Loving v. Virginia in 1967. Polygamy Polygamy—being married to more than one spouse—is illegal in most countries. Where polygamous marriages are allowed, it is typically polygyny that is permitted. While accepted by some societies, it is far less common than monogamy. Polygamy is normally not permitted in most western countries, although some recognize bona fide polygamous marriages that were performed in other countries. Polygamy is practiced illegally by some groups in the United States and Canada, primarily by certain Mormon fundamentalist sects that separated from the mainstream Latter Day Saints movement after the practice was renounced in 1890. Many societies, even some with a cultural tradition of polygamy, recognize monogamy as the only valid form of marriage. For example, People's Republic of China shifted from allowing polygamy to supporting only monogamy in the Marriage Act of 1950 after the Communist revolution. In Islam, polygamy is permitted by the Quran (4:3) which states "If you fear you might fail to give orphan women their ˹due˺ rights ˹if you were to marry them˺, then marry other women of your choice—two, three, or four. But if you are afraid you will fail to maintain justice (between your wives) then ˹content yourselves with˺ one or those ˹bondwomen˺(slaves) in your possession. This way you are less likely to commit injustice (to the orphan girls in your care)." [This verse is from a para which is setting out rules for adoption of orphans.] Africa has the highest rate of polygamy in the world. In India, only Muslims are allowed to practice polygamy. Polygamy, taking the form of polygyny, is most common in a region known as the "polygamy belt" in West Africa and Central Africa, with the countries estimated to have the highest polygamy prevalence in the world being Burkina Faso, Mali, Gambia, Niger and Nigeria. In the region of sub-Saharan Africa, polygyny is common and deeply rooted in the culture, with 11% of the population of sub-Saharan Africa living in such marriages (25% of the Muslim population and 3% of the Christian population, as of 2019). Polygyny is especially widespread in West Africa, with the countries estimated to have the highest polygyny prevalence in the world as of 2019 being Burkina Faso (36%), Mali (34%) and Gambia (30%). Outside of Africa, the highest prevalence is in Afghanistan, Yemen and Iraq. Medical examination Beginning in the early 20th century, a number of jurisdictions have mandated premarital