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• W4367296057 abstract "The Dobbs vs. Jackson decision in June 2022 caused an overnight halt on abortion care in many states in the United States and changed the scope of reproductive care in women’s health. A leaked draft 2 months prior fueled speculation leading up to the decision, which predicted the pending reversal ruling would have a major impact on obstetric and gynecology provider training, female reproductive care, and women’s wellbeing (2Honig S. “Overturning Roe vs. Wade causes uptick in vasectomy consults.” Yale School of Medicine Sexual and Reproductive Medicine Blog, July 2022.https://medicine.yale.edu/lab/urology-mens-health-blog/2022/jul/Date accessed: April 14, 2023Google Scholar). However, an immediate influence was also seen in men’s reproductive health, with countless reports of increased vasectomy internet searches within the first month after the reversal (3Bole R. Lundy S.D. Pei E. Bajic P. Parekh N. Vij S.C. Rising vasectomy volume following reversal of federal protections for abortion rights in the United States.Int J Impot Res. 2023; 14: 1-4Google Scholar). Relatively small cohort studies have since suggested that this trend continued, with a significant increase in young, childless men seeking vasectomy services (4Zhang T.R. Able C. Ramasamy R. Kohn T.P. United States vasectomy incidence rises following the reversal of Roe v. Wade in a national clinical and claims database.Fertil Steril. 2023; 120: 196-197Abstract Full Text Full Text PDF Scopus (1) Google Scholar). This study by Zhang et al. (1Vinekar K. Karlapudi A. Nathan L. Turk J.K. Rible R. Steinauer J. Projected implications of overturning Roe v Wade on abortion training in U.S. obstetrics and gynecology residency programs.Obstet Gynecol. 2022; 140: 146-149Crossref PubMed Scopus (37) Google Scholar) continues the increase in vasectomy narrative, with a novel perspective of comparing the trend immediately after the Roe vs. Wade reversal to the 3 years prior, using a time series analysis of the 7 months after the ruling. They did so with a national database, with reach to an impressive 87 million patient medical records. They found a general increase in vasectomy-naïve men undergoing vasectomy from 2019–2023, but specifically a significant 20% increase in vasectomies in the 7 months after the ruling compared with the 7 months prior. Contrary to the study by Bole et al. (4Zhang T.R. Able C. Ramasamy R. Kohn T.P. United States vasectomy incidence rises following the reversal of Roe v. Wade in a national clinical and claims database.Fertil Steril. 2023; 120: 196-197Abstract Full Text Full Text PDF Scopus (1) Google Scholar), this study found increases in all age groups and geographic trends in the South and Midwest. Limitations include the delay in reporting in the database, as well as its retrospective nature, but the investigators used incidence to try to alleviate some time lapse bias. Reproductive care in the United States has seen major shifts since the monumental Supreme Court abortion ruling on June 24, 2022. There is no doubt that men in the United States quickly realized the significant impact, as evidenced by the increase in internet searches and consults, leading to a transference of reproductive responsibility to them. At our institution, we have seen an uptick in vasectomy consult requests, although as this study suggests, there seemed to be an increase even in the past 3 years leading up to the reversal. Access to urologic care is an important aspect of male reproductive care, as vasectomy offers a safe, effective, and well-tolerated outpatient option. As the investigators note in this study, they do not show individual state or urban vs. rural trends, with the database only providing regional data. An interesting addition to these data would be an analysis of access and what the trend was for patients in urology-sparse areas, which may provide insight into improving underserved outreach. Nonetheless, this study adds significant weight to the literature regarding the importance of vasectomy services, especially in the wake of this political change. United States vasectomy incidence rises after the reversal of Roe v. Wade in a national clinical and claims databaseFertility and SterilityVol. 120Issue 1PreviewTo characterize U.S. vasectomy rates in men undergoing clinical evaluation before and after the reversal of Roe v. Wade and investigate the impact of demographic and geographic variables. Full-Text PDF" @default.
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• W4367296057 title "Dobbs vs. Jackson Supreme Court ruling: a stimulant of male reproductive responsibility" @default.
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• W4367296057 doi "https://doi.org/10.1016/j.fertnstert.2023.04.035" @default.
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