In the end, 37 of the 44 countries voting in the UN Commission on the Status of Women in New York backed a compromise text, while the US was the only country to vote against it, with six abstaining.

The US representative had objected to the draft, arguing it contained "ambiguous language promoting gender ideology."

The text also included commitments related to sexual and reproductive health that the US considered too vague, as well as passages that it claimed could lead to censorship, referring to potential measures against hate speech. There was also opposition to reparations for victims of sexual violence.

The US initially tried to block or delay the adoption of the text. After that effort failed, the US representative proposed amendments.