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More than anything else in the world, Erin Millender longed to be a mother. She already had a day care picked out, a Pack ’n Play stashed in her basement. She’d tried Chinese pregnancy teas and midnight fertility ceremonies under a full moon in the Caribbean Sea. Whatever it took to have a child.

Now in her mid-40s, Millender knew she was running out of time. She had already spent several years attempting in vitro fertilization, with no luck. She’d decided to give I.V.F. one more try.

“What’s a good day to come in?” Millender asked when she called the clinic in July 2023, hoping to have an embryo placed inside her uterus within a few weeks.

The doctor then delivered the news that would upend Millender’s entire future. Her husband had revoked his consent. She could no longer make a baby with his DNA.

And with that, Millender arrived at the center of a contentious new debate dividing courts and couples across the country. As more...