.
תוספות יבמות יב: ד”ה שלש נשים משמשות במוך
ור”ת [=ורבינו תם] אומר…והאשה…לא הוזהרה אהשחתת זרע כיון דלא מיפקדה אפריה ורביה
Tosafot Yevamot 12b s.v. shalosh nashim meshamshot be-moch
Rabbeinu Tam says…and the woman…is not cautioned against hashchatat zera, since she is not commanded in pirya ve-rivya.
תוספות הרא”ש כתובות לט.
אף על פי שנשים אינן מצוות בהשחתת זרע מ”מ [=מכל מקום] אין לה להשחית זרע האיש אם לא מפני הסכנה
Tosafot Rosh Ketubot 39a
Even though women are not commanded regarding hashchatat zera, in any case a woman may not destroy a man’s zera if not on account of danger.
מסכת כלה רבתי ב: ז
תאנא דור המבול כלן מוציאין שכבת זרע לבטלה היו, הוו בהו אצטגניני, אמרי עלמא לא פחות משיתא אלפי שנין, לא נוליד, ואנן נחיה לעלמא כוליה, אמר להם הקדוש ברוך הוא, שמתם עצמכם עיקר, הריני עוקר שמיכם שלא תעלו בחשבון עולם. מנא הני מילי, דכתיב באונן והיה אם בא אל אשת אחיו ושחת ארצה, שהיה מחמם את עצמו ומוציא שכבת זרע לבטלה, וכתיב בדור המבול כי השחית כל בשר את דרכו על הארץ.
Masechet Kalla Rabbati 2:7
It was taught in a baraita: The Generation of the Flood all were spillers of zera in vain. There were among them astrologers, they said, the world will last no less than six thousand years, we will not procreate, and we will live for as long as the world lasts. God said to them: You have made yourselves paramount [ikar]; behold, I will uproot [oker] your legacy so that you are not counted in the reckoning of the world. Whence are these matters known? For it is written regarding Onan, “so that when he had relations with his brother’s wife he would waste to the ground [shichet artza],” for he would get himself heated and spill zera in vain, and it is written regarding the generation of the flood “for all flesh ruined [hishchit] its way upon the Earth [al ha-aretz].”
חדושי הרמב”ן נדה יג.
…שאע”פ [=שאף על פי] שאינן מצוות על פריה ורביה ורשאי מן התורה ליבטל, איסור הוא בהשחתה…בהשחתה “כל בשר” כתיב.
Ramban Nidda 13a
…For even though they [women] are not commanded in pirya ve-rivya [procreating] and the Torah permits desisting from it, it is a prohibition of hashchata [of zera]…regarding hashchata “all flesh” is written.
ערוך לנר נדה יג.
…י”ל [=יש לומר] דבהשחתת זרע איכא ג”כ [=גם כן] משום בל תשחית
Aruch Le-ner, Nidda 13a
…One can say that with hashchatat zera there is also a concern on account of not wasting [bal tashchit]…
נדה לא.
תנו רבנן שלשה חדשים הראשונים תשמיש קשה לאשה וגם קשה לולד אמצעיים קשה לאשה ויפה לולד אחרונים יפה לאשה ויפה לולד…
Niddah 31a
Our Rabbis taught in a baraita: the first three months, sexual relations are difficult for a woman and also difficult for the baby, the middle are difficult for the woman and good for the baby, the last are good for the woman and good for the baby…
תוספות יבמות יב: ד”ה שלש נשים משמשות במוך
…ואילונית דלא איתסרו בתשמיש משום דלאו בנות בנים נינהו…
Tosafot Yevamot 12b s.v. shalosh nashim meshamshot be-moch
…a woman who does not go through puberty, that they were not prohibited in sexual relations on account of not being fertile…
שו”ת הרא”ש כלל לג סימן ג
וששאלת אשה שיש לה אוטם ברחם בענין שאין השמש דש כראוי לו ומתוך האוטם פעמים שהוא דש בחוץ ולעולם הוא זורה בחוץ. ומספקא לך מי אמרינן כיון שמתכוין לשמש כראוי מותר מידי דהוה המשמש את עקרה…יראה שהוא אסור, כיון דלעולם הוא זורה בחוץ קרינן ביה ושחת ארצה…
Responsa of Rosh 33:3
You asked about a woman who has a blockage in her reproductive organs, so that the male member does not thresh as is fitting for it and because of the blockage sometimes he threshes externally, and he always scatters [ejaculates] externally. And it is doubtful to you if we say that since he intends to have intercourse as is fitting, it is permissible as it is to have intercourse with an infertile woman…It seems that it is prohibited. Since he always scatters externally, we call it “wasting toward the ground”…
שו”ת רב פעלים חלק ג – אה”ע ב
השחתת הזרע לאו משום שגורם שילך הזרע לאיבוד בלא הולדה אלא האיסור משום דמשליך זרעו במקום שלא הותר לו להשליך, כי הבורא יתברך גזר שלא ישליך הזכר את זרעו אלא בנקבה, שהיא מן המין שלו במקום שהוא מיוחד להשלכת הזרע,
Responsa Rav Pe’alim III, EH 2
Hashchatat zera is not on account of causing the zera to go to waste without conception, but rather the prohibition is on account of casting his zera in a place where it was not permitted to cast it, for the Creator decreed that a male may only cast his zera inside a female, who is of his species, in the place that is designated for casting seed.
The Moch
רש”י נדה ג. ד”ה משמשת במוך
ממלאה אשה אותו מקום מוכין לשאוב את הזרע שלא תתעבר…
Rashi, Nidda 3a, s.v. meshameshet be-moch
A woman fills that place [the vaginal canal] with wadding to absorb the zera so that she not become pregnant…
יבמות יב:
תני רב ביבי קמיה דרב נחמן שלש נשים משמשות במוך קטנה מעוברת ומניקה קטנה שמא תתעבר ושמא תמות מעוברת שמא תעשה עוברה סנדל מניקה שמא תגמול בנה וימות…דברי ר”מ [=רבי מאיר] וחכ”א [=וחכמים אומרים] אחת זו ואחת זו משמשת כדרכה והולכת ומן השמים ירחמו משום שנאמר שומר פתאים ה’ (תהילים קטז:ו)
Yevamot 12b
Rav Bibai repeated a tannaitic teaching before Rav Nachman: Three women have sexual relations with a moch: a minor [between 11-12], a pregnant woman, and a nursing woman. A minor lest she become pregnant and lest she die, a pregnant woman lest her fetus miscarry, a nursing woman lest she wean her child [on account of a new pregnancy] and lest he die…the words of Rabbi Meir. But the sages say: Each of them continues to have relations as normal and may they have mercy from the Heavens, as it is said, “God protects the foolhardy” (Tehillim 116:6).
רש”י יבמות יב:
משמשות במוך – מותרות לתת מוך במקום תשמיש כשהן משמשות כדי שלא יתעברו.
Rashi, Yevamot 12b, s.v. meshamshot be-moch
They have intercourse with a moch – They are permitted to insert a moch [cotton wadding] in the place of intercourse [vaginally] when they have intercourse in order that they not become pregnant.
תוספות יבמות יב: ד”ה שלש נשים משמשות במוך
פי’ הקונטרס מותר לשמש במוך אבל שאר נשים אסור משום השחתת זרע…
Tosafot, Yevamot 12b, s.v. shalosh nashim meshamshot be-moch
Rashi explained that it is permissible to have intercourse with a moch, but other women are prohibited because of hashchatat zera…
תוספות יבמות יב: שלש נשים משמשות במוך
…ור”ת [=ורבינו תם] אומר דלפני תשמיש ודאי אסור ליתן שם מוך דאין דרך תשמיש בכך והרי הוא כמטיל זרע על העצים ועל האבנים כשמטיל על המוך אבל אם נותנת מוך אחר תשמיש אין נראה לאסור דהאי גברא כי אורחיה משמש…ומשמשות במוך דקתני הכא היינו צריכות לשמש במוך.
Tosafot, Yevamot 12b, s.v. shalosh nashim meshamshot be-moch
…Rabbeinu Tam says that before intercourse it is certainly prohibited to insert a moch there, for this is not the way of intercourse, and it is like casting zera on trees and on rocks when he ejaculates onto a moch, but if she inserts the moch after intercourse, it does not seem that it should be prohibited for the man has intercourse as is his [usual] way…and “they have intercourse with a moch” that is taught here means they [the three women] need to use a moch.
נימוקי יוסף יבמות ב:
משמשות במוך. פירש רש”י ז”ל מותרות לתת מוך במקום תשמיש כשהן משמשות כדי שלא יתעברו והקשו עליו…לפיכך פירש חייבות לשמש במוך משום סכנה דידה או דולד:
Nimukei Yosef, Yevamot 2b
Have intercourse with a moch. Rashi commented “They are permitted to insert a moch [cotton wadding] in the place of intercourse [vaginally] when they have intercourse in order that they not become pregnant, and [other early authorities] raised a difficulty regarding [his position]…and therefore explained they [the three women according to Rabbi Meir] are obligated to have intercourse with a moch because of risk to her life or the fetus’s.
ים של שלמה יבמות א:ח
…נראה פי[רוש] רש”י עיקר, דמשמשים במוך לפני תשמיש קאמר, ואין זה כמטיל על העצים, דסוף סוף דרך תשמיש בכך, וגוף נהנה מן הגוף…אבל מ”מ [=מכל מקום] נראה דג”כ [=דגם כן] דעת ר”ת [=רבינו תם] עיקר, דאף שאר נשים מותרות, דאין איסור בנשים, מאחר שאינה מצווה על פריה ורביה, וג’ נשים דהכא צריכי קאמ[ר]…וא”כ [=ואם כן] הלכה כחכמים, שאינה צריכה לשמש, אבל מותרים.
Yam Shel Shlomo, Yevamot 1:8
…It seems that Rashi’s interpretation is the fundamental one, that it refers to having intercourse with a moch [inserted] before intercourse, and this is not like casting [zera] on trees, for in the end this is the way of intercourse, and a body takes pleasure from [another] body…but in any case it also seems that Rabbeinu Tam’s view is the fundamental one, that other women are also permitted, for there is no prohibition for women, since she is is not obligated in pirya ve-rivya. And the three women here need [to use a moch] is what is said…And if so, the halacha is like the sages, that she [one of the three women] does not need to use [the moch], but is permitted to.
שו”ת אגרות משה אה”ע ד:ע
אך קצת יש לדון אם נימא שהיא מצווה על השחתת זרע הבעל יש איסור עליה…אבל מסתבר דזה שמשימה המוך קודם התשמיש שאין עדיין זרע אין שייך עליה אז שום איסור דהא יכול שלא לבעול…ועל עת התשמיש אף להסוברים שאינו דרך תשמיש הא אינה עושית כלום ולא שייך עליה שום איסור…אבל מ”מ [=מכל מקום] שלא ליתן יד לפושעים שיבואו להקל יותר לא טוב לפרסם הדבר רק לצנועין
Iggerot Moshe EH 4:70
But it should be discussed briefly whether, if we say that she [a woman] is commanded regarding hashchata of the husband’s zera, there is a prohibition upon her…But it stands to reason that when she places the moch prior to intercourse when there is still no zera, no prohibition at all applies to her, for he might not have relations with her…And regarding during intercourse, even according to those who think that it is not the way of intercourse, she is not doing anything active and no prohibition at all applies to her…But in any case, so as not to encourage sinners who will come to be more lenient, it is not good to publicize the matter except to those who are careful with mitzvot…
חזון איש אישות לז
ולדינא נראה דבמקום ספק סכנה יש להתיר מוך ק”ת [=קודם תשמיש].
Chazon Ish, Ishut 37
The practical halacha is that in a case of potential risk to life, one should permit [inserting] a moch prior to intercourse
Barrier Contraceptives
שו”ת מהרש”ם חלק א סימן נח
…ששמעתי שבזה”ז [=שבזמן הזה] נותנים הרופאים לנשים כאלה כמין כיסוי של גומיע דק ונקרא בלשונם פעסאר שמכסין בו פי האם, והוא המקור, מסביב שלא יקלוט הזרע. וא”כ [=ואם כן] התשמיש כמו בשאר נשים, אלא דכמו דבמעוברת סגור פי המקור, כן ה”נ [=הכי נמי] בזה. ואינו דומה כלל למשמשת במוך, דהוי כמשליך זרעו על המוך, משא”כ בנ”ד [=מה שאין כן בנידון דידן] ויש לומר דכ”ע [=דכולי עלמא] מודו להקל במקום סכנה.
Responsa of Maharsham 1:58
For I have heard that nowadays doctors give women a sort of thin rubber cover, which is called in their language a pessary, with which they cover the cervix, which is the uterus, all around, so that it does not take in the zera. And if so, intercourse is as with other women—but just as with a pregnant woman the cervix is closed, so too with this [device]. And it is not similar at all to having intercourse with a moch, where the man is like one who casts his zera upon the moch, which is not the case in our situation, and one can say that everyone would agree to be lenient in a situation of risk to life.
שו”ת אגרות משה אה”ע א סימן סג
אבל בראבערס שמכנסת האשה לתוך רחמה כמוך פשוט שהוא כדין המוך שיש להתיר [במקום סכנה]…דכיון שהוא בתוך רחמה הוא דרך תשמיש לדידהו [פוסקים מסוימים] דדרך תשמיש שסברי במוך הוא מה שיציאת הזרע הוא עכ”פ [=על כל פנים] בתוך רחם האשה אף שהוא שם על המוך כיון דגם המוך הוא שם בהרחם וביאה אין בה דינים איך שתהיה שיהיה שייך בה דיני חציצה ולכן הוי בכל אופן דרך תשמיש אף שעשה באופן שלא תתעבר דכמה ביאות שאינה מתעברת מהם…
Iggerot Moshe EH 1:63
But the rubbers [diaphragms] that a woman inserts inside her womb [vagina] like a moch, it is straightforward that the halacha is like that of a moch, which can be permitted [when pregnancy would be dangerous]…for since it is inside her womb [vagina] they have intercourse in what they [certain halachic authorities] consider the normal manner. For the normal manner of intercourse that they thought of with the moch is that the discharge of zera is in any case within the woman’s womb [vagina], even though he puts it on the moch, since the moch is also there in her womb [vagina]. And intercourse does not have laws of somehow there being a relevant law of chatzitza [barrier] and therefore it is in any case the normal manner of intercourse even though he did it in a way that she would not become pregnant, for there are many episodes of intercourse from which a woman does not become pregnant…
הרב מרדכי אליהו, השימוש באמצעים למניעת הריון, תחומין לא, תשע”א
…הרי דיאפרגמה וספוגית בוודאי שהם כזורה זרעו על עצים ואבנים ממש, ואין מי שיתיר זאת…האחרונים נחלקו בכוונת הרא”ש אם אוטם זה נמצא בכניסה לנרתיק, שאז זהו ממש זורה לחוץ, או שמדובר בכעין הדיאפרגמה הנתונה פנימה, שעקב החסימה אח”כ [=אחר כך] הזרע יוצא לחוץ, אבל תחילה נשפך לפנים. ובכל זאת קבע הרא”ש שהדבר אסור.
Rav Mordechai Eliyahu, “Use of Contraceptives,” Tehumin 31, 5771
…The diaphragm and sponge are certainly like actually casting his zera on trees and stones, and there is no one who would permit this…The later authorities debate the intent of Rabbeinu Asher if this blockage [ed.: in his responsum cited above] is found at the entrance to the vagina, in which case this is really scattering [ejaculating] outside, or if it refers to something like a diaphragm that is placed internally, where on account of the blockage the zera goes outside afterwards, but is first spilled internally, and even so Rabbeinu Asher established that the matter is prohibited.
שו”ת בני בנים א:ל
היוצא לע”ד [=לפי עניות דעתי] שמוך בשעת תשמיש אינו תשמיש כרגיל אלא כמטיל זרעו על העצים ועל האבנים או כמעשה ער ואונן כלשונות הראשונים, ואינו ענין לגורל הזרע בלבד אלא שאי אפשר לדוש ולזרוע כרגיל כציור רש”י שממלאה אותו מקום מוכין. אבל ביאפרא”ם פשיטא שאינו דומה לזה, ובשו”ת מהרש”ם חלק א’ סימן נ”ח כתס כן מסברה, וכן דעת הגמו”ז [=הגאון מורי וזקני] זצלה”ה ואמר שדיאפרא”ם אינו כמטיל זרעו על העצים ועל האבנים…
Responsa Benei Banim 1:30
What emerges in my humble opinion is that a moch at the time of intercourse is not the regular manner of intercourse but like one casting his zera upon wood and stones, or like the act of Er and Onan, in the language of the early authorities. And this is not solely a matter of the fate of the zera but that it is impossible to thresh and to sow [zera] as usual, as in Rashi’s description she fills that place [the vaginal canal] with mochin. But it is clear-cut that the diaphragm is not similar to this, and in Maharsham 1:58 he wrote this based on logic, and so was the opinion of my grandfather, who said that the diaphragm is not like casting zera upon wood and stones…
דפנה מאיר, מניעת הריון-שיקולים דתיים ובריאותיים, 21.10.12, בבלוג דרך נשים
בתחום ההלכה יש רבנים מומחים לנושאים מגוונים, כגון כשרות, התרת עגונות, תרומת איברים, טיפולי פוריות, וגם אמצעי מניעה. לא כל הרבנים מכירים את כל סוגי אמצעי מניעת ההריון, ואופן פעולתם….גם הרופאים נוטים להמליץ לרוב על מגוון מצומצם של אפשרויות. אצל רופא הנשים הממוצע בישראל נשים לא תוכלנה לקבל, כמעט אף פעם, רעיונות לדרכים נוספות למניעת הריון, מלבד הורמונים והתקן תוך רחמי, המותרים בדרך כלל גם על פי ההלכה.נשים רבות בישראל משתמשות באמצעים אלו כבחירה ראשונה בגלל נוחות השימוש והיעילות הגבוהה, וכל עוד תופעות הלוואי שלהם קלות ונסבלות….לעומתן, ישנן נשים רבות שאינן יכולות להשתמש בהתקן תוך רחמי או הורמונים….אי לכך, לא ניתן לצפות ששני סוגים בלבד של אמצעים יתאימו לכול הנשים והזוגות. רבים חושבים שאלו הם האמצעים היחידים שקיימים, או היחידים שמותרים הלכתית, ולא כך הוא…
Dafna Meir, “Contraception: Religious and Health Considerations,” October 21, 2012, Derech Nashim Blog
In the realm of Halacha, there are rabbis who are experts in a variety of fields, such as kashrut, releasing agunot, organ donation, fertility treatments, and also contraception. Not every rabbi is acquainted with all the types of contraceptive methods, and how they work…Even doctors tend to recommend a limited range of possibilities. From the average gynecologist in Israel, women will almost never be able to receive ideas for additional methods of contraception, aside from hormones and the IUD, which are usually also halachically permissible. Many women in Israel use these methods as their first choice because of ease of use and high efficacy, and as long as their side effects are light and bearable…In contrast to them, there are many women who cannot use an IUD or hormones….accordingly, one cannot expect only two types of methods to suit all women and couples. Many think these are the only methods that exist, or the only ones that are halachically permissible, and it is not so….
הרב ד”ר מרדכי הלפרין, ספוגיות, שאלות ותשובות של מכון שלזינגר, 2018
הספוגיות הן ספוגיות הספוגות בקוטלי זרע. רמת היעילות של קוטלי זרע עם או בלי ספוגיות היא נמוכה יחסית לשאר אמצעי המניעה (יש כ 20% כשלונות בשנת שימוש). מבחינה הלכתית, ספוגיות הרבה פחות מומלצות מנרות או משחות של קוטלי זרע, בגלל המילוי החוסם מכנית את פנים הנרתיק.
Rav Dr. Mordechai Halperin, Sponges, Responses of Schlesinger Institute, 2018
Contraceptive sponges are sponges saturated with spermicides. The level of efficacy of spermicides with or without sponges is low as compared to other contraceptives (there is a failure rate of about 20% per year of use). From a halachic perspective, sponges are much less recommended than spermicidal suppositories or creams, because they fill up and structurally block the inner part of the vagina.
Contraceptive Sponge, Q&A, yoatzot.org, 2019
Rav Yehuda Henkin…does permit the use of the contraceptive sponge since it does not prevent sperm from entering the vaginal canal (as a condom does), and does not interfere with normal relations (although it is not inserted as deeply in the vagina as a diaphragm).
שו”ת מהרש”ם ג: רסח
שהוא גרוע ממוך. דהתם שופך זרעו בתוך גוף הרחם אלא שנופל על המוך משא”כ בנ”ד [=מה שאין כן בנידון דידן] שמוציא זרעו לתוך כיס המכסה כל האבר והכיס חוצץ מסביב ואינו נוגע בגוף הרחם כלל הוי הוז”ל [=הוצאת זרע לבטלה] ממש. ואין שום צד להקל אלא משום פ”נ [=פיקוח נפש]
Responsa Maharsham 3:268
For it is worse than a moch. For there he spills his zera inside the womb [vagina] itself, but it falls on the moch, which is not the case in our situation where he expels semen into a pouch that covers the entire male organ, around which the pouch creates a barrier, and he does not touch the womb [vagina] itself at all, it is truly hotza’at zera levatala, and there is no way to be lenient except on account of saving a life.
שו”ת אחיעזר חלק ג סימן כד:ה
…והנה במשמשת במוך…דעיקר האיסור משום שאינו כדרך כל הארץ וע”כ [=ועל כרחך] כל הני ג’ נשים משמשת במוך משום סכנה דבזה הוי כדרך כל הארץ וכן כל הני דאיכא סכנה. ויש להסתפק בנרתיק דק אולי אין זה כדרך כל הארץ…הא גלי קרא בסנהדרין נ”ה דשני משכבות דגם שלא כדרכה חייב….י”ל [=יש לומר] דאיסור תורה ליכא, ואינו אלא מד”ס [=מדברי סופרים] ומשום מצות עונה התירו…והנני מסכים עם רומעכ”ת [=רום מעלת כבוד תורתו] להורות היתר בדבר.
Responsa Achiezer 3 24:5
…Regarding intercourse with a moch…where the fundamental prohibition is on account of it not being in the way of all the world, and perforce all these three women have intercourse with a moch because of danger, for in this is it like all the world and so it is in all these cases where there is danger. And one can doubt regarding a thin pouch perhaps it is not like the way of all the world…The verse [as expounded] in Sanhedrin 55 reveals that there are two types of intercourse, for one is liable even for [relations] not in the normal way [anal intercourse]….One can say that there is no Torah prohibition [with a condom], and it is only rabbinic and on account of the mitzva of ona, they permitted it…and behold I agree with his honor to permit the matter.
שו”ת ציץ אליעזר ט:נא – קונטרס רפואה במשפחה שער ב:י
מובן שצריכים שיקול דעת גדול עד מאד כדי להחליט על התרת השימוש באופן הנ”ז [=הנזכר] של לבישת כיס על האבר, וכן חקירה מרובה מפי כמה רופאים מומחים אם אמנם הסכנה גדולה ויש פחד מבוסס שאמצעי מניעה אחרים לא יועילו, אז רק אז יש מקום לדון להתיר אם הבעל כבר קיים פו”ר [=פריה ורביה]… או במקרה אחר נדיר ביותר ולזמן קצוב…
Responsa Tzitz Eliezer 9:51, Treatise on Medicine and Family 2:10
It is understood that we need very great perspicacity to decide about permitting intercourse in the manner described of wearing a pouch over the male organ, and so, too, extensive investigation from several expert physicians as to whether indeed the danger is great and there is a well-grounded fear that other contraceptives will not suffice, then only then is there room to discuss permitting it if the husband has already fulfilled pirya ve-rivya…or in another very rare case and for a limited time…
Spermicide
שו”ת ציץ אליעזר ט:נא – קונטרס רפואה במשפחה שער ב
דהמשחה או האבקה והפתילה הרי משחיתים הזרע, מיד עם כניסתם לשם…הרדב”ז שדעתו ששימת מוך קו”ת [=קודם תשמיש] (שבפעולה זה כשימת המשחה ורק שם יוצא שלא כדרך תשמיש) הר”ז [=הרי זה] כעשיית מעשה בידים וא”כ ה”ה לפי”ז [=ואם כן הוא הדין לפי זה] גם בשימת המשחה. וכמו”כ [=וכמו כן] יש לדון ולומר דמצד הבעל נחשב באופן כזה כעושה מעשה השחתה בידים…מכיון שמטיל זרעו במקום שישחת מיד…
Responsa Tzitz Eliezer 9:51, Treatise on Medicine and Family 2
For the cream or the powder and the suppository are mashchitim zera, immediately when it enters there…Radbaz, whose opinion was that inserting a moch prior to relations (which is an action similar to applying the cream, except that there [with the moch, semen] comes out not in the normal way of relations) is a direct action [of hashchata]. And if so, that is also the law regarding applying the cream…And likewise one can say that from the perspective of the husband, he is considered in this way as performing the action of hashchata directly…since he casts his zera in a place where it will be instantly destroyed…
שו”ת עזרת כהן (ענייני אבן העזר) סימן לז
והנה בזה שנתחדשה תרופה של אבקה, שסגולתה לסגור פי הרחם, בודאי רק מבפנים הוא סותם פי המקור, שלא יקלוט הזרע, ואין לזה שום ענין עם הא דמבואר בשו”ע אה”ע סי’ כ”ג ס”ה, והוא מתשובת הרא”ש, באשה שיש לה אוטם ברחם וע”י [=ועל ידי] כן כשבעלה משמש עמה זורה מבחוץ אסור, דכאן הוא זורה מבפנים, ודמי ממש למש”כ [=למה שכתוב] שם בהג”ה, אבל מותר לשמש עם…איילונית הואיל ומשמש כדרך הארץ…ויש עוד לצדד בזה שע”י [=שעל ידי] האבקה אינו כ”א [=כי אם] גרם השחתה, ומצינו שגרם הוא קיל ממעשה בפועל…סו”ס [=סוף סוף] עיקר האיסור בהשחתה דעשיה כתיב, כהא דער ואונן, וכיון שהאבקה היא הפועלת אחר כך את פעולת ההחלשה או המתת הזרע נחשבת פעולתה לגורם… ובפרט כשיש עדיין ספק בפעולת ההשחתה של האבקה, ונחשב לא ברי הזיקא,
Responsa Ezrat Kohen 37
Regarding the new powder medicine, which can seal off the cervix, certainly it only closes the cervix from within, so that it does not take in the semen, and this has no relation to what is explained in Even Ha-Ezer 23:65 [about hashchatat zera] from the responsum of Rosh about a woman who has a blockage in her reproductive organs such that when her husband has relations with her he scatters [ejaculates] outside of her, which is prohibited. For here he scatters [ejaculates] internally, and it is very like what is written there in Rema’s gloss, “but it is permissible to have relations with an…infertile woman since he has relations in the normal manner”…And one can further add to this that the powder only indirectly causes hashchata, and we have found that indirect causation is more lenient than an active deed…At the end of the day, the fundamental prohibition is written regarding hashchata through an action, like the story of Er and Onan, and since the powder acts after [relations] to weaken or kill the zera, its action is considered indirect…especially when there is still a doubt regarding the powder’s function of hashchata, so it is not considered certain damage [to the sperm].
רב אלישיב, קובץ תשובות ו:נה
שימוש בקצף למניעת הריון…אם כוונתו לה”ספריי” הנקרא דלפן אשר יעילותו באופן שאינה רוחצת את המקום תוך שש שעות לאחר תשמיש, והואיל ואפשר למנוע את פעולתו על ידי רחיצה לכן במקום צורך מותר להשתמש בהסם הנ”ל.
Rav Yosef Shalom Elyashiv, Kovetz Teshuvot 6:55
Using a foam for contraception…If he means the spray called Delfen, which is effective only if she does not clean out the area within six hours after relations, and since it it possible to prevent the action through washing, therefore in a case of need it is permitted to use the aforementioned pharmaceutical.
Abstaining
שו”ת כתב סופר אה”ע כו
המורם מדברינו להלכה דנקטינן כשיטת רוב ראשונים בתרתי דאסור לשמש במוך כל דאפשר בלא”ה [=בלאו הכי] … אבל כל היכא דלא אפשר לקיים מצות עונה בלא”ה [=בלאו הכי] מותר,
Responsa Ketav Sofer EH 26
What emerges from our words as halacha is that we maintain like the view of most early authorities in both regards, that it is prohibited to have sexual intercourse with a moch whenever it is possible without one…but wherever it is not possible to fulfill the mitzva of ona without this, it is permissible [to use a moch].
שו”ת אגרות משה אה”ע א: קב
…דקודם שקיים פו”ר [=פריה ורביה] אינו רשאי לדלג הימים שיכולה להתעבר ולבעול רק בימים שלפי דעת הרופאים בזמננו לא תוכל להתעבר שהרי יש עליו חיוב הבעילה בשביל פו”ר [=פריה ורביה]. אבל אם כבר קיים פו”ר [=פריה ורביה] והחיוב הוא רק מצד מצות עונה רשאים לעשות כן אם קשה לפניה העיבור או צער הגידול…
Iggerot Moshe EH 1:102
For before he has fulfilled pirya ve-rivya, he is not permitted to skip the days when she can become pregnant and have relations only on the days when she cannot become pregnant according to the view of the doctors of our time, for behold he has the obligation of intercourse for the sake of procreation. But if he already fulfilled pirya ve-rivya and the obligation [to have relations] is only from the standpoint of the mitzva of ona, they are permitted to do this if pregnancy or raising children is difficult for her…
שו”ת אגרות משה אה”ע ד: עד
באיחור הטבילה אם ליכא צער לבעל וגם בטוח בנפשו שלא יהרהר ח”ו [=חס ושלום]…
Iggerot Moshe EH 4:74
…With delaying immersion, [it is permissible] if there is no distress to the husband and he is also certain regarding himself that he will not have improper sexual fantasizing, heaven forfend…
Q&A
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Hashkafic Q&A
What are the implications of the debate about the permissibility of the diaphragm?
Whether or not using a diaphragm is considered to entail hashchatat zera, like the Talmudic moch, is debated. Halachic debates, even in everyday practical matters, are common. There is no shortage of cases in which one school of thought maintains that something is kosher while another does not.
This debate has a different type of import, though. It directly affects what contraceptive options are available to halachically observant couples. This is particularly significant because the range of options available to all couples, observant or not, is fairly limited. Furthermore, there is a wide halachic consensus prohibiting one of the most common contraceptive methods, the condom, leaving a need for an effective permissible method that is non-hormonal and does not require inserting a device into the uterus.
If the diaphragm is considered halachically acceptable in a wide range of cases where the moch would not be, then it can be a contraceptive option well-suited to women who need short-term contraception, or who cannot use hormonal contraceptives or an IUD, or perhaps even those who simply have reservations about those methods. If it is permitted only in very limited circumstances, then women seeking more reliable contraception without an unusually compelling need are typically restricted to hormonal methods or an IUD, or to some degree of abstention.
The stakes are high, and practical rulings vary widely among communities and halachic authorities. Dafna Meir, a prominent National Religious Israeli nurse and birth control educator (who also fitted diaphragms), shares her concern that many couples for whom the IUD or hormonal contraceptives are unsuitable may not be aware of any other option ever possibly being permissible:11
דפנה מאיר, מניעת הריון-שיקולים דתיים ובריאותיים, 21.10.12, בבלוג דרך נשים
בתחום ההלכה יש רבנים מומחים לנושאים מגוונים, כגון כשרות, התרת עגונות, תרומת איברים, טיפולי פוריות, וגם אמצעי מניעה. לא כל הרבנים מכירים את כל סוגי אמצעי מניעת ההריון, ואופן פעולתם….גם הרופאים נוטים להמליץ לרוב על מגוון מצומצם של אפשרויות. אצל רופא הנשים הממוצע בישראל נשים לא תוכלנה לקבל, כמעט אף פעם, רעיונות לדרכים נוספות למניעת הריון, מלבד הורמונים והתקן תוך רחמי, המותרים בדרך כלל גם על פי ההלכה.נשים רבות בישראל משתמשות באמצעים אלו כבחירה ראשונה בגלל נוחות השימוש והיעילות הגבוהה, וכל עוד תופעות הלוואי שלהם קלות ונסבלות….לעומתן, ישנן נשים רבות שאינן יכולות להשתמש בהתקן תוך רחמי או הורמונים….אי לכך, לא ניתן לצפות ששני סוגים בלבד של אמצעים יתאימו לכול הנשים והזוגות. רבים חושבים שאלו הם האמצעים היחידים שקיימים, או היחידים שמותרים הלכתית, ולא כך הוא…
Dafna Meir, “Contraception: Religious and Health Considerations,” October 21, 2012, Derech Nashim Blog
In the realm of Halacha, there are rabbis who are experts in a variety of fields, such as kashrut, releasing agunot, organ donation, fertility treatments, and also contraception. Not every rabbi is acquainted with all the types of contraceptive methods, and how they work…Even doctors tend to recommend a limited range of possibilities. From the average gynecologist in Israel, women will almost never be able to receive ideas for additional methods of contraception, aside from hormones and the IUD, which are usually also halachically permissible. Many women in Israel use these methods as their first choice because of ease of use and high efficacy, and as long as their side effects are light and bearable…In contrast to them, there are many women who cannot use an IUD or hormones….accordingly, one cannot expect only two types of methods to suit all women and couples. Many think these are the only methods that exist, or the only ones that are halachically permissible, and it is not so….
In questions of contraceptive permissibility and contraceptive methods, it is always better to ask a halachic question rather than to assume that something is prohibited. A couple may not be aware of the full range of relevant opinions or of how a halachic authority rules in individual cases (which is often private and unwritten).
As Meir points out, whether lenient or stringent, a halachic authority on these issues needs to be carefully chosen. (Learn more about a rabbi’s role in these decisions here.) And, as with other contraceptive decisions, it is worthwhile for a couple to take time to learn about the relevant health information and halachot.
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