The purpose of this paper is to illustrate and discuss three case scenarios of women (and their spouses) who are experiencing difficult life situations in which they might choose to have an abortion if they would have an unintended pregnancy. For these situations the current medical profession often recommends sterilization, for either the woman or her spouse, so as to prevent an unintended pregnancy. The three cases involve: (1) a woman with breast cancer and on a medication that would result in a deformed child, (2) a woman with five children under the age of five who is currently breastfeeding an infant, and (3) a peri-menopausal woman who has a health problem and who has a significant risk for having a child with Down’s syndrome. The use of modern natural family planning (NFP) methods and special protocols developed by researchers at Marquette University to manage these special problems will be presented. An argument will also be made that the use of NFP is more healthy and beneficial for the woman, her potential child, her spouse, and family. Conversely, use of hormonal contraception is either medically contra-indicated in these situations or unnecessary.