[mockingbyrd]

I know that you are in a very difficult situation. However, in order for a sin to be mortal there are three requirements, it must be a mortal sin, the person must know it is and they must fully consent to committing a mortal sin. I don't know how many people out there meet all three requirements.

I don't know all the details of your situation. I do know that if a hysterectomy is necessary for medical reasons, there is nothing wrong with it.

[Scotswife]

my situation is that I'm extremely fertile, NFP has failed to work, and while more pregnancies won't kill me they would not be healthy. We are also at our limit of how much we can afford -and how much time we can devote to each child.
I don't need a hysterectomy.

I know what Church the teaching is and when I contracept I know it is a mortal sin -so that fulfill the mortal sin requirements.

so, basically - I'm screwed.