Pseudonymous gas station clerk Eleanor is just 20, but she knows that she never wants children. “I have a lot of trauma from my childhood, and from how my mother treated me,” she tells me. “I wouldn’t want to risk continuing that cycle of abuse.” So, for the last few years, she’s been researching sterilization procedures, specifically a salpingectomy — an operation in which one or both of the fallopian tubes are removed. But it wasn’t until earlier this week, when a leaked draft revealed that the Supreme Court had voted to overturn Roe v. Wade — the landmark 1973 ruling that made safe, legal abortion a constitutional right — that Eleanor finally decided to try and book an appointment with a gynecologist.