this post was submitted on 14 Apr 2024
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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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[–] disguy_ovahea 58 points 7 months ago (5 children)

Thinking about disclosing my vasectomy on my dating app profile…

[–] [email protected] 36 points 7 months ago (1 children)

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

[–] disguy_ovahea 18 points 7 months ago

huge plus

You’re such a flirt. Haha

[–] Sterile_Technique 30 points 7 months ago

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.

[–] [email protected] 22 points 7 months ago

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.

[–] [email protected] 10 points 7 months ago

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.

[–] WhatsThePoint 6 points 7 months ago* (last edited 7 months ago)

That’s a good idea.

[–] FlyingSquid 58 points 7 months ago (2 children)

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

[–] Fredselfish 32 points 7 months ago (2 children)

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 30 points 7 months ago (1 children)

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 14 points 7 months ago

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.

[–] [email protected] 12 points 7 months ago
[–] [email protected] 15 points 7 months ago (2 children)
[–] Burn_The_Right 16 points 7 months ago (2 children)

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 4 points 7 months ago

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

[–] PlantJam 2 points 7 months ago (1 children)

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.

[–] [email protected] 2 points 7 months ago (1 children)

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.

[–] [email protected] 4 points 7 months ago

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.

[–] FlyingSquid 13 points 7 months ago (1 children)

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

They already are saying they want to go after contraception.

[–] [email protected] 7 points 7 months ago

Arg..... Great.

[–] [email protected] 32 points 7 months ago (3 children)

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.

[–] [email protected] 5 points 7 months ago

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.

[–] [email protected] 5 points 7 months ago

Welcome to the club, brother!

[–] [email protected] 2 points 7 months ago

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.

[–] Sterile_Technique 22 points 7 months ago (2 children)

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.

[–] [email protected] 8 points 7 months ago (2 children)

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.

[–] [email protected] 7 points 7 months ago

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 6 points 7 months ago

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.

https://19thnews.org/2024/02/what-is-ivf-future-access-states/

[–] PlantJam 3 points 7 months ago

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.

[–] [email protected] 22 points 7 months ago (1 children)

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

[–] [email protected] 22 points 7 months ago* (last edited 7 months ago) (1 children)

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 12 points 7 months ago (1 children)

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

[–] [email protected] 3 points 7 months ago

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.

[–] [email protected] 20 points 7 months ago* (last edited 7 months ago)

(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.

[–] ChihuahuaOfDoom 18 points 7 months ago (1 children)

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.

[–] [email protected] 3 points 7 months ago
[–] PopcornPrincess 18 points 7 months ago* (last edited 7 months ago) (1 children)

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.

[–] [email protected] 19 points 7 months ago (1 children)

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.

[–] morphballganon 9 points 7 months ago* (last edited 7 months ago) (1 children)

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.

[–] [email protected] 13 points 7 months ago (1 children)

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.

[–] [email protected] 1 points 7 months ago

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.

[–] Asclepiaz 8 points 7 months ago

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

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