It is worth noting that this outcome is almost certainly thanks in part to Madonna and others like her.

She is/was a major feminist icon of the 20th century albeit certainly a controversial one even within feminism.

I don't even understand this joke. Is it a reference to her other children being larger? Is this some joke about her having very well endowed lovers? Is she into some kind of insertion thing like Gwyneth Paltrow and her jade eggs? I can't make sense of it