In the middle-class United States, a veneer of "alternative lifestyles" disguises the reality that, here as everywhere, women's apparent "choices" whether or not to have children are still dependent on the far from neutral will of male legislators, jurists, a male medical and pharmaceutical profession, well-financed lobbies, including the prelates of the Catholic Church, and the political reality that women do not as yet have self-determination over our bodies and still live mostly in ignorance of our authentic physicality, our possible choices, our eroticism itself.