Study finds an increase in the number of U.S. young adults seeking permanent contraception
A new study from the George Washington University found a significant increase in the number of U.S. young adults seeking permanent contraception, specifically tubal sterilization and vasectomy, following the Supreme Court’s June 2022 decision which overturned Roe v. Wade.
Our study shows that the Dobbs decision has had a profound effect on young adults’ reproductive choices, leading many to opt for permanent contraception in the months following the decision. While access to all contraceptive methods – including permanent ones – is critical for reproductive autonomy, young people should not feel coerced into making decisions based on fear and uncertainty surrounding their rights.”
Julia Strasser, Director, Jacobs Institute of Women’s Health at the GW Milken Institute School of Public Health
Strasser and her colleagues studied the changes in contraceptive use and perceptions before and after the Dobbs ruling, and found that the number of young adults seeking tubal sterilization and vasectomy significantly increased in the months following the leaked Dobbs opinion in May 2022 and the decision itself in June 2022.
Other key takeaways:
- In August 2022, there were 799, or 70%, more tubal sterilizations, and 346, or 95%, more vasectomies compared to May 2022 for young adults between the ages of 19-26.
- There was a greater increase in tubal sterilizations and vasectomies in states deemed likely to ban abortion vs. states not likely to ban abortion.
- Qualitative responses from a survey of 638 young adults revealed that many expressed fears about their reproductive rights.
- Participants mentioned their interest in permanent contraception was motivated by concerns about losing access to abortion or the ability to make decisions regarding pregnancy.
Strasser says the study adds to a growing body of literature on the wide-reaching impact of the Dobbs decision, one that could affect generations to come. The research calls for greater attention to the unique needs of young people, especially in the context of evolving state laws and policies that restrict access to reproductive healthcare services.
The study, “Tubal Sterilization And Vasectomy Increased Among US Young Adults After The Dobbs Supreme Court Decision,” was published on January 6, 2025 in Health Affairs.
Strasser, J., et al. (2025). Tubal Sterilization And Vasectomy Increased Among US Young Adults After The Dobbs Supreme Court Decision In 2022. Health Affairs. doi.org/10.1377/hlthaff.2024.00824.
