Venezuela's food shortages, inflation and crumbling medical sector have become such a source of anguish that a growing number of young women are reluctantly opting for sterilizations rather than face the hardship of pregnancy and child-rearing. Traditional contraceptives like condoms or birth control pills have virtually vanished from store shelves, pushing women towards the hard-to-reverse surgery. While no recent national statistics on sterilizations are available, doctors and health workers say demand for the procedure is growing. (Photo by Carlos Garcia Rawlins/Reuters)

Miss Haiti Mideline Phelizor competes in the evening gown competition during the preliminary round of the 71st Miss Universe Beauty Pageant in New Orleans, Wednesday, January 11, 2023. (Photo by Gerald Herbert/AP Photo)

In this Sunday, May 22, 2016 photo, contestants in the first Miss Trans Israel beauty pageant gather for rehearsal in Tel Aviv, Israel. The pageant will be held at HaBima, Israel's national theater, in Tel Aviv on Friday. Tel Aviv has emerged as one of the world's most LGBT-friendly travel destinations, standing in sharp contrast to most of the rest of the Middle East, where gays can face persecution. (Photo by Oded Balilty/AP Photo)

Miss Panama Solaris Barba competes in the evening gown competition during the preliminary round of the 71st Miss Universe Beauty Pageant in New Orleans, Wednesday, January 11, 2023. (Photo by Gerald Herbert/AP Photo)

A visitor stands in front of a portrait taken by artist Bruce Gilden at the “Masters of Photography” exhibition at the Photokina trade fair in Cologne on September 20, 2016. The fair for the photographic and imaging sector, that is running from September 20 to 25, 2016, presents products from image capture, image processing and storage to image output. Photokina also includes a program of events with congresses, workshops, symposiums and photography exhibitions. (Photo by Patrik Stollarz/AFP Photo)

Crowds look on as the super moon rises behind the Fremantle War Memorial at Monument Hill on November 14, 2016 in Fremantle, Australia. A super moon occurs when a full moon passes closes to earth than usual, with the November 14th moon expected to be closer than it has been in over 70 years. (Photo by Paul Kane/Getty Images)

Humanoid robots compete in a group match of the 20th RoboCup in Leipzig, Germany, June 30, 2016. About 3,500 participants from 45 countries and regions compete in the robot world championship until 04 July. (Photo by Sebastian Willnow/EPA)

Models pose for a photograph backstage before the Miss Koch beauty pageant, titled “Getting to Zero Teenage Pregnancy”, at the Korogocho slums in Nairobi, December 6, 2014. The winner of the pageant, Miss Koch Kenya, will represent and lead the non-governmental organization to encourage youths in slums to overcome challenges such as poverty, crime, drug and sexual abuse, according to organisers. (Photo by Thomas Mukoya/Reuters)