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)

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)

Miss Costa Rica Maria Fernanda Rodriguez Ávila 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)

Miss Nigeria, Maristella Okpala, appears on stage during the national costume presentation of the 70th Miss Universe beauty pageant in Israel's southern Red Sea coastal city of Eilat on December 10, 2021. (Photo by Menahem Kahana/AFP Photo)

Miss Japan, Juri Watanabe, appears on stage during the national costume presentation of the 70th Miss Universe beauty pageant in Israel's southern Red Sea coastal city of Eilat on December 10, 2021. (Photo by Menahem Kahana/AFP Photo)