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The BBC has been told by doctors that Uzbekistan is running a secret programme to sterilise women - and has talked to women sterilised without their knowledge or consent.
Adolat has striking looks, a quiet voice and a secret that she finds deeply shameful.
She knows what happened is not her fault, but she cannot help feeling guilty about it.
Adolat comes from Uzbekistan, where life centres around children and a big family is the definition of personal success. Adolat thinks of herself as a failure.
"What am I after what happened to me?" she says as her hand strokes her daughter's hair - the girl whose birth changed Adolat's life.
"I always dreamed of having four - two daughters and two sons - but after my second daughter I couldn't get pregnant," she says.
“Every doctor is told how many women are to be sterilised - there is a quota”
She went to see a doctor and found out that she had been sterilised after giving birth to her daughter by Caesarean section.
"I was shocked. I cried and asked: 'But why? How could they do this?' The doctor said, 'That's the law in Uzbekistan.'"
Sterilisation is not, officially, the law in Uzbekistan.
But evidence gathered by the BBC suggests that the Uzbek authorities have run a programme over the last two years to sterilise women across the country, often without their knowledge.
Foreign journalists are not welcome in Uzbekistan, and in late February of this year the authorities deported me from the country. I met Adolat and many other Uzbek women in the relative safety of neighbouring Kazakhstan. I also gathered testimony by telephone and email, and in recordings brought out of the country by courier.
None of the women wanted to give their real names but they come from different parts of Uzbekistan and their stories are consistent with those of doctors and medical professionals inside the country.
"Every year we are presented with a plan. Every doctor is told how many women we are expected to give contraception to; how many women are to be sterilised," says a gynaecologist from the Uzbek capital, Tashkent.
Like all doctors I interviewed, she spoke on a condition of anonymity. Talking to a foreign journalist could result in a prison term, in a country where torture in detention is the norm.
"There is a quota. My quota is four women a month," she says.
Two other medical sources suggest that there is especially strong pressure on doctors in rural areas of Uzbekistan, where some gynaecologists are expected to sterilise up to eight women per week.
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Jesus, this is horrible. These poor women.