The national debate over IVF, unfolding after an Alabama court decision prompted multiple clinics in the state to halt operations, prompts a question: What might be next? Could other fertility treatments and even birth control be under threat given that Roe v. Wade is no longer the law?

If the idea that birth control could be at risk in America strikes you as hard to believe, I understand. There’s no proposed legislation on the table to ban it, and it does seem unbelievable that contraception — which an overwhelming majority of US women, including religious and Republican women, have used and support — could one day disappear.

But attacks on reproductive rights have never really been about public opinion, as the overturn of Roe showed and the current national debate over IVF has further proved. While it’s not an immediate threat, anti-abortion leaders have been laying the groundwork to curtail contraception access for many decades, despite birth control being one of the most reliable ways to reduce the incidence of abortion.