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Most of them did become pregnant, although they often would practice different kinds of sex, like oral and anal sex. Abortions were a common solution too as were some medical remedies.
Most of these women who got pregnant would give up their babies for adoption or even just abandon them. Some would keep their children and especially daughters, as young girls could also work in the sex industry.
Furthermore, many of these women would not grow old, as their lifestyle, common violence and possible addictions would greatly reduce their lifespan.
hey had choices: