It cannot be underestimated how heavy the burden weighed on medieval women, knowing that from childhood their destiny was to put their lives in danger through childbirth. While most women might be vulnerable to rape, or rejection by a man who had impregnated her therefore rejection by society, Cathar women could lean on their promise to abstain from sex as a means of taking control. About one in 20 women died in childbirth, and many more would have to deal with losing children, physical pain and long-term health issues.38 To abstain from sexual activity on religious grounds was a safer bet for
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