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How knowing your fertility can catch diseases early

July 1, 2018 CNA Daily News 1

Washington D.C., Jul 1, 2018 / 04:04 pm (CNA/EWTN News).- When Maggie* was in high school, she stayed after class to talk to ask a teacher what to do about a very personal concern she felt her physician was not taking seriously.

What she learned led to the discovery of a brain tumor, and treatment for the growth, which had been affecting the teen for years. The tools she needed to find and treat this growth came from an awareness of her fertility and natural cycles.

“It wasn’t so much that I was trying to avoid pregnancy or get pregnant – it’s that there was something legitimately wrong with my body,” Maggie told CNA.

By the time she was in her late teens, Maggie had noticed that her cycles had never regulated, and had no idea what that meant except that it wasn’t normal. While for the first years after a young woman begins to menstruate her cycles are of varying length and heaviness, they typically regulate within a few years. But several years after her own cycles began, Maggie was concerned that they never had settled into a normal pattern – in fact, she sometimes would have as few as one cycle a year. In addition, she also faced rounds of headaches.

One day, Maggie approached her college-level biology teacher, who also happened to be a practicing Catholic, looking for an explanation for her concerns and asking what to do. The teacher told her to ask her pediatrician, but also put her in touch with her church’s fertility instructor to see what could be done.

Maggie said her pediatrician immediately assumed that she was pregnant: an impossibility, because she was not sexually active. When the pregnancy tests came back negative, the doctor responded, “‘I don’t know what your problem is’ and brushed me off,” she recalled.

Meanwhile, the local parish’s natural family planning (NFP) instructor saw the teen’s distress and put her in touch with a Catholic fertility physician who could teach Maggie how to observe and chart the signs of her fertility.

Understanding Fertility

“A sign of health in a woman is a normal, regular cycle,” Dr. Lorna Cvetkovich, a gynecologist and obstetrician at Tepeyac Family Center in Fairfax, Va., explains. “We know what a normal cycle looks like,” she continued, “so at any time the parameters fall outside of those, then that’s a clue that maybe they’re not ovulating, they may have a luteal phase defect, they may have fibroids. It can show you all sorts of things.”

For women whose cycles fall within a normal range, normal bodily processes present themselves in a predictable pattern.

In the first part of a woman’s cycle, called the follicular phase, hormonal signals from the pituitary gland trigger the follicles (egg-containing structures within the ovaries) to prepare an egg for ovulation and to secrete estrogen into the woman’s body. This rise in estrogen levels triggers changes in the kind of fluid the cervix secretes, as well as thickening the uterine lining, making them more able to support the conception process.

After ovulation a woman’s body secretes progesterone, which causes a sharp increase in a woman’s basal, or resting, body temperature, as well as a preparation of the uterine lining for possible implantation. If a pregnancy occurs, the basal body temperature and hormone levels may continue to rise, whereas if pregnancy does not happen, the resulting dip in hormones triggers a drop in temperature, menstruation, and the beginning of a new cycle.

In a healthy woman who is not pregnant, this cycle will repeat every 21-35 days.

These changes can be observed by any woman, and can be used by married couples as a valid method to achieve or delay pregnancy, according to the teaching of the Catholic Church, which teaches that it is immoral to disrupt this natural cycle with the use of contraceptive pills, implants, barrier methods, or by having incomplete intercourse. Using these observations to help in the discernment of family size is known as natural family planning.

However, the same observations and data – commonly collected into charts for easier analysis – can be used to help diagnose gynecological issues such as ovarian cysts and growths in the uterus, called fibroids, as well as hormone deficiencies and other abnormalities affecting bodily functions. The information can also be essential in pinpointing issues surrounding pregnancy, such as the exact date of conception, infertility, and miscarriages.

This information is such a valuable insight into a patients health and symptoms – and an invaluable tool for doctors practicing reproductive medicine. “I just think it’s invaluable, and I don’t really know how people practice [gynecology] without having the charting,” said Cvetkovich. “There’s just so many uses, and it adds so much to your evaluation of the patient.”

Cycles and Diagnosis

Disorders in other bodily systems – such as the endocrine system – can manifest in a woman’s menstrual cycle and her chart. “Thyroid plays a role in almost every function of the body, so it may show up as a sign in the cycle,” explained Cvetkovich.

For Christine, charting her bodily signs helped her to catch an issue with her thyroid that might otherwise have been missed. After charting for four years, she started noticing that some months there was no ovulation that could be detected by temperature or with chemical tests for the hormones that trigger ovulation.

“I had what looked like a really long cycle, and then eventually, what to the uninformed observer would look to be a light period. But because I knew I hadn’t peaked, I was able to identify it as estrogen breakthrough bleeding and not a real cycle,” she explained.

“It seemed like my body was trying to ovulate, and not really getting there.”

She approached her doctor, explaining she was not ovulating and that she would like to find the cause for something that was out of the ordinary. The doctor then ordered comprehensive blood tests, and found that some of her thyroid-stimulating hormone levels were elevated beyond normal – in fact, her levels were twice as high s they had been a year ago.

After receiving treatment, her cycles returned to their normal pattern.

“I didn’t have a lot of signs or symptoms of hypothyroidism, aside from missing ovulation,” Christine noted, saying she wouldn’t have picked up on the disorder had she not been charting. “ I wouldn’t have realized there was an issue,” Christine she added, reflecting on the fact that she probably would not have even received the treatment she needed.

“Whenever I’m sharing my experience with NFP with somebody, I’m always quick to point out not only all of the standard benefits, but that it enabled me to know my body and know there’s a problem that so many people wouldn’t be aware of.”

How Fertility Awareness Helped to Find a Tumor

After a local NFP instructor put Maggie in touch with physicians familiar with fertility awareness, she became more aware of what was going on in her own body. She learned to observe her basal body temperature and cervical fluid signs – and noticed that while sometimes she had a more typical menstrual cycle and her chart showed the usual peaks and dips of a healthy young woman, at other times her cycle was irregular and her temperature was more elevated.

Even though she was not sexually active, “my body was acting like it was pregnant,” Maggie said. The doctors at the Catholic fertility clinic sent Maggie out for blood work, which showed a high level of prolactin – a hormone present during pregnancy and breastfeeding. She took this information back to her pediatrician, and then to an endocrinologist, who ordered an MRI scan of her brain.

“There was a tumor pressing into my pituitary, pressing into my frontal cortex,” Maggie explained.

“When I first heard the word ‘tumor’ I freaked out,” she related, but thankfully, “it wasn’t cancerous,” but a benign growth which explained both her irregular cycles and some of her headaches.

Maggie received the treatment she needed to shrink the tumor, and told CNA that “things are pretty much normal now.” While the tumor is still there – “it’ll never really go away, unless I get surgery,” she related; “what’s happened at this point is that it’s checked.”

While since receiving treatment she has no need to monitor as rigorously all of her signs and symptoms, knowledge of her fertility and its signs has given Maggie tools she can use use if the tumor starts to grow again.

“I have this, and I know these are indicators to know [if] something is wrong with my prolactin.”

Fertility – ‘A Public Health Issue’

Cvetkovich suggested this level of awareness can be useful for any woman looking to take care of their health.

“I think that anytime you put someone more in tune with your body,  they’re just going to know that things are wrong earlier. I think that’s what it’s all about, knowing what’s normal for you, and being in tune with it.”

She commented that many of her fellow physicians, as well as the general public, have grown accustomed to relying on hormonal contraceptives to address disorders, a practice she said “makes people very distant from their bodies and from their cycles.”

“We’ve lost the idea that having a normal monthly cycle is health – that’s normal. Being fertile is normal. I think that’s where NFP brings us back to, really: to reality.”

Maggie agrees, saying that some of her initial struggle in receiving treatment was a result of people  “missing the point that fertility isn’t sort of an accessory to being a human woman – it’s an integral part of how our bodies work.” Awareness of how women’s bodies work, and how to tell when they’re not working correctly, is important for everyone.

“It’s a public health issue.”

*Name has been changed to protect privacy.

This article was originally published July 31, 2015.

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No Picture
News Briefs

Human trafficking remains a problem in US, advocate says

July 1, 2018 CNA Daily News 0

Washington D.C., Jul 1, 2018 / 06:01 am (CNA/EWTN News).- As the Department of State released its 2018 Trafficking in Persons Report this week, an apostolate which helps trafficking victims said that the practice remains a problem around the world, including in the US.

The Trafficking in Persons Report features narratives on each country, and the countries of the world were divided into three tiers. Tier 1 consists of “countries whose governments fully meet the Trafficking Victims Protection Act’s (TVPA) minimum standards.”

Although the United States is classified as Tier 1 country, human trafficking is still a problem here, Children of the Immaculate Heart President Grace Williams told CNA in an interview. Children of the Immaculate Heart is an organization in San Diego that assists those affected by trafficking.

Trafficking is the “fastest growing illegal industry worldwide, and it’s the same here in the United States,” said Williams.

Williams said that the vast majority of people trafficked in the United States are native-born citizens, and not people who were brought across the border. The average age of someone trafficked, Williams said, was 16 years old.

“The number one vulnerability factor, I can say in Los Angeles’ court for trafficked minors, was child neglect,” Williams explained, followed by child abuse. Williams told CNA that she believes providing a support system, as well as stemming the culture’s sexual appetite, are key to stopping abuse.

“Kids who don’t have the love and support that they need are the ones that traffickers are picking up on, and so that’s where our primary work as an American society lies.”

Secretary of State Mike Pompeo said Thursday at the release of the 18th annual TIP Report that ending human trafficking should be a bipartisan issue.

In this year’s report, Pompeo highlighted the work done by local communities around the world not only to stop human trafficking, but also to aid the survivors of these crimes.

“Human trafficking is a global problem, but it’s a local one too,” Pompeo said June 28. “Human trafficking can be found in a favorite restaurant, a hotel, downtown, a farm, or in their neighbor’s home.”

Below Tier 1, Tier 2 contains countries that may not meet the TPVA standards, “but are making significant efforts to bring themselves into compliance with those standards.”

A “Tier 2 Watch List” consists of countries that are similar to Tier 2, but have other issues, such as an increasing number of trafficking cases or a lack of improvement on previously-implemented anti-trafficking efforts.

Tier 3 countries are those “whose governments do not fully meet the minimum standards and are not making significant efforts to do so.”

While no country in Africa is classified as Tier 1, Pompeo noted that 14 of the 48 African nations in this year’s report had been upgraded since last year’s TIP Report and offered praise for the work taken by the continent.

“Despite significant security threats, migration challenges, other financial constraints, and other obstacles, the region improved significantly,” said Pompeo.

“We commend those countries taking action, but we also will never shy away from pointing out countries that need to step up.”

First among these was Libya, where Pompeo mentioned the existence of “modern-day slave markets” arising from “trafficking and abuse of African migrants, refugees, and asylum-seekers.” Many Africans seeking entry to Europe pass through Libya, which has not had a well-functioning government since the overthrow of Muammar Gaddafi in 2011.

Pompeo said the US has engaged the Government of National Accord, recognized by the UN as Libya’s legitimate government, “to bring the perpetrators to justice, including complicit government officials. We welcome its commitment to doing so and look forward to seeing real action.”

Praise was offered for Tier 1 Argentina, which recently convicted government officials who were complicit with trafficking, and Estonia, which passed a law that will assist survivors of trafficking.

 

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No Picture
News Briefs

LA archbishop on immigration: God calls us to speak out against injustice

June 29, 2018 CNA Daily News 3

Los Angeles, Calif., Jun 29, 2018 / 04:48 pm (CNA/EWTN News).- At a Mass in honor of immigrants on June 24, Archbishop Jose Gomez of the Archdiocese of Los Angeles called on Catholics to pray for immigrant families, to speak out against injustice and to demand better solutions from their legislators.

“For years now, we have been asking our leaders to fix our broken immigration system. Year after year, they keep telling us, ‘Mañana, mañana.’ Next year. It makes no difference which political party is in power, there is always some excuse,” he said.

“Our leaders in Washington are about to do it again – they are about to let another Congress close without taking action. Brothers and sisters, we need to tell our leaders – no more ‘mañanas,’ no more excuses. The time is now.”

Gomez gave his remarks during his homily on Sunday, June 24 at the annual Mass in Recognition of All Immigrants at the Cathedral of Our Lady of the Angels in Los Angeles, which was attended by about 3,000 people from throughout California.

The Mass came just days after President Donald Trump signed an executive order on June 20 entitled “Affording Congress an Opportunity to Address Family Separation,” intended to end the practice of separating children from their parents at the U.S. border while maintaining the Trump Administration’s “zero tolerance” policy illegal entry into the United States.

The executive order said that detained families will be held together, “where appropriate and consistent with law and available resources.” It came after weeks of widespread criticism and public outcry over the separation of families at the border, due a policy that limited the amount of time children could be detained by the government, and the administration’s decision to prosecute illegal border crossings criminally.

Gomez said in a Tweet on June 20 that he welcomed the executive order, and urged Congress to act on bipartisan reform. In his homily on June 24, Gomez again voiced his support for a bipartisan immigration reform bill, and urged Catholics to call their legislators.

Catholics are called to speak out against injustices towards immigrants, Gomez said, because they are also a part of God’s family.

“In the Church, we are God’s people, his family. And he gives us the duty to take care of one another. He calls us to speak out against injustice, to make things right when they are wrong,” he said.

“That is why we fight for the life and dignity of every child who is trying to be born. And that is why we all are so concerned right now for the children that our government has separated from their parents at the southern border of our country.”

He also urged Catholics to pray for the families who have been separated, that they may be reunited quickly.

“We need to pray today for those little ones and their parents. And especially we need to pray for our politicians and for all citizens of goodwill. May all of us open our hearts to the voice of God…” he said.

Attendees of the immigration Mass also had a chance to venerate the relics of St. Junípero Serra, St. Frances Xavier Cabrini and St. Toribio Romo, and to write prayer intentions that Gomez will bring to the Basilica of Our Lady of Guadalupe in July. The archdiocese has also started a social media campaign with the hashtag #PrayForImmigrants, so that Catholics can show their support for immigrants.

Gomez closed his homily by invoking the intercession of St. John the Baptist on his feast day, and that of the Blessed Virgin Mary.

“Let us ask St. John the Baptist to help us to follow his example in proclaiming the love and mercy of God in these times when so many people feel angry and afraid,” he said.
“And let us keep working for a new spirit of compassion and love — especially for the weakest and most vulnerable among us,” he added.

“May our Blessed Mother be near to every child and every parent suffering separation along our borders this day. And may she help every one of us to share in the dream of America.”

 

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No Picture
News Briefs

Bishops weigh in on SCOTUS union case and workers’ rights

June 29, 2018 CNA Daily News 4

Washington D.C., Jun 29, 2018 / 03:01 pm (CNA/EWTN News).- A US Supreme Court decision striking down mandatory fees paid to public-sector unions undermines workers’ collective rights and can’t be squared with Catholic teaching, including Benedict XVI’s encyclicals, the US Conference of Catholic Bishops has said.

“It is disappointing that today’s Supreme Court ruling renders the long-held view of so many bishops constitutionally out-of-bounds, and threatens to ‘limit the freedom or negotiating capacity of labor unions’,” Bishop Frank Dewane of Venice, chair of the U.S. bishops’ Committee on Domestic Justice and Human Development, said June 27.

Bishop Dewane drew on the 25th paragraph of Benedict’s 2009 encyclical on integral human development in charity and truth, Caritas in veritate, to object to limits on labor unions’ freedom.

“By reading the First Amendment to invalidate agency fee provisions in public-sector collective bargaining agreements, the Court has determined – nationwide, and almost irrevocably – that all government work places shall be ‘right-to-work’,” said the bishop.

The outlawing of these agency fee agreements means that state and federal legislatures should explore alternative means “for the promotion of workers’ associations that can defend their rights,” Bishop DeWayne said, again citing Caritas in veritate.

However, Bishop Thomas Paprocki of Springfield in Illinois took a different view, saying he finds it “encouraging” that the Supreme Court “upholds the right to be free from coercion in speech.”

<blockquote class=”twitter-tweet” data-lang=”en”><p lang=”en” dir=”ltr”>It is encouraging that the U.S. Supreme Court ruling in Janus v. AFCSME upholds the right to be free from coercion in speech. No longer will public sector employees be required pay dues to support unions that promote abortion and other political issues with which they disagree.</p>&mdash; Bishop Paprocki (@BishopPaprocki) <a href=”https://twitter.com/BishopPaprocki/status/1012363223377563648?ref_src=twsrc%5Etfw”>June 28, 2018</a></blockquote>
<script async src=”https://platform.twitter.com/widgets.js” charset=”utf-8″></script>

Commenting in a June 28 post on Twitter, Paprocki, depicting the agency fees as dues, said that “no longer will public sector employees be required pay dues to support unions that promote abortion and other political issues with which they disagree.”

The 5-4 decision in Janus v. AFSCME struck down a 1997 Illinois law that required non-union workers to pay fees for collective bargaining.

The plaintiff in the case, Mark Janus, is an Illinois state employee who sued the American Federation of State County and Municipal Employees (AFSCME). He contended that mandatory “agency fees” paid to the union for contract negotiations violate his free speech because the union takes actions with which he does not agree, the Washington Post reports.

These fees are not used for political purposes, but his lawyers argue that the unions’ lobbying efforts are political acts.

In a Feb. 26 essay in USA Today, Janus said the union uses his monthly fees “to promote an agenda I don’t support.” He objected to the legislation supported by the union’s lobbying arm and to politicians supported by its political arm.

The court considered the constitutionality of “fair share” or “agency” fees, SCOTUSblog reporter Amy Howe said in a June 27 opinion analysis. The decision overturned the 1977 ruling in Abood v. Detroit Board of Education.

The majority opinion, authored by Justice Samuel Alito, ruled that the mandatory agency fees violate the First Amendment. The fees mean public employees who are not union members pay for “unspecified” lobbying expenses and other services that may benefit them. This purpose is “broad enough to encompass just about anything that the union might choose to do” and if a non-member wanted to challenge a fee it would be a “laborious and difficult task” given that it is hard to distinguish what expenses non-members are required to pay and which they are not.

Alito said that the legal and economic environment has changed, with public spending, including public employee wages, benefits and pensions, showing “mounting costs.” These changes give collective bargaining a political significance that might not have been present when such fees were upheld by the Supreme Court.

Despite burdens on unions, Alito said, there have been “many billions of dollars” taken from non-members and transferred to public sector unions “in violation of the First Amendment.”

Justice Elena Kagan, who authored the main dissent, said previous legal precedent “struck a stable balance between public employees’ First Amendment rights and government entities’ interests in running their workforces as they thought proper.” Over 20 states have statutory schemes based on the precedent, she said, charging that the majority of justices acted “with no real clue of what will happen next – of how its action will alter public-sector labor relations.”

“It does so even though the government services affected – policing, firefighting, teaching, transportation, sanitation (and more) – affect the quality of life of tens of millions of Americans,” Kagan said.

Janus was represented by the Liberty Justice Center and the National Right to Work Legal Defense Foundation.

His case also had the support of the Becket Fund, whose own amicus brief argued that allowing government workers to opt-out of mandatory union payments protects their freedom of speech and religious freedom.

The legal group, which focuses on religious liberty concerns, argued that giving power to unions to force employees to support speech with which they disagree was a form of “coercion laundering” in which the law uses non-government organizations to coerce.

In a case summary on its website, Becket said the case could have ramifications for religious colleges and universities under private accrediting agencies that could use delegated government authority to infringe on their religious speech and practices.

The Office of General Counsel of the U.S. Conference of Catholic Bishops filed its own amicus brief in the case. It said that “right-to-work” laws eliminate the clauses that prevent “free riders” who benefit from union contracts without paying for union membership. Eliminating these clauses “dramatically weakens” unions and their bargaining power on workers’ behalf, the brief objected.

The brief cited the Church’s strong commitments to protect both the poor and vulnerable from exploitation, and to protect the right of association from governmental infringement. It invoked the Church’s historic, consistent support for workers’ rights to organize and bargain collectively. The brief cited repeated papal calls since Leo XIII’s 1891 encyclical on capital and labor, Rerum novarum, to promote “workers’ associations that can defend their rights.”

The USCCB’s brief advocated that the court leave “constitutional space” for the public policy position supported “for so long by so many bishops and bishop-led institutions” rather than “declare still another such position outside the bounds of what policymakers are permitted to implement by law.”

At the time, Bishop Paprocki objected to some news coverage of the case that depicted the legal brief as a position adopted by the U.S. bishops.

“In fact, no vote was taken on whether to file such a brief,” he said Feb. 13. “While church teaching clearly supports freedom of association and the right to form and join a union, it does not mandate coercing people to join a union or pay dues against their will.”

For Paprocki, the question of whether rights of association and free speech are helped or hurt by mandatory dues is “a matter of prudential judgment on which reasonable people can disagree as to whether the rights of association and free speech are helped or hindered by mandatory union dues.”  

A May study from the Illinois Economic Policy Institute predicted that a decision in favor of Janus would mean a loss of over 700,000 members from public-sector unions and a wage decline of several percentage points for public sector employees.

Teachers’ unions could be “permanently crippled” by the decision, the journal Education Next reported, though the decision could provide an impetus for other changes.

A loss in teachers’ unions membership could result in a decline in revenues and ability to affect policy. The National Education Association has planned a 13 percent cut for its two-year budget, totaling about $50 million, with its estimated membership losses of 300,000 people, about 10 percent.

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