He gave male prostitutes as an example, where the purpose is to "reduce the risk of infection" from HIV. Here again, God gives abundant graces so that the husband and wife can fulfill their duties as father and mother. For something to be sinful there needs to be both intent and full knowledge of that intention to do evil. This gift is in the mind of the author of the Ephesians when he exhorts married couples to "defer to one another out of reverence for Christ" Eph 5: Like I said, we had ten, but six of them died. A marriage is not made whole consummated until the couple has sexual intercourse. Also out of love, God established marriage as the first communion of persons. If it is used in the act of foreplay that leads to sexual intercourse where the male climaxes into the female, then oral stimulation is certainly permissible for a couple to engage in within marriage. Would he be raised by one parent, by grandparents, or by two parents "forced" to get married? By applying penance to sin, the church gave people a way out. Even in sexual intercourse can a person be abused or used as a means to an end. However, Federico Lombardi , spokesman of the Vatican, clarified that it applied to heterosexual and transsexual prostitutes, both male and female, as well. He replied that the key is "responsible parenthood": Prohibited acts with contraceptive effect include sterilization, condoms and other barrier methods, spermicides, coitus interruptus withdrawal method , the Pill, and all other such methods.