Amendment to the United States Constitution—came the main struggle to gain adequate access to birth control by women of all classes. During the fight for suffrage, women fought for access and knowledge of birth control, but the issue was propelled to the forefront in the 1920s with the help of activist Margaret Sanger. Despite the controversies surrounding her motives in her promotion of the distribution of birth control and run-ins with the law, she helped bring radical changes politically and