Introduction: On June 24, 2022, the U.S. Supreme Court eliminated the federal protection of abortion rights in Dobbs vs. Jackson Women’s Health Organization. Since this decision, many urologists have anecdotally reported seeing more men, particularly younger men and those without children, for vasectomy consultation. We aimed to determine the impact of Dobbs on the number and types of men seeking vasectomy. Methods: A retrospective chart review was performed on all patients who completed a vasectomy consult appointment at a single health system in Michigan in the three months following Dobbs (6/24/2022 – 9/24/2022). This was compared to a similar time frame in 2021 (6/24/2021 – 9/24/2021). We calculated the number of new vasectomy consults seen in these periods. We evaluated for differences in men seeking vasectomy consults between time frames with logistic regression accounting for patient demographics, location seen, and visit type. Results: In the three months after Dobbs, there was a 2.25x increase in new vasectomy consult appointments completed compared to a similar timeframe in 2021 (342 vs. 152 patients). The youngest patient seen for vasectomy consult after Dobbs was 19 years old, versus 25 years old in 2021. Those seeking vasectomy consult were more likely to have no children versus those with 3 or more children (OR 2.79, p=0.01). There was a 2.3x increase in agnostic/atheist/non-religious men seeking vasectomy consults (232 vs 100 patients), and these men were twice as likely to seek vasectomy consults post-Dobbs than Catholic men (OR 2.1, p=0.048). Compared to men who were married, those seeking vasectomy consults post-Dobbs were more likely to be partnerless/divorced (OR 4.7, p=0.004) or in a non-married relationship (OR 2.4, p=0.018). Men were more likely to seek vasectomy consults post-Dobbs in community hospitals versus academic hospitals (OR 3.3, p=0.006). There were no significant differences pre- and post-Dobbs in men seeking vasectomy consults by age, income, race, or insurance type. Conclusions: After the Dobbs decision, 2.25x more men sought vasectomy consults. Those seeking vasectomy consults post-Dobbs were more likely to be childless, agnostic/atheist/non-religious, and non-married. The changing abortion landscape has led to significant effects in male reproductive healthcare. SOURCE OF Funding: None
