In the wake of the 2022 Supreme Court ruling in Dobbs v. Jackson Women's Health Organization that overturned Roe v. Wade, researchers at the University of Chicago set out to investigate whether anticipation of restricted abortion access increased interest in vasectomies in the preceding years.
rates in the United States witnessed a remarkable surge from 2014 to 2021, as more men opted for the outpatient surgical procedure that offers permanent contraception by preventing sperm from leaving the body. The results, they say, highlight the need for health care providers to be proactive in offering comprehensive counseling and accommodation for patients seeking permanent contraception.
In a collaboration between the Section of Urology at the University of Chicago Medicine and the UChicago Center for Health and the Social Sciences, researchers used commercial health insurance claims data to calculate the annual vasectomy rate among privately insured men aged 18-64 in the U.S.
"We are anticipating increased consultations for vasectomy in our clinics," said urologist Omer Raheem, MD, Assistant Professor of Surgery-Urology and the senior author of the study."It is essential for health care providers to be aware of these trends and proactively offer vasectomy counseling and services to meet the growing needs of patients."
To gain a more nuanced view of these needs, the researchers further analyzed variations in vasectomy rates based on age group,, maternal age of partner, number of children and location. The absolute changes were most significant among men with three or more children, those with two children, and those with a partner under the age of 35.
Conversely, the relative changes were most prominent among men with no children, men with a partner over the age of 35, single men and those aged 18-24—which speaks to the increasing popularity of the procedure among men who previously may not have opted for permanent contraception.
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