Waxaa la oggolaaday isticmaalka ka hortagga uurka ee Maraykanka sanadkii 1960, waana qaab aad loo jecel yahay ee ka hortagga dhalmada. Waxaa hadda isticmaala in ka badan 100 milyan oo haween ah oo adduunka oo dhan ah iyo ku dhawaad 12 milyan oo haween ah oo ku nool Maraykanka. Laga soo bilaabo 2014, 15.6% dumarka Maraykanka ee da'doodu tahay 15-44 ayaa sheegay inay isticmaalayaan kaniiniga ka hortagga dhalmada, taas oo ka dhigaysa habka ugu ballaaran ee ka hortagga dhalmada ee dumarka da'daas. Isticmaalka ayaa si weyn ugu kala duwan dalka, da'da, waxbarashada, iyo xaaladda guurka. Saddex meelood hal meel dumarka da'doodu tahay 16-49 ee Boqortooyada Ingiriiska ayaa hadda isticmaala kiniinka isku dhafan ama kiniinka progestogen-ka kaliya, Su'aal: Goorma ayaa kaniiniga ka hortagga dhalmada markii ugu horreysay loo oggolaaday isticmaalka Maraykanka?
1960kii