Updated at 9:44 a.m. ET
As a young woman growing up in a poor farming community in Virginia in the 1940s and '50s, with little information about sex or contraception, sexuality was a frightening thing for Carole Cato and her female friends.
"We lived in constant fear, I mean all of us," she said. "It was like a tightrope. always wondering, is this going to be the time [I get pregnant]?"