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)

In this photograph taken on January 29, 2017, Afghan members of a wushu martial arts group led by trainer Sima Azimi (C), 20, pose for a photograph at the Shahrak Haji Nabi hilltop overlooking Kabul. Afghanistan's first female wushu trainer, Sima Azimi, 20, is training 20 Afghan girls aged between 14 – 20 at a wushu club in Kabul, after learning the sport while living as a refugee in Iran. (Photo by Wakil Kohsar/AFP 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)

Xiren Wang, Lili Wat, and Sitong Chen join the pageant’s opening routine, dancing to “The Boys”, a song by K-Pop group «Girls’ Generation». While the women come from a range of professional backgrounds – including economics, nursing, and acting – every contestant is looking for her big break into the entertainment industry. Most contestants said they would prefer to have a career in the U.S. but would go wherever the opportunity lies. (Photo and caption by John Brecher/Sahra Vang Nguyen/NBC News)

Arab Israeli contestant Tallinn Abu Hana poses for the judges during auditions for the first Miss Trans Israel beauty pageant in Tel Aviv, Israel, Thursday, March 3, 2016. The winner will represent Israel at a Miss Trans Star International pageant to be held in Spain in August. Tel Aviv has emerged as one of the world's most gay-friendly travel destinations, standing in sharp contrast to most of the rest of the Middle East, where gays can face persecution. (Photo by Ariel Schalit/AP Photo)

A girl looks up at the trophy she won after competing in a child beauty pageant at Northcote Town Hall on July 30, 2011 in Melbourne, Australia. The controversial child beauty competition, kicked off today in Melbourne despite complaints and demonstrations by pageant opponents. Organised by the US-based pageant company that produces reality TV show “Toddlers and Tiaras”, Australian contestants will have the opportunity to pose with the reality show star, six year-old Eden Wood. (Photo by Scott Barbour/Getty Images)

In this October 18, 2015 photo, contestant Carlos Angevil, Miss Gay Vargas, competes in the swimsuit category of the ninth annual Miss Gay Venezuela beauty pageant in Caracas, Venezuela. Miss Gay Venezuela requires contestants be younger than 37 and be at least 1.7 meters (5' 6" feet) tall. (Photo by Ariana Cubillos/AP Photo)

Participants pose for a photographers during the Miss Iraq Pageant in Baghdad, December 19, 2015. (Photo by Ahmed Saad/Reuters)