Church Life

Evangelicals Debate Sterilization

Vasectomies and tube tying are more common among evangelicals than many realize. Do they have biblical warrant?

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Illustrations by Shonagh Rae

In this series

About 15 percent of men in the US between the ages of 45 and 49 have undergone a vasectomy. The Centers for Disease Control and Prevention reports that tubal ligation (tying fallopian tubes) is the most common form of birth control for women in the country. On social media platforms, women are celebrating their hysterectomies with friends. These procedures are not uncommon, including in the church. Yet we don’t talk about them.

Hysterectomies are most commonly used for dangerous or debilitating health problems such as to save life during birth or to treat endometriosis. Often, women are devastated after receiving them even if the procedure saved their lives. But female sterilization especially has a dark history. Historically, governments worldwide have used them to compulsorily sterilize women or to control “undesirable” populations, including certain ethnic groups, immigrants, the mentally ill, or unmarried mothers. Today, hysterectomies are still used in some places to force women to work more efficiently. Meanwhile, others see them positively as “gender-affirming treatment.”

So how should the Christian think about these permanent sterilization procedures? Christianity Today invited three writers to consider “the snip” more thoughtfully. Justin Whitmel Earley shares a personal story about his decision seven years ago and encourages men to care for their families through taking on the burden of contraception. Katelyn Walls Shelton examines why we are uncomfortable with the conversation about sterilization. Finally, Matthew Lee Anderson writes that Protestant arguments for and against vasectomies are not rigorous enough—and that we must think more clearly and carefully here.

As you read, our hope is not that you feel shame, regret, or discomfort. Rather, it is that you thoughtfully consider a cultural movement through the lens of Scripture and a theology of the body so you can carefully counsel church members or consider all sides of a decision before making a (quite literally) life-altering choice.

Kara Bettis Carvalho is the senior features editor at Christianity Today.

Also in this series

Also in this issue

Throughout Scripture, God calls his people to be faithful and steadfast as we abide in him. Isaiah reminds us our faithfulness is fleeting “like the flowers of the field,” yet our hope is secure when we place it in God, so our strength is renewed (Isa. 40:6, 31). In this issue, we consider stories of resilience. Historian Thomas S. Kidd shares missionary Adoniram Judson’s hardship and fortitude in Burma (now Myanmar). Emily Belz reports on Minnesota churches today that are supporting persecuted Karen Christians, also from Myanmar. Haleluya Hadero reports on groups who are determined to help Gary, Indiana, achieve a more resilient future. We also consider Tish Harrison Warren’s new book and feature an interview with her. Rooted in the person of Jesus Christ, Christian resilience is about more than having grit or bouncing back.

Men Who Didn’t Get the Message

Christians Need Clearer Thinking About Sterilization

What the Awkwardness of Sterilization Tells Us

Katelyn Walls Shelton

Men Should Bear the Brunt of Contraception

Justin Whitmel Earley

Testimony

I Sold My Body and Couldn’t Quit Heroin. But God Pursued Me.

Paige Lohman

Can the City of Steel Rise Again?

Enduring All Things for the Gospel

Thomas S. Kidd

We Need More than Bible Trivia

Pornography Has Always Been a Moral Blight

We Need More than Grit

To Grow Resilient Kids, Don’t Take Away Struggle

Qualms & Proverbs

My Church Makes Everyone Take Nursery Shifts. Can I Object?

Karen Swallow Prior, Kevin Antlitz, and Kiara John-Charles

Review

We Don’t Need Resilience. We Need Resurrection.

Public Theology Project

Why I Don’t Debate Atheists

Faith Is Not a Sprint

Review

Put Not Your Trust in Techno-Kings

Ben Sasse and a Dying Breed of Politician

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Refugees Disappeared. Churches Prayed and Lawyered Up.

Killing People Is Not the Same as Allowing Them to Die

Analysis

What Can Pro-Lifers Do in Unchurched States?

We Are Obsessed with Gender

Analysis

This Year, Protections for the Unborn Won’t Come from Washington

How to Do Your Own Research About Vaccines

Church Scandals Don’t Negate God’s Faithfulness

How Pro-life Groups Help When a Baby’s Life Is Short

Adam MacInnis

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