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After Dobbs, twice as many women sought tubal ligation than men turned to vasectomies

Published today in a JAMA Health Forum research letter, policy researchers from the University of Pittsburgh School of Public Health and Boston University show how the 2022 U.S. Supreme Court ruling affected preferences for permanent contraception among males and females between the ages of 18 to 30. It’s the first study to assess how the Dobbs ruling affected both females and male interest in permanent contraception procedures. What the researchers found was that despite all the attention on male vasectomies post-Dobbs, the rise in tubal sterilizations among females was twice as high as the increase among vasectomies in males.

card797 ,

Well. I’m 3 days post vasectomy. I’m doing my part. Oh and I wanna give a big THANKS OBAMA to the President for including all birth control in the ACA.

tacosanonymous ,

Welcome to the club, brother!

tehbilly ,

Don’t do what I did and think you’re ready for yard work before you’re really done healing! Welcome to the club, btw.

Schadrach ,

Oh and I wanna give a big THANKS OBAMA to the President for including all birth control in the ACA.

Err, it doesn’t. There’s no requirement to cover vasectomy in the ACA, specifically because it’s not classed as a contraceptive for women and the contraceptive requirements only include contraceptives for women. This goes so far that barrier methods for women have mandated coverage if a doctor will write a script for them, because they arefor women

And I know you’re doing a whole sarcastic THANKS OBAMA bit, but I figure it’s about 50/50 that someone reading it might not realize that that particular bit of explicit sex discrimination is in the law. I’m actually surprised that no one has tried to challenge the ACA on violating equal protection as a consequence, as hard as some of the GOP have looked for ways to attack it.

FlyingSquid ,
@FlyingSquid@lemmy.world avatar

I assume that means tubal ligations will be the next thing Republicans make illegal.

jaschen ,

Stop giving them ideas!

FlyingSquid ,
@FlyingSquid@lemmy.world avatar

Unfortunately, I’m betting they’ve had that idea for quite some time.

They already are saying they want to go after contraception.

jaschen ,

Arg… Great.

Burn_The_Right ,

Tubal ligations are already regulated in some red states. There are age and childbirth history requirements. A young woman in these states cannot just “decide” to have the procedure. She must meet criteria set by conservatives.

RubberElectrons ,
@RubberElectrons@lemmy.world avatar

Fucking atrocious. What do these red states actually produce?? Only two things I can think of are Texas instruments and mouser electronics.

PlantJam ,

Can you confirm that these are state level requirements and not just doctors forcing their opinions on their patients? I was under the impression it was just a thing certain doctors did.

jaschen ,

My old coworker who lived in AZ was 21 and couldn’t get her tubes tied until some certain age. I don’t remember if it’s the doctor’s office or the law.

Schadrach ,

I don’t remember if it’s the doctor’s office or the law.

Most of the time it’s the individual doctors. For example, my wife had to shop around for a hysterectomy to find a doctor willing to do it, despite multiple medical conditions related to her reproductive system that would be resolved by it, and despite being told by several of the same doctors that she was probably never able to have children. Most of them refusing because she hadn’t had any children, despite also claiming she couldn’t in the first place.

Fredselfish ,
@Fredselfish@lemmy.world avatar

Don’t have to in Texas and Oklahoma a woman can’t legally get one without having at least 3 kids or being a certain age. Think over 25 to 30. All GOP have to do s m extend that range.

GoTeamBoobies ,

Even as a male in the South I had to go through a few hoops to get a vasectomy and the appointments were specifically months apart so I’d have more time to “reconsider”

Fredselfish ,
@Fredselfish@lemmy.world avatar

Same and already had 3 kids and they still made me jump through hoops. But Planned Parenthood did pay for mine. Something men everywhere need to look into. Another reason conservative attack them. We should defend Planned Parenthood.

some_guy ,

Holy fuck.

Asclepiaz ,

I am so grateful to have gotten the Essure sterilization procedure without any side effects. I am curious why we aren’t working to refine the procedure rather than completely banning it. I got fixed with no incisions and walked out of the appointment just a couple hours after arriving.

Tubal is so invasive and I thought Essure was going to fix that but apparently not

Sterile_Technique ,
@Sterile_Technique@lemmy.world avatar

For anyone considering or already snipped, just incase you don’t know already: fallopian tubes and the vas deferens are both capable of reconnecting the cut ends and restoring fertility ON THEIR OWN.

Rare, but not unheard of for a couple consisting of a man who got a vasectomy and a women who got a tubal ligation to get pregnant cuz your inner bits don’t like being chopped up, and can be ridiculously resilient.

There are a few different techniques, but the factors boil down to: is the tube just being sliced and ends closed, or is it being sliced twice, a segment removed, and ends closed; and how are the ends being closed (tied with suture, clipped, or cauterized, or some combo of those).

The ones that have the lowest chance of self-healing also have the lowest chance being successfully restored surgically in the event you change your mind, but NONE of them should be thought of as temporary, cuz that ridiculous resilience I mentioned has an annoying tendency to not show its face when you actually want it to, and a reanastamosis surgery has a high chance for failure. For that reason, I’d personally opt for the methods of sterilization have the highest odds of actually staying sterile, and fuck the other factors… but that’s just me - weigh what’s important to you.

…all the dystopian reproductive laws and the workarounds folks are flocking to make me nervous that we’re going to see a not huge but not zero wave of things like unintentional pregnancies or folks deciding “it’s time!” and getting un-snipped to try to have a kid cuz this shit is so often talked about like it’s temporary / easily reversible, only to find out it can’t be undone.

Tar_alcaran ,

Note that if you really want bio kids after either a tubal ligation or a vasectomy, than IVF is still an option. Both men and women still produce all the needed ingredients, it’s a lot less fun retrieve and combine them after a produce to ensure it doesn’t happen. It generally involved large needles.

But you can absolutely have your own bio children with a little medical aid.

Vlyn ,

A lot less fun, much lower chance of success and it costs thousands. If you’re not 100% sure you don’t want kids then don’t get snipped.

I’m 33 now, no kids, planning to get my vasectomy this year. But I’m not planning on reversing that :)

FlyingSquid ,
@FlyingSquid@lemmy.world avatar

Note that if you really want bio kids after either a tubal ligation or a vasectomy, than IVF is still an option.

Not if you live in Alabama.

And possibly other states soon.

19thnews.org/…/what-is-ivf-future-access-states/

PlantJam ,

Your username is perfect for this topic. It looks like a 1 in 2000 chance for the tubes to grow back together, but I couldn’t find any information about when that is most likely to happen or if it ever stops being a risk.

Immersive_Matthew ,

Love how the Republicans are “so” focused on the birth of babies, yet not even talking about the massive drop in sperm count which is trending to zero in the next decade or 2.

FlyingSquid ,
@FlyingSquid@lemmy.world avatar

news.harvard.edu/…/fears-over-falling-human-sperm…

Immersive_Matthew ,

There are also papers about our fears of climate change may be overblown, but they like this one are in the minority. Here is a more recent paper. academic.oup.com/humupd/article/29/2/157/6824414?…

The article you link and others like it all say the same thing. Sure it is falling….but it is not below the threshold that matters. YET.

FlyingSquid ,
@FlyingSquid@lemmy.world avatar

I like how my paper is overblown but yours isn’t because you claim it’s in the minority without any evidence.

Immersive_Matthew ,

Without any evidence. Did you read the paper or just the headlines? I am concerned with falling sperm counts as is the UN and many governments, but I guess you know best.

FlyingSquid ,
@FlyingSquid@lemmy.world avatar

It’s a meta-analysis that goes up to 2013.

That is not evidence that the other papers are a minority in 2024.

So yes, without any evidence.

You brought up climate change. If you restrict scientific papers on climate change within a certain time frame and years before now, you can manipulate the results in a similar dishonest fashion.

Immersive_Matthew ,

It is due to people like you that we are not talking about real issues. Why are you so blatantly denying a real issue? Trolling?

For others reading this thread, here are 4 recent 2023/2024 papers all noting a concerning trend with male falling sperm counts. It is a very real issue that some are committed to sticking their head in the sand about.

obstetricgynecoljournal.com/…/cjog-aid1122.phpwww.ncbi.nlm.nih.gov/pmc/articles/PMC10619598/www.mdpi.com/2075-4426/14/2/198academic.oup.com/humupd/article/30/2/…/6824414

FlyingSquid ,
@FlyingSquid@lemmy.world avatar

It’s due to people saying that an 11-year-old meta analysis does not give a modern view of things that we are not talking about real issues?

morphballganon , (edited )

That’s because overturning Roe doesn’t directly affect men. If a man wanted a vasectomy, he’d get one regardless of abortion legality.

Anecdotally, I got a vasectomy about 6 years ago. If I hadn’t, I don’t know if outlawing abortions would have changed anything for me. It may have, but it’s impossible to be sure since it’s hypothetical.

I think men are accustomed to taking drastic measures to solve dilemmas. “If I can’t get this thing in my state, I’ll just drive to another state. Road trip!” Obviously there are plenty of women who don’t have the time/car/gas/freedom/know-how to do that, if a pregnancy occurs. So it makes sense that a greater percentage of women would opt for preventive measures.

Mouselemming ,

Also, it’s not just a quick road trip. She’s going to need to stay at least long enough to be sure she doesn’t have any complications, because a run to the hospital in an anti-abortion state could be dangerous.

TimLovesTech ,
@TimLovesTech@badatbeing.social avatar

I’m not a woman, but the choice also comes with emotional baggage that if forced to travel for these procedures, must also come along on the trip. It may not be a case of just get in the car and go. Because, if you pack it up and bring it along, you (ie. women) have to unpack that at some point, and doing it on a road trip may not be the best setting.

Kit ,

Got tubal ligation a few years ago and the recovery was hell, but it was worth it for the peace of mind.

Drusas ,

For any others reading this and thinking about it, I also got a tubal ligation a few years ago, and recovery was not hell for me. Uncomfortable, to be sure. But relatively quick.

Speculater ,
@Speculater@lemmy.world avatar

My wife got a salpingectomy and the recovery period was not hell either. Two weeks off work for a lifetime of peace of mind.

Kit ,

Seems like it’s different for everyone. I’d put the pain almost on par with my double mastectomy, and I was barely able to get out of bed for two weeks. I did refuse the painkillers, though, as addiction runs in my family.

PopcornPrincess ,

There’s a climate of fear that bodily autonomy is being stripped…access to abortive care in some states is restricted or banned. There’s a fear that bans on contraception might be next so yeah people are scared. It’s about choice and autonomy.

Drusas ,

For a person with a uterus having sex with a person with a penis, it's a matter of freedom.

Women are practically slaves if they can't choose whether or not to give birth.

Shardikprime ,

Shout out to the people in the past who experienced real slavery: your suffering literally means nothing now

ChihuahuaOfDoom ,

Way ahead of the game, if you don’t want kids it’s damn near foolproof. Now the strength, or lack thereof, of my pullout game isn’t a factor.

sharkfucker420 ,
@sharkfucker420@lemmy.ml avatar

Real

gregorum ,

(Most) Men can’t get pregnant so feel far less personal risk, and women don’t have fragile masculinity to protect.

Social psychology isn’t always complicated.

If I were the type of man to have sex with women, I’d have gotten the snip decades ago, but since the odds of me having sex with a woman ever are precisely zero, I pretty sure that’s all the contraception necessary.

disguy_ovahea ,

Thinking about disclosing my vasectomy on my dating app profile…

tsonfeir ,
@tsonfeir@lemm.ee avatar

Well, that’s probably a huge plus if you live in Florida or Texas.

disguy_ovahea ,

huge plus

You’re such a flirt. Haha

WhatsThePoint ,

That’s a good idea.

Drusas ,

I'm married to someone I met online. I never would have messaged him to begin with if his profile didn't very clearly state that he was childfree.

Sterile_Technique ,
@Sterile_Technique@lemmy.world avatar

Dystopian laws aside, having children vs not is a MAJOR decision in a relationship, so being upfront about what you (don’t) want and what you’ve done to make it (not) happen would definitely help pair you with a partner who’s on the same page.

Vlyn ,

I’m getting mine probably this year, you can be damn sure I’m going to disclose that on my dating profile.

Weeds out all the women who want to have kids and it’s a huge plus for the rest.

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