I'm out of time these days to write anything new and substantive; my apologies. Here, instead, for those who are interested, are the vignettes I have prepared for my "Medical Halachah with CME credit" class coming up this Sunday morning. Please comment.
1. Jason, 50, a Type II diabetic, has been experiencing painful difficulty in urination due to growth of his prostate. His urologist offers the option of surgery, which risks causing retrograde ejaculation, or tamulosin, which risks hyperglycemia as well as a less likely possibility of retrograde ejaculation. Which option is halachically better?
2. Tim, 30, is experiencing bouts of moderate-to-severe depression, and his physician wishes to prescribe antidepressants. Tim is concerned that the side effects include impotence. Need Tim be concerned about the halachic ramifications of medication-induced impotence?
3. Jane, 33, has already birthed three sons and three daughters, with difficult side effects during her pregancies, and her physician has warned that her health would be at risk in a further pregnancy. He recommends Ovabloc, a silicon plug to be inserted in her fallopian tubes. Would such a procedure be halachically permitted? Are there better options?
4. Tanya, 35, has already birthed three sons and three daughters, and she is now experiencing heavy, prolonged vaginal bleeding, causing pain as well as rendering her a niddah on an on-going basis. The bleeding is resistant to treatment. Her physician recommends endometrial ablation - which would destroy the endometrial lining, at least temporarily. Would such a procedure be permitted?