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Short-Term Changes in Vasectomy Consults and Procedures Following Dobbs v Jackson Women’s Health Organization

2024; Lippincott Williams & Wilkins; Volume: 11; Issue: 3 Linguagem: Inglês

10.1097/upj.0000000000000528

2352-0787

Alex Zhu, Catherine S. Nam, Devon Gingrich, Nikunj K. Patel, Kristian M. Black, Juan J. Andino, Stephanie Daignault‐Newton, Jaya Telang, James M. Dupree, Susanne A. Quallich, Dana A. Ohl, Miriam Hadj-Moussa,

Reproductive Health and Contraception

No AccessUrology PracticeOriginal Clinical Practice5 Feb 2024Short-Term Changes in Vasectomy Consults and Procedures Following Dobbs v Jackson Women's Health OrganizationThis article is commented on by the following:Editorial CommentaryEditorial Commentary Alex Zhu, Catherine S. Nam, Devon Gingrich, Nik Patel, Kristian Black, Juan J. Andino, Stephanie Daignault-Newton, Jaya Telang, James M. Dupree, Susanne Quallich, Dana Ohl, and Miriam Hadj-Moussa Alex ZhuAlex Zhu Corresponding Author: Alex Zhu, DO, Department of Urology, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI 48109 ([email protected]) , Catherine S. NamCatherine S. Nam , Devon GingrichDevon Gingrich , Nik PatelNik Patel , Kristian BlackKristian Black , Juan J. AndinoJuan J. Andino , Stephanie Daignault-NewtonStephanie Daignault-Newton , Jaya TelangJaya Telang , James M. DupreeJames M. Dupree , Susanne QuallichSusanne Quallich , Dana OhlDana Ohl , and Miriam Hadj-MoussaMiriam Hadj-Moussa View All Author Informationhttps://doi.org/10.1097/UPJ.0000000000000528AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack Citations ShareFacebookLinked InTwitterEmail Abstract Introduction: On June 24, 2022, the US Supreme Court issued its decision on Dobbs v Jackson Women's Health Organization (Dobbs). This decision had major implications on female reproductive choices, but also had potential implications on their male counterparts. We sought to determine the association of Dobbs with the number and characteristics of men seeking vasectomy. Methods: A retrospective review was performed to determine the number of vasectomy consults and procedures completed at a single Michigan health system in the 6 months following Dobbs (June 24, 2022-December 24, 2022) vs the same 6-month time frame between 2019 and 2021. Another retrospective review was conducted in the 3 months following Dobbs (June 24, 2022-September 24, 2022) vs the same days in 2021 to determine the number of vasectomy consults completed and to evaluate for differences in the characteristics of these men. Results: In the 6 months after Dobbs, there was a 150% and 160% increase in vasectomy consults and procedures completed, respectively, compared to a similar time frame in 2019 to 2021. In the 3 months after Dobbs, there was a 225% increase in new vasectomy consults compared to a similar time frame in 2021. There were no differences in the age, race, religion, median household income, or insurance type of men seeking vasectomy consult pre- vs post-Dobbs. Partnerless men (odds ratio 3.66) and those without children (odds ratio 2.85) were more likely than married men and those with 3 or more children, respectively, to seek vasectomy consult post-Dobbs. Conclusions: Dobbs was associated with a marked increase in vasectomy consultations and procedures at our institution in the state of Michigan. Future studies are needed to determine the long-term implications of Dobbs on vasectomy practices and determine if vasectomy practices differ by states and their respective abortion laws. References 1. Dobbs v Jackson Women's Health Organization, 19-1392, 597 US 215 (2022). Google Scholar 2. . Associations of unintended pregnancy with maternal and infant health outcomes: a systematic review and meta-analysis. JAMA.2022; 328(17):1714-1729. Crossref, Medline, Google Scholar 3. . The maternal mortality consequences of losing abortion access. SocArXiv.2022; 10.31235/osf.io/7g29k. Crossref, Google Scholar 4. . How Dobbs triggered a 'vasectomy revolution.' Politico. December 2022. Accessed March 26, 2023. https://www.politico.com/news/magazine/2022/12/02/how-dobbs-triggered-a-vasectomy-revolution-00070461 Google Scholar 5. . 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Direct-to-consumer internet prescription platforms overlook crucial pathology found during traditional office evaluation of young men with erectile dysfunction. Urology.2020; 143:165-172. Crossref, Medline, Google Scholar 28. . The challenge of erectile dysfunction management in the young man. Curr Urol Rep.2015; 16(12):84-89. Crossref, Medline, Google Scholar 29. Cleveland Clinic. Cleveland Clinic Survey: Men will do almost anything to avoid going to the doctor. 2019. Accessed March 20, 2023. https://newsroom.clevelandclinic.org/2019/09/04/cleveland-clinic-survey-men-will-do-almost-anything-to-avoid-going-to-the-doctor/ Google Scholar Funding/Support: None. Conflict of Interest Disclosures: The Authors have no conflicts of interest to disclose. Ethics Statement: This study received Institutional Review Board approval (IRB No. HUM00221740). Author Contributions: Conception and design: Zhu, Nam, Andino, Dupree, Quallich, Hadj-Moussa. Data analysis and interpretation: Zhu, Nam, Gingrich, Patel, Black, Andino, Daignault-Newton, Dupree. Drafting the manuscript: Zhu, Gingrich, Andino, Daignault-Newton. Critical revision of the manuscript for scientific and factual content: Zhu, Nam, Patel, Black, Andino, Daignault-Newton, Dupree, Quallich, Hadj-Moussa. Statistical analysis: Patel, Black, Daignault-Newton. Supervision: Zhu, Nam, Andino, Dupree, Hadj-Moussa. © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsRelated articlesUrology Practice4 Apr 2024Editorial CommentaryUrology Practice4 Apr 2024Editorial Commentary Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.KeywordsvasectomyabortionMetrics Author Information Alex Zhu Corresponding Author: Alex Zhu, DO, Department of Urology, University of Michigan, 1500 E Medical Center Dr, Ann Arbor, MI 48109 ([email protected]) More articles by this author Catherine S. Nam More articles by this author Devon Gingrich More articles by this author Nik Patel More articles by this author Kristian Black More articles by this author Juan J. Andino More articles by this author Stephanie Daignault-Newton More articles by this author Jaya Telang More articles by this author James M. Dupree More articles by this author Susanne Quallich More articles by this author Dana Ohl More articles by this author Miriam Hadj-Moussa More articles by this author Expand All Funding/Support: None. Conflict of Interest Disclosures: The Authors have no conflicts of interest to disclose. Ethics Statement: This study received Institutional Review Board approval (IRB No. HUM00221740). Author Contributions: Conception and design: Zhu, Nam, Andino, Dupree, Quallich, Hadj-Moussa. Data analysis and interpretation: Zhu, Nam, Gingrich, Patel, Black, Andino, Daignault-Newton, Dupree. Drafting the manuscript: Zhu, Gingrich, Andino, Daignault-Newton. Critical revision of the manuscript for scientific and factual content: Zhu, Nam, Patel, Black, Andino, Daignault-Newton, Dupree, Quallich, Hadj-Moussa. Statistical analysis: Patel, Black, Daignault-Newton. Supervision: Zhu, Nam, Andino, Dupree, Hadj-Moussa. Advertisement PDF downloadLoading ...