Men are rushing to get vasectomies after Supreme Court overturns Roe v. Wade

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Thomas Figueroa always knew he didn’t want children. Growing up in central Florida, he recalls his classmates getting pregnant as early as middle school and considering having a vasectomy in recent years.

But after the Supreme Court overturned Roe vs. Wade on Friday, he rushed to schedule one. He registered for a vasectomy on Monday with Doug Stein, a Florida urologist known as the “Vasectomy King” for his advocacy for the procedure.

“It’s something that I put on the back burner until very recently when the Supreme Court decision came out,” said Figueroa, 27, who lives in Tampa. “That was basically the trigger here. It made me say, ‘Okay, I really don’t want kids. I’m going to have this vasectomy now.’”

Figueroa is not alone. Urologists told the Washington Post that they have seen an increase in procedural requests in response to the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization.

Stein said that before Friday, he received four or five vasectomy requests a day. Since the announcement of the court’s decision, this number has increased to 12 to 18 requests per day.

“It was very, very noticeable on Friday, and then the number that came in over the weekend was huge and the number that continues to come in far exceeds what we’ve seen in the past,” Stein told the Post. . “A lot of guys say they’ve been thinking about a vasectomy for a while, and the Roe vs. Wade The decision was just the latest factor that tipped them over and compelled them to submit the entry online.

Some doctors face confusion and fear in a post-deer world. The American College of Obstetricians and Gynecologists (ACOG) has joined several other professional organizations and medical journals in recent days to warn that the decision will affect health care beyond abortion, posing new risks for patients and possibly increasing maternal mortality. Doctors are concerned about the impact on situations such as miscarriages and in vitro fertilization. The practice of medicine will be reshaped, the group said, or even contradicted “by laws not based on science or based on evidence.”

Doctors face confusion and fear in post-Roe world

A vasectomy is a form of permanent sterilization that prevents sperm from traveling through the vas deferens and combining with semen. The National Center for Health Statistics reported that in 2002, the top reasons women gave for relying on vasectomy as a form of birth control were that they or their partners already had all the children they wanted. . But from 2011 to 2015, other reasons for having a vasectomy, including medical reasons and problems with other types of birth control, became more common.

There has been a push for vasectomies in anticipation of deer be overturned and anti-abortion legislation taking effect in states across the country. Stein and other vasectomy supporters took to the streets and child support offices to encourage people to have the procedure.

Men Across America Are Getting Vasectomies ‘As an Act of Love’

Stein said his practice is booked through the end of August with vasectomy appointments, prompting him to open more days in his schedule to accommodate patients who have recently signed up. He and his partner, John Curington, said the decision quashing deer has directly taken into account the vasectomy requests of its patients. Men under 30 who do not have children are requesting vasectomies in greater numbers than before, doctors said.

“I would say at least 60 or 70 percent mention the Supreme Court decision,” Curington said. “And a few of them have such sophistication as young men that they actually think of Judge Thomas and his opinion that contraception might come down next. And that’s shocking. That’s something which never enters our conversations, until this week.

Amanda Omelian, 33, and her boyfriend, Eric Nisi, also always knew they didn’t want kids. Nisi, 29, had been considering having a vasectomy for a few years but said the Supreme Court ruling prompted him to take the next step.

Omelian, who is from Homosassa, Florida and already uses two forms of birth control, fears that Florida will soon restrict access to these contraceptives in addition to restricting abortion rights with its abortion ban. of 15 weeks recently adopted. This led Nisi to sign up for a vasectomy on Tuesday.

The large increase that Stein’s practice has reported is consistent with what other urologists say they have seen since the draft of the Dobbs notice was leaked last month.

Philip Werthman, a Los Angeles urologist, also reported a “300 to 400 percent” increase in the number of vasectomy consultations he performed. Esgar Guarín, an Iowa-based urologist trained under Stein who specializes in vasectomies, said he saw a “200 to 250 percent” increase in traffic to his website offering specific information about vasectomies.

Marc Goldstein, a urologist and director of the Center for Male Reproductive Medicine and Microsurgery at Weill Cornell Medical Center in New York, said he typically sees twice as many patients per week for vasectomy reversals as for vasectomies.

“Now it’s the other way around,” he said. “So it was a drastic change. And that [decision] will only have an additional impact in terms of increased demand.

This is not the first time that a major news event has caused an increase in vasectomies. Goldstein said requests for vasectomies spiked after the Great Recession of 2008, as more men began to worry about raising additional children while struggling financially. When the coronavirus pandemic started in 2020, there was also an increase in demands with more men working from home, Guarín said.

“When something like this in the news happens, we have a bump,” Guarín said, adding that he’s seen a steady increase in vasectomy requests per year. “The general upward trend continues, but not the dramatic shocks.”

The Affordable Care Act does not require all insurance companies to cover the deductible for vasectomies, unlike female contraceptives, which are covered as “preventive services.” Nisi, who is between jobs and has no health insurance, said he pays out of pocket for the procedure, which costs Stein and Curington’s office just under $600.

Figueroa, an IT professional, said he also decided to pay out of pocket despite having health insurance from his employer.

“It doesn’t worry me at all,” he said, adding that the ease of the procedure motivated him to do it. “Birth control for a woman doesn’t really have to be necessary for something, in my opinion, that’s this cheap and very fast.”

Urologists attribute the general increase in vasectomies to a change in mentality among men.

Werthman pointed out that the recent surge in vasectomy claims in California came despite the fact that abortion rights in the state are unlikely to be affected by the Supreme Court’s decision. “If there’s one state in the country that won’t allow the repeal of abortion rights, I think it would be California,” he said.

Werthman, who performed vasectomies for two decades at Planned Parenthood, said he thinks there’s been a “change in men’s psyches” and that they’re more concerned about their role in family planning than ‘previously.

Nisi said he doesn’t want his girlfriend Omelian to “stress about getting pregnant” due to a potential lack of access to birth control in the future. “The world is a scary place and you don’t know what’s coming because it looks like we’re going backwards.”

Figueroa echoed that sentiment, saying what has unfolded over the days since last week acted as the final push he needed to sign up for the vasectomy he had been considering for a long time.

“It’s probably one of the very, very few things in politics that really affects me very personally and very hard,” he said. “It really woke up my eyes.”

Ariana Eunjung Cha contributed to this report.

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