When pregnancy is not desired, sexual intercourse must be avoided or ``contraception`` (birth control) must always be used during sexual intercourse, unless one of the partners has had some form of surgical sterilization. Contraception (even vasectomy) is not always 100% effective. More generally, in sexual behavior contact of semen with the vagina should be avoided. For example, partners can restrict themselves to masturbation, oral sex, etc., but they should not forget to keep not only the penis but also the sperm away from the vagina. Abstinence is sometimes called the only 'sure' way to avoid pregnancy. If perfectly adhered to, it is. However, some who habitually rely on it as their primary protection may cease to abstain and thereby incur the risk of pregnancy
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Condoms and herbal birthcontrol methods existed before the modern era. The herbal methods were of various effectiveness, and were available in China and Europe.
The official position of the Catholic Church regarding birth control is expressed very clearly in Pope Pius XI's encyclical entitled Casti Connubii[?]. It was written in response to the Episcopalian approval of artificial means of contraception when used in cases of grave necessity.
In 1968 Pope Paul VI released a document called Humanae Vitae, which again forbade chemical and barrier methods but suggested natural methods such as the rhythm method or natural family planning might be considered in cases of necessity. The public response to this suggestion was immediate and overwhelming. There is dissent however. Some priests and theologians accept only abstinence as moral and there are also those who assert abstinence within a marriage can be immoral.
Couples seeking marriage in the Catholic Church are required to undergo counseling by a Catholic priest. In the past priests led couples seeking to delay children to rhythm, today they are instructed to point new couples toward the more effective natural family planning.
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