This is a cultural achievement?
In the minds of those of us who see a long lineage of medical progress, yes it is. As soon as humankind discovered that sex=babies, it was necessary to have rules (codified in religion) about who can have sex, and when. Science has changed that.
Those who are still stuck with the old rules can follow them, and the rest of us can figure out what we want to do, and when we want to do it. Even if you don't see it as 'progress', you have to admit it changed the way the old formulas worked, and as such, is an achievement.
Same can be said for genocide and abortion.