A Boring Dystopia

Women's circles, usually connected to lesbian and witchy communities will keep track of doctors who will perform tubal ligations or other sterilization techniques on demand, because it is so common for doctors to refuse women's personal choices about fertility.

And every time there's a big policy event that threatens family planning and reproductive rights, another bloc of women go for appointments to seek long-term and permanent contraception, because pregnancy is too much of a liability to leave up to chance, especially in anti-abortion states which have little to no maternity services either (all the OBGYNs closed shop and left).