Many women across the globe struggle with fertility: Some try to become pregnant but can’t, others are persistently unsuccessful at in vitro fertilization, and many experience the heartbreak of miscarriage. While these women strive for motherhood, others inhabit the opposite end of the fertility spectrum, hoping to avoid pregnancy at any cost — even if it means permanently closing the door to birthing children. Becoming sterile, though stigmatized throughout history, is no longer viewed as the loss of a woman’s femininity, purpose, or worth in most places. Rather, it’s a conscious choice many women make to gain absolute control over their reproductive systems.