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This 2022 photo provided by Julie Ann Nitsch shows her in a hospital in Texas, before surgery to remove her fallopian tubes. Nitsch, a sexual assault survivor, says she chose sterilization at age 36 rather than risk getting pregnant by another rapist. (Julie Ann Nitsch via AP)

This 2022 photo provided by Julie Ann Nitsch shows her in a hospital in Texas, before surgery to remove her fallopian tubes. Nitsch, a sexual assault survivor, says she chose sterilization at age 36 rather than risk getting pregnant by another rapist. (Julie Ann Nitsch via AP)

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