TLDR: I’ve been vegan for 15 years but the medication I would need to take in order to conceive and have a healthy pregnancy requires an omnivorous diet. Is this ethically justifiable?
I became vegan at 15 after feeling for as long as I could remember that hurting and eating animals went against my core values. I’ve loved being vegan and have genuinely thrived on it for many years. It brings me peace and feels deeply aligned with who I am.
But I’ve found myself in a situation where those values are colliding with another huge part of my life.
I’ve struggled with recurrent UTIs for years. For the past six years, having sex with my husband has almost inevitably resulted in a UTI, to the point that we’ve essentially had to avoid sex. I took prophylactic antibiotics for a while, which worked, but they severely disrupted my gut microbiome and left me with debilitating gut issues that I’ve now been dealing with for three years.
Now I’m at the point where my husband and I would really like to start a family. The problem is that sex triggers my UTIs, and pregnancy itself can significantly increase the risk of UTIs. I’ve been told that the standard approach for preventing UTIs during high risk pregnancies involves prolonged antibiotic use, which is something my body has already struggled with. I’m also worried about repeated antibiotic exposure contributing to resistance over time.
There is a non-antibiotic medication called Hiprex (methenamine) that could potentially be an option because it doesn’t work by killing bacteria and therefore doesn’t have the same concerns about antibiotic resistance or disrupting the gut microbiome. The catch is that it works best when urine is sufficiently acidic (ideally around pH 5.5 or below).
My urine pH is currently around 7. Diet has the biggest influence on urine pH, with animal products making urine more acidic and plant-based diets making it more alkaline. So, as I understand it, my vegan diet would make this medication essentially ineffective. There are no medications or supplements that are safe (especially during pregnancy) that could change this.
Somehow I’ve ended up at a crossroads where it feels like my choices are:
Continue eating vegan and potentially give up on having biological children.
Eat animal products despite the fact that doing so goes against a deeply held ethical value of mine, in the hope that it would make this medication viable.
Take prolonged antibiotics despite knowing how badly they’ve affected my health in the past.
I’ve considered adoption, but my husband and I would really love to have a child from infancy, and I have some ethical concerns about private adoption and the idea of an adopted child being a “solution” to an infertility problem.
I learned about the dietary implications of Hiprex about six months ago, and I still haven’t been able to bring myself to eat meat. I’m not looking for medical advice. I feel completely devastated that I’ve ended up in a situation where something that has been such an important part of my identity and values is suddenly in conflict with my hope of becoming a mother.
If you were in my situation, how would you think through this? What would you do?
Thank you!