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)

A woman swigs from bottles of rum and coke before entering the Coachella Valley Music and Arts Festival in Indio, California April 12, 2015. (Photo by Lucy Nicholson/Reuters)

Singer, songwriter, actress and philanthropist Miley Cyrus, L, takes a selfie while doing her signature tongue-out pose with GMU students Samaria Moss, 18, C, of Spottsylvania, VA, Jaide Tarwid, 18, from Wisconsin, and Zimuzo Okala, 19, of Chesapeake, VA, (blocked) as Cyrus makes a campaign visit for Hillary Clinton and Tim Kaine in Northern Virginia at George Mason University on Saturday, October 22, 2016 in Fairfax, VA. (Photo by Jahi Chikwendiu/The Washington Post)

A kid from Sichuan provice smokes at an assistance center February 23, 2005 in Shenzhen, Guangdong Province, China. The kids, ranging in age from 7 to 16, are temporary residents of the center, one of the institutions established by China's departments of civil affairs to help and administer beggars, vagrants and juvenile delinquents, after rescission of China's compulsory detainment and relocation system. (Photo by Cancan Chu/Getty Images)

Yakutsk, with a population of around 270,000, holds its own title: that of the coldest city on Earth. Here: Frost-encrusted house in the city centre. (Photo by Amos Chapple/Courtesy Images/RFE/RL)

In this April 4, 2017 photo, Zoologist Martha Llanes caresses baby chimpanzee Anuma II, left, while Ada hangs on to her leg, at Llanes' apartment in Havana, Cuba. She has forgiven them every transgression. It's hard to stay angry at a baby chimpanzee when it clambers up your leg and into your arms and plants a kiss on your cheek in a plea for forgiveness. (Photo by Ramon Espinosa/AP Photo)

Getting her tongue pierced was “exciting and scary” says a teen who succumbed to pressure from her best friend in Austin, Texas, February 22, 2008. This image is featured in National Geographic's exhibition “Women of Vision: National Geographic Photographers on Assignment”, on view at the Palm Beach Photographic Centre, Jan. 22 - Mar. 22, 2015. (Photo by Kitra Cahana/National Geographic)

Krysten Ritter is seen at Sundance Festival on January 19, 2014 in Park City, Utah. (Photo by Alo Ceballos/GC Images)