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)

Mud Day Queen Riley Tulgetske, left, embraces Mud Day King Phoenix Crowder during Mud Day at the Nankin Mills Park, Tuesday, July 9, 2019, in Westland, Mich. The annual day is for kids 12 years old and younger. While parents might be welcome, this isn't an event meant for teens or adults. It's all about the kids having some good, unclean fun during their summer break and is sponsored by the Wayne County Parks. (Photo by Carlos Osorio/AP Photo)

Sergio Valverde Espinoza, a Catholic priest of the Cristo Rey church who modified a popular song called “Sopa de Caracol”, or Snail Soup in English, gestures during a Mass in San Jose, Costa Rica, Sunday, May 2, 2021. Valverde changed the song's lyrics to a message calling for the use of face masks and care during the pandemic. (Photo by Carlos Gonzalez/AP Photo)

Doctor Dvora Ancona wears a glove bearing writings against violence on women as she arrives to attend La Scala opera house's gala season opener, Giuseppe Verdi's opera “Don Carlo” at the Milan La Scala theater, Italy, Thursday December 7, 2023. The season-opener Thursday, held each year on the Milan feast day St. Ambrose, is considered one of the highlights of the European cultural calendar. (Photo by Luca Bruno/AP Photo)

General view of “Marie Claire” Magazine Film Exhibition at Oquendo street during 59th San Sebastian Film Festival on September 22, 2011 in San Sebastian, Spain. (Photo by Carlos Alvarez/Getty Images)

(L-R) Actors Oscar Sinela, Luis Fernandez, Ursula Corbero, Amaia Salamanca, Maxi Iglesias and Alba Ribas attend “XP3D” premiere at the Callao cinema on December 27, 2011 in Madrid, Spain. (Photo by Carlos Alvarez/Getty Images)

Adriana Barahona, known as "Madame Barocle", wearing clothing of the Victorian era, walks along a central avenue in San Jose, Costa Rica June 4, 2015. Barahona says she has been passionate about clothing from the era of Britain's Queen Victoria (1837-1901), and has been making and wearing them since the age of 15. REUTERS/Juan Carlos Ulate

Ivanelis Jimenez, front, and Veronica Barreto pose for the camera wearing Puerto Rican flag dresses as they welcome passengers exiting Carnival's Mardi Gras cruise ship, docked in the bay of San Juan, Puerto Rico, Tuesday, August 3, 2021, marking the first time a cruise ship visits the U.S. territory since the COVID-19 pandemic began. (Photo by Carlos Giusti/AP Photo)