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====Relationship with spouse==== In countries that are more entrenched in the traditional [[Patriarchy|patriarchal system]], female sterilizations can inspire abusive behavior from husbands for various reasons.<ref>Rao, Vijayendra. "Wife-Beating in a Rural South India Community." ''Social Science and Medicine''. 44.8 (1997): 1169β1181.</ref> Sterilization can lead to distrust in a marriage if the husband suspects his wife of infidelity. Furthermore, the husband may become angry and aggressive if the decision to be sterilized is made by the wife without consulting him. If a woman marries again after sterilization, her new husband might be displeased with her inability to bear him children, causing tumult in the marriage. There are many negative consequences associated with women who hold very little personal power. However, in more progressive cultures and in stable relationships, there are few changes observed in spousal relationships after sterilization. In these cultures, women hold more agency, and men are less likely to dictate women's personal choices. Sexual activity remains fairly constant, and marital relationships do not suffer, as long as the sterilization decision was made collaboratively between the two partners.<ref name="philliber1985" />
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