"Sarah, who is 33 years old and lives in Tennessee, has spent the past few weeks deciding whether to undergo elective sterilization. After they suffered a bout of heart failure as a result of a virus in January, their OB/GYN told them their heart would likely not be strong enough to sustain a pregnancy. In the wake of the Supreme Court’s decision to overturn Roe, Tennessee’s near-total abortion ban is set to go into effect at the end of the month. “Being in a red state, my life will be in danger if I get pregnant,” says Sarah. “I can’t guarantee that I’d have access to an abortion even with medical reasons.” After consulting with their doctor, they decided to have their tubes surgically removed."