Not every call was a patient inquiry about a vasectomy, but there were many. The office added extra appointments to meet increased requests for consultation on the sometimes reversible contraceptive procedure, said urologist Dr. Koushik Shaw. Reproductive health experts across the state are seeing a growing interest in long-term and permanent contraceptive options, including vasectomies, fallopian tubes and endometrial devices, known as IUDs, as a response that limits the process in most cases. “People are rethinking contraception, life planning, family planning and moving forward quickly in the decision-making process,” he said. The apparent rush for long-term contraceptive options began as the nearly complete abortion ban in Texas went into effect in September, with interest growing since the Supreme Court’s draft decision on the constitutionality of abortion was leaked in May. The overthrow of Roe v. Wade last Friday seems to have just accelerated demand for birth control. Google searches in Texas related to vasectomy and tubal ligation – or tubal ligation – increased in the days following the ruling. Patients cover all ages, genders and income scales, although the decision is likely to have a greater impact on low-income people. They include people who are already parents and people who never plan to have children. The common denominator is their desperation for more reliable birth control options, even if they are accompanied by potentially negative side effects.
Quick change in designs
Dr. John Thoppil, president of the Texas Association of Obstetricians and Gynecologists, said his private practice in Austin had a 50% increase in requests for long-term contraceptives from the Supreme Court ruling, specifically on tubal ligation. The sterilization procedure, which in some cases can be reversed, is performed under anesthesia by a surgeon who blocks or cuts the fallopian tubes to prevent pregnancy. Jessica Moore, 36, of Austin, scheduled a consultation with Thoppil shortly after the Supreme Court ruling, saying her “sense of security” if she was pregnant was gone. In the past, he had taken a pill and had a IUD, but suffered negative side effects. He decided to try the Nexplanon arm implant, which releases hormones that prevent pregnancy. “It’s really unfortunate that we have to either choose: ‘I will risk getting pregnant, despite my best efforts not to,’ or ‘I put these hormones in my body that negatively affect me and cause me side effects,’” she said. he said. Hormonal birth control methods such as the daily pill, the hormonal IUD and Nexplanon can result in numerous side effects such as weight gain, nausea and mood swings. The Trust Her, a Dallas-based initiative that works with eight community health clinics in the area to financially assist patients seeking same-day birth control services, has seen a “steady increase” in patients seeking contraception since the passage of Bill 8. of the Senate. The agency’s director Kate McCollum reported a 54% increase in the number of patients covered in the first quarter of 2022 compared to the same quarter last year. “These would be women who are uninsured and not enrolled in any kind of payment program like Medicaid or Healthy Texas Women, who probably would not be able to afford their out-of-pocket method,” she said. He also reported an increase in the number of teens attending birth control clinics and an increase in the number of women choosing “highly effective methods such as IUDs, which often have the most barriers to access”. IUDs can be costly and may require someone to take time off work to recover from the short procedure. One of Trust Her partner clinics, the Women’s Health Care Center in Dallas, saw a 10-15% increase in women seeking long-term “all forms” of contraception since September, said Dr. Sherry Tennyson, founder of the nonprofit clinic. . . “They are our low-income women, the low-insured women, of all ages and all races,” she said. Dr. Shanna Combs, a Fort Worth-based gynecologist for children and adolescents, saw not only an increase in young women seeking long-term reliable birth control, but also a significant increase in the number of parents seeking birth control for their children. Both groups report on legal developments in Texas abortion law and the recent Supreme Court ruling. “In September, I saw a lot of parents say, ‘Well, in light of the recent news or the recent changes in the law, I want to make sure she’s protected because if she got pregnant, she could do nothing.’ Other patients are more concerned that the Supreme Court ruling could pave the way for future contraceptive bans. In a consensus, Judge Clarence Thomas said the court would have to review other previous decisions, including one codifying the right of access to contraception. Dallas podcast producer Kelly Kolff, 25, learned of the monumental court ruling an hour before her scheduled gynecologist appointment. She did not plan to talk to the doctor about birth control, but her plans changed quickly, she said. Kolff has been taking the contraceptive pill since 2019. She told her doctor she wanted to do a IUD, a long-term birth control option that can last anywhere from three to 10 years. Kolff had previously been reluctant to pick up the device due to pain during and after the procedure. “But there was no hesitation in my mind that day. “I felt, and I still feel, that I have no choice but to take a spiral for my own survival,” he said. “I do not know what will happen next and I wanted something long enough to know that I would be protected if Texas started banning contraceptives.” Kolff is scheduled to undergo IUD surgery next week. People are also rushing to get emergency contraceptives. CVS announced on Tuesday that it is restricting sales of the next day’s pills, such as the well-known Plan-B brand, after the increase in consumer socks. Emergency contraceptives can be purchased without a prescription.
Male contraception after Roe
Dr. Shaw of the Austin Institute of Urology regularly performs vascular resections on men who do not want to have children. During the procedure, which he performs in his clinic using a local anesthetic, Shaw enters the scrotum through a tiny incision and cuts the vascular pores or the tube that carries sperm from the testicles to the penis. Recovery takes about a week and, after about 90 days, the procedure is more than 99% effective, Shaw said. His patients usually range from 25 to 55 years old, although he recently noticed a significant jump in patients under 30 years old. Interior of a patient examination room at the Austin Institute of Urology, Tuesday, June 28, 2022, in Austin, Texas. (Rodolfo Gonzalez / Special Partner) (© 2022 Rodolfo Gonzalez / GonzoFotoz.com / Special Partner) “The population under the age of 30, [they’re] saying, “We do not want children, it is not in the plan of our lives,” he said. Vasectomies can be reversed through another outpatient procedure that has a success rate of up to 95%, depending on how much time has passed since the initial procedure and the type of reversal required. Shaw said he advises patients to consider vasectomy as permanent because there is always the possibility that the reversal will not work. While the Affordable Care Act requires insurance companies to cover female contraceptives, it does not require all companies to cover vasectomies. The procedure can cost up to $ 1,000 out of pocket, Shaw said. Many of Shaw’s patients said they had a vasectomy because they did not want their partner to need to take birth control pills or IUDs. Other patients reported concerns about condom failure. It is a remarkable change in thinking, Shaw said, as the responsibility for contraception has historically fallen on women. “We are changing this bullying factor a bit, as women are responsible for all the planning of family care. “What is happening is that men are starting to talk more about it,” he said. “It simply came to our notice then. It is easy to do, without long-term effects, it is affordable. “If the time is right, I think it is a safer alternative.”
title: “Contraceptive Claims Rise In Texas After Abortion Decision Overturned " ShowToc: true date: “2022-11-05” author: “David Helmick”
Not every call was a patient inquiry about a vasectomy, but there were many. The office added extra appointments to meet increased requests for consultation on the sometimes reversible contraceptive procedure, said urologist Dr. Koushik Shaw. Reproductive health experts across the state are seeing a growing interest in long-term and permanent contraceptive options, including vasectomies, fallopian tubes and endometrial devices, known as IUDs, as a response that limits the process in most cases. “People are rethinking contraception, life planning, family planning and moving forward quickly in the decision-making process,” he said. The apparent rush for long-term contraceptive options began as the nearly complete abortion ban in Texas went into effect in September, with interest growing since the Supreme Court’s draft decision on the constitutionality of abortion was leaked in May. The overthrow of Roe v. Wade last Friday seems to have just accelerated demand for birth control. Google searches in Texas related to vasectomy and tubal ligation – or tubal ligation – increased in the days following the ruling. Patients cover all ages, genders and income scales, although the decision is likely to have a greater impact on low-income people. They include people who are already parents and people who never plan to have children. The common denominator is their desperation for more reliable birth control options, even if they are accompanied by potentially negative side effects.
Quick change in designs
Dr. John Thoppil, president of the Texas Association of Obstetricians and Gynecologists, said his private practice in Austin had a 50% increase in requests for long-term contraceptives from the Supreme Court ruling, specifically on tubal ligation. The sterilization procedure, which in some cases can be reversed, is performed under anesthesia by a surgeon who blocks or cuts the fallopian tubes to prevent pregnancy. Jessica Moore, 36, of Austin, scheduled a consultation with Thoppil shortly after the Supreme Court ruling, saying her “sense of security” if she was pregnant was gone. In the past, he had taken a pill and had a IUD, but suffered negative side effects. He decided to try the Nexplanon arm implant, which releases hormones that prevent pregnancy. “It’s really unfortunate that we have to either choose: ‘I will risk getting pregnant, despite my best efforts not to,’ or ‘I put these hormones in my body that negatively affect me and cause me side effects,’” she said. he said. Hormonal birth control methods such as the daily pill, the hormonal IUD and Nexplanon can result in numerous side effects such as weight gain, nausea and mood swings. The Trust Her, a Dallas-based initiative that works with eight community health clinics in the area to financially assist patients seeking same-day birth control services, has seen a “steady increase” in patients seeking contraception since the passage of Bill 8. of the Senate. The agency’s director Kate McCollum reported a 54% increase in the number of patients covered in the first quarter of 2022 compared to the same quarter last year. “These would be women who are uninsured and not enrolled in any kind of payment program like Medicaid or Healthy Texas Women, who probably would not be able to afford their out-of-pocket method,” she said. He also reported an increase in the number of teens attending birth control clinics and an increase in the number of women choosing “highly effective methods such as IUDs, which often have the most barriers to access”. IUDs can be costly and may require someone to take time off work to recover from the short procedure. One of Trust Her partner clinics, the Women’s Health Care Center in Dallas, saw a 10-15% increase in women seeking long-term “all forms” of contraception since September, said Dr. Sherry Tennyson, founder of the nonprofit clinic. . . “They are our low-income women, the low-insured women, of all ages and all races,” she said. Dr. Shanna Combs, a Fort Worth-based gynecologist for children and adolescents, saw not only an increase in young women seeking long-term reliable birth control, but also a significant increase in the number of parents seeking birth control for their children. Both groups report on legal developments in Texas abortion law and the recent Supreme Court ruling. “In September, I saw a lot of parents say, ‘Well, in light of the recent news or the recent changes in the law, I want to make sure she’s protected because if she got pregnant, she could do nothing.’ Other patients are more concerned that the Supreme Court ruling could pave the way for future contraceptive bans. In a consensus, Judge Clarence Thomas said the court would have to review other previous decisions, including one codifying the right of access to contraception. Dallas podcast producer Kelly Kolff, 25, learned of the monumental court ruling an hour before her scheduled gynecologist appointment. She did not plan to talk to the doctor about birth control, but her plans changed quickly, she said. Kolff has been taking the contraceptive pill since 2019. She told her doctor she wanted to do a IUD, a long-term birth control option that can last anywhere from three to 10 years. Kolff had previously been reluctant to pick up the device due to pain during and after the procedure. “But there was no hesitation in my mind that day. “I felt, and I still feel, that I have no choice but to take a spiral for my own survival,” he said. “I do not know what will happen next and I wanted something long enough to know that I would be protected if Texas started banning contraceptives.” Kolff is scheduled to undergo IUD surgery next week. People are also rushing to get emergency contraceptives. CVS announced on Tuesday that it is restricting sales of the next day’s pills, such as the well-known Plan-B brand, after the increase in consumer socks. Emergency contraceptives can be purchased without a prescription.
Male contraception after Roe
Dr. Shaw of the Austin Institute of Urology regularly performs vascular resections on men who do not want to have children. During the procedure, which he performs in his clinic using a local anesthetic, Shaw enters the scrotum through a tiny incision and cuts the vascular pores or the tube that carries sperm from the testicles to the penis. Recovery takes about a week and, after about 90 days, the procedure is more than 99% effective, Shaw said. His patients usually range from 25 to 55 years old, although he recently noticed a significant jump in patients under 30 years old. Interior of a patient examination room at the Austin Institute of Urology, Tuesday, June 28, 2022, in Austin, Texas. (Rodolfo Gonzalez / Special Partner) (© 2022 Rodolfo Gonzalez / GonzoFotoz.com / Special Partner) “The population under the age of 30, [they’re] saying, “We do not want children, it is not in the plan of our lives,” he said. Vasectomies can be reversed through another outpatient procedure that has a success rate of up to 95%, depending on how much time has passed since the initial procedure and the type of reversal required. Shaw said he advises patients to consider vasectomy as permanent because there is always the possibility that the reversal will not work. While the Affordable Care Act requires insurance companies to cover female contraceptives, it does not require all companies to cover vasectomies. The procedure can cost up to $ 1,000 out of pocket, Shaw said. Many of Shaw’s patients said they had a vasectomy because they did not want their partner to need to take birth control pills or IUDs. Other patients reported concerns about condom failure. It is a remarkable change in thinking, Shaw said, as the responsibility for contraception has historically fallen on women. “We are changing this bullying factor a bit, as women are responsible for all the planning of family care. “What is happening is that men are starting to talk more about it,” he said. “It simply came to our notice then. It is easy to do, without long-term effects, it is affordable. “If the time is right, I think it is a safer alternative.”
