33 F. Physical and psychological effects of the surgical procedure 114. Between August and September 2000, I.V. was diagnosed with remains of the placenta in the endometrial cavity, acute endometritis, and abscess in the abdominal wall.145 I.V. was also diagnosed with atrophic endometritis in March 2002.146 I.V. had to undergo another surgical procedure owing to these aftereffects.147 115. I.V. suffered anguish and frustration as a result of the tubal ligation. She believed that her right to become a mother again had been violated and felt “less of a woman because she could not have more children.”148 In 2002, I.V.’s household broke up and she was left responsible for her two daughters who live in Bolivia. Despite psychotherapy, I.V. has suffered emotional crises, some of them very strong,149 and this led her to ask the Inter-American Commission to grant precautionary measures in her favor and in favor of her two daughters. 150 In November 2013, I.V. suffered a more severe crisis that led her to destroy almost all the files and papers with her name or personal data that she had kept at home. She was admitted to the emergency department of the mental health ward of the La Paz Hospital de Clínicas for three weeks from November 12 to December 2, 2013.151 Since that time, I.V. is on medication.152 I.V.’s mental state also affected her daughters.153 116. The following are the conclusions of the last psychological examination of I.V. conducted by the ITEI in August 2015:154 Cf. Report of gynecological intravaginal ultrasound scan of August 14, 2000 (evidence file, volume VII, annex 11 to the submission of the case, folio 2150); Pathology and Cytology Laboratory Report of August 17, 2000 (evidence file, volume VII, annex 12 to the submission of the case, folio 2152); Report of gynecological intravaginal ultrasound scan of August 23, 2000 (evidence file, volume VII, annex 13 to the submission of the case, folio 2154), and Medical certificate of September 3, 2000 (evidence file, volume VII, annex 14 to the submission of the case, folio 2156). 145 Cf. Radiology report in relation to a request for a hysterosalpingogram (HSG) test, with the results dated March 25, 2002 (evidence file, volume VII, annex 15 to the submission of the case, folio 2158). 146 Cf. Brief containing an accusation filed by I.V. before the Trial Court of the province of Manco Kapac Copacabana on March 27, 2011 (evidence file, volume XII, annex 1.(c)) to the State’s final arguments, folio 4515). 147 Institute for Therapy and Research on the Effects of State Torture and Violence (ITEI), Psychological examination of I.V. on August 11, 2015 (evidence file, volume VIII, annex 21 to the brief with motions, pleadings and evidence, folios 2363 to 2384). 148 According to the evaluation made by the Institute for Therapy and Research on the Effects of State Torture and Violence (ITEI), in 2013, I.V. developed an organic schizophreniform psychosis believing that the State was pursuing her in order to kill her. Cf. Medical report of the Hospital de Clínicas, dated January 17, 2014, on the hospitalization of I.V. in the Mental Health Unit, and her medical diagnosis: organic schizophreniform psychosis (evidence file, volume IX, annex 68 to the brief with motions, pleadings and evidence, folio 3330). 149 Cf. Communication of the Commission on I.V.’s request for precautionary measures (MC-1 49-13) (evidence file, volume VIII, annex 13 to the brief with motions, pleadings and evidence, folio 2334). 150 Cf. Medical report of the Hospital de Clínicas, dated January 17, 2014, on the hospitalization of I.V. in the Mental Health Unit and her medical diagnosis: organic schizophreniform psychosis (evidence file, volume IX, annex 68 to the brief with motions, pleadings and evidence, folio 3330). 151 Cf. Medical prescription for carbamazepine and haloperidol issued to I.V. by the Hospital de Clínicas of La Paz (evidence file, volume IX, annex 79 to the brief with motions, pleadings and evidence, folios 3372 to 3376). 152 According to the ITEI evaluation: “[t]he unauthorized sterilization of the mother has affected the lives of the whole family and, particularly [N.V.] who, since her parents separated, is the main support for her mother, having to share her pain, concerns and emotional burden. The effect of this situation is that [N.V.] could not imagine being able to share her concerns and her problems, keeping everything to herself.” ITEI, Psychological evaluation of N.V. on August 3, 2015 (evidence file, volume VIII, annex 22 to the brief with motions, pleadings and evidence, folios 2386 to 2397). The ITEI indicated the following with regard to L.A.: “[t]he unauthorized sterilization of the mother has affected the lives of the whole family and, particularly [L.A.], who although unable to understand the reasons, owing to her age, could not count on a mother with sufficient emotional availability and time to provide her with the attention that she would have needed.” ITEI, Psychological evaluation of L.A., on July 28, 2015 (evidence file, volume VIII, annex 23 to the brief with motions, pleadings and evidence, folios 2399 to 2410). 153 154 Psychological evaluation of I.V. by the ITEI on August 11, 2015 (evidence file, volume VIII, annex 21 to the brief with

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