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

Stopthatgirl7@lemmy.world to News@lemmy.world – 292 points –
After Dobbs, twice as many women sought tubal ligation than men turned to vasectomies
salon.com

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.

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Thinking about disclosing my vasectomy on my dating app profile…

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.

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.

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

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.

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"

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.

Stop giving them ideas!

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

They already are saying they want to go after contraception.

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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.

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.

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 :)

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.

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

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.

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

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.

(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.

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.

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.

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

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.

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.

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.

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

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.

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. https://academic.oup.com/humupd/article/29/2/157/6824414?login=false

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.

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

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.

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.

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.

https://www.obstetricgynecoljournal.com/articles/cjog-aid1122.php https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10619598/ https://www.mdpi.com/2075-4426/14/2/198 https://academic.oup.com/humupd/article/30/2/153/7513427https://academic.oup.com/humupd/article/29/2/157/6824414

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?