Even so, I'm willing to bet that the "medical" angle is often used as cover for use of hormonal birth control. I'm also willing to bet that a lot of the conditions you mention stem from prior sexual dalliances or birth control methods which possibly caused the conditions you're now trying to treat.
Not all, but some.
Sexual sin has a lot of downstream consequences.
And how did our predecessors of a couple of centuries ago handle these?
We had slavery two hundred years ago.
Women were chattel.
Maternal and infant mortality was a heckuva lot higher than it is today.
I don’t think you want to go there, dude.