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 September 1, 2016 photo, 90-year-old street vendor Antonio Bauza waits for tourists to sell his bananas, next to the village church in Remedios, Cuba. With the arrival of the first commercial flights from the U.S. to Cuba in more than 50 years, the Cuban government is welcoming the wave of new visitors and struggling to update infrastructure that's already overwhelmed. (Photo by Ramon Espinosa/AP Photo)

A woman cools off from the extreme heat from an opened fire hydrant in Brooklyn, New York on July 2, 2018. The highest temperature reached 35 degrees Celsius in New York City on Monday as a result of a prolonged heat wave. (Photo by Shannon Stapleton/Reuters)

Family and celebrities arrive at Kylie Jenner's 21st birthday celebration at Craig's in West Hollywood, CA on August 9, 2018. Pictured: Kim Kardashian. (Photo by Splash News and Pictures)

North Korea's Samjiyon Orchestra performs at Pyongyang Grand Theatre in Pyongyang, North Korea, September 18, 2018. (Photo by Pyeongyang Press Corps/Pool via Reuters)

Elizabeth Mills jumps in front of the Conservative Political Action Conference (CPAC) sign at National Harbor, Md., February 23, 2018. (Photo by Joshua Roberts/Reuters)

Model Ashley Graham is seen walking in Soho on May 9, 2017 in New York City. (Photo by Raymond Hall/GC Images)

French mounted bullfighter Lea Vicens is gored by her first bull and falls off her horse during the 31st day of the San Isidro bullfighting festival at Las Ventas bullring in Madrid, Spain, 10 June 2017. (Photo by Victor Lerena/EPA)