This religious elitism allows little room for outside influences. Catholic women had used contraceptives at some point in their lives and that 72% of Catholics believed that one could be a good Catholic without obeying the Church's teaching on birth control. [238] Use of natural family planning methods among United States Catholics purportedly is low, although the number cannot be known with certainty. [note 14] As Catholic health providers are among the largest providers of services to patients with HIV/AIDS worldwide, there is significant controversy within and outside the church regarding the use of condoms as a means of limiting new infections, as condom use ordinarily constitutes prohibited contraceptive use. [241] Similarly, the Catholic Church opposes in vitrio fertilisation (IVF), saying that the artificial process replaces the love between a husband and wife. [242] In addition, it opposes IVF because it might cause disposal of embryos; Catholics believe an embryo is an individual with a soul who must be treated as such. [243] For this reason, the church also opposes abortion. [244] The Catholic Church also teaches that "homosexual acts" are "contrary to the natural law", "acts of grave depravity" and "under no circumstances can they be approved", but that persons experiencing homosexual tendencies must be accorded respect and dignity. [245] According to the Catechism of the Catholic Church, The number of men and women who have deep-seated homosexual tendencies is not negligible.

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