'I don't have faith in doctors anymore!'

How women get pressured into long-term birth control

- By Alana Semuels, Photographs by Nydia Blas

MIANNICA FRISON WAS IN THE THROES OF LABOR in 2020 when a nurse entered her room at UAB Hospital in Birmingham, Ala. Frison was screaming in pain. But rather than see how she could help, Frison recalls, the nurse said she heard Frison was having her third baby, and asked if she wanted to be sterilized immediately after she gave birth. Outraged, Frison kicked the nurse out of the room.

Doctors eventually told Frison she needed an emergency C-section. As she lay on the operating table, just moments after her son was pulled from her belly, a doctor entered the delivery room. "We can go ahead and put an IUD in right now, since you're already open," the doctor said, according to both Frison and her husband.

Frison was woozy from her epidural, but had experienced a traumatic birth, and at that moment, she didn't think she wanted more children. So she allowed the doctor to insert the Mirena, an intrauterine device (IUD) that would prevent pregnancies for up to eight years. In the months that followed, she didn't like the way the IUD was making her feel. But Frison says she couldn't persuade her gynecologist to take it out. The doctor told her that she needed to lose weight first, Frison recalls, and that there were medicines to offset the side effects she was experiencing, like nausea.

UAB Hospital in Birmingham, Ala., where patients have complained of contraceptive coercion