Fertilization or Implantation

It didn’t take long for the concerns over the Supreme Court overturning Roe v Wade to leap over into In-Vitro Fertilization. Some states, including Louisiana, are already contemplating laws that would define a fertilized egg as having the same rights as a live child which will definitely have the same chilling effect on IVF clinics as the escalation of anti-abortion laws at the state level has had on clinics that perform abortions.

The Catholic Churches inconsistency regarding when life begins hasn’t helped matters. Among Catholics it is NOT clear – does life begin at fertilization or at implantation ? One Catholic said, “It’s actually not disputed. For example: the official stance of the Catholic Church is that life begins at IMPLANTATION, not fertilization. Additionally, you can’t turn a pregnancy test positive without implantation. So again, many would consider ‘conception’ to mean successful implantation.”

In 2006, under Pope Benedict (before the current Pope Francis), it was affirmed during an international congress on scientific aspects and bioethical considerations of The Human Embryo Before Implantation that embryos are “sacred and inviolable” even before they become implanted in a mother’s uterus. The Pope said the Church had always proclaimed the “sacred and inviolable character of every human life, from its conception to its natural end.” adding, “This moral judgment is valid from the start of the life of an embryo, even before it is implanted in the maternal womb.”

In 2021, Washington’s Cardinal Wilton Gregory spoke at the National Press Club, during which he fielded questions about President Joe Biden’s support for abortion. “The Catholic Church teaches and has taught that life — human life — begins at conception. So the president is not demonstrating Catholic teaching in that,” Gregory said. “Catholics should take care not to believe the myths and lies that are produced by those influential individuals and institutions that want to confuse people about the true nature of abortion or who wish to exploit the bodies and lives of unborn children. For example, the myth that ‘pregnancy begins at implantation’ is a deception that has caused misunderstandings for decades.”

Another Catholic noted – Our vicar general was very confident that when the church says “conception” they are referring to implantation, per his actual priesthood teachings. But, that most Catholics assume conception means fertilization, but that isn’t correct. My discussions on this topic with him were in 2010 for reference. I know the pope said prior to that that it’s before implantation, but the actual documented definition in church literature is apparently implantation.

At the end of the day, this is splitting hairs and I’m pro-choice. But, it’s clear even the church can’t figure out a cohesive stance, and none of this is dogma anyway. Also, just because “life” begins at conception it’s doesn’t address the bodily autonomy issue (the Church doesn’t support forced organ donation to save another adults life, but they are ok with a pregnant person being forced to give up their body?).

I don’t know anyone who would say they are trying to “conceive” and mean that they are just trying to fertilize an egg. For all practical purposes, fertilization alone just isn’t conception. And these old white men can believe otherwise, but if my egg is fertilized but doesn’t implant, I would never say I conceived because I wouldn’t even know the egg was fertilized, unless I went through IVF anyway.

Leaving aside religious arguments, Wired had an article by Sarah Zhang in 2015 titled – Why Science Can’t Say When a Baby’s Life Begins with a subtitle – If anything, science has only complicated the personhood debate. The article notes – When life begins is, of course, the central disagreement that fuels the controversy over abortion. 

In the 19th century, abortion in Britain was legal—until the quickening. The “quickening” was the first time a woman felt her baby’s kick, it was the moment the baby came alive, the moment it got a soul. Ultrasound imaging made quickening, a concept that had been around since at least Aristotle, a relic. In a 2012 vice presidential debate, Paul Ryan explained that after seeing their unborn daughter on ultrasound, they nicknamed her “Bean.” My husband jokes about our youngest son being “LumpT” before he was born. Ryan actually sponsored a bill for fetal personhood, giving full legal rights to a zygote after fertilization.

After fertilization, must come implantation. The fertilized egg travels down the fallopian tube and attaches to the mother’s uterus. “There’s an incredibly high rate of fertilized eggs that don’t implant,” says Diane Horvath-Cosper, an OB-GYN in Washington, DC. Estimates run from 50 to 80 percent, and even some implanted embryos spontaneously abort later on. The woman might never know she was pregnant.

Clearly, the controversies and debates are not going away any time soon. It is going to be very messy for some time to come.

Plan B

It may seem strange to write about this but unplanned pregnancies are a leading cause of adoption.  Adoption results in often unconscious and definitely life-long trauma for the adoptee and for their mother from whom they are removed.  Ridding one’s self of the possibility quickly, results in less guilt and shame than an abortion, even when done by 3 mos gestation.  If definitely prevents the surrender of a baby to some stranger.

An interesting fact about this method is that it often fails obese women.  Weight matters in this regard.  This is an important consideration in the United States, where over 35% of adults are obese because obese women (with a body mass index, or BMI, of 30 or greater) became pregnant over 3 times more often than non-obese women when trying this method.

While the commercially marketed brand names are expensive and often kept in anti-theft cabinets, it is possible to obtain a generic.  I have read that with a coupon code from GoodRx the cost of a generic could be as low as $14.

Plan B is meant to delay or prevent ovulation. It does not “end the pregnancy”. Plan B is not an abortion pill.   It’s a heightened dose of birth control to prevent implantation. It’s not misoprostol or mifepristone.  So there is no danger of harming the fetus’s development, if a pregnancy develops after trying this.  Using this does slightly increase the risk of an ectopic pregnancy.  If you’re already pregnant, it won’t work; but it will basically force you to have a period, if you’re not pregnant.

If you’re on Medicaid, they have an online site and will mail it and birth control to your home for free monthly.  And at pharmacies, it is often found on the shelf right next to the pregnancy tests and near the condoms! Don’t be in denial about unprotected sex.  Believing “Oh it won’t happen to me, I’m invincible” could prove to be wrong and then it is too late for the easy precautions.  Girls under 18, be aware that many states require a prescription to buy it at a pharmacy, making it much less accessible but you can actually buy it on Amazon, of course.

Beware though if you live in a conservative, religious right state like my state of Missouri – you may get a judgmental/religious pharmacist. There are tons of stories of women being blocked by pharmacists from getting it – either lied to or just told no.  And parents in these conservatively religious regions often don’t believe in sex education and tell their children to just say “no” with predictable results.