This chapter highlights the ways that the medical community and others enforce systemic and coercive reproductive practices, relying on racist, ableist, heterosexist, and classist assumptions. Over generations, these assumptions continue to marginalize the health needs and quality of care of poor women, women of color, queer women, and women with disabilities. Women report that navigating the healthcare systems has felt treacherous and dangerous; a voyage marked by hostility, dismissal, and a general contempt for their voices and experiences. The Depo Diaries initiative challenges this culture of enforced silence. Etobssie Wako is a women's health advocate whose work is grounded in expanding the existing parameters of health care to incorporate women's rights globally. She believes in the power of the personal narrative as a means to transcend oppressive practices and systems and promote just communities.