Permanent Birth Control Is in Demand in the US—but Hard to Get

All of these reasons for denying sterilization are in direct conflict with ACOG’s ethical guidelines. However, doctors do not face any consequences for refusing to perform procedures; The United States does not track data on how many sterilization requests are denied. “So there’s no accountability—there’s no ability to control the consequences,” Hintz says.

Access to the procedure is not equal throughout society. Echoes sterilizationThe company’s checkered past—where marginalized groups of women were forced to undergo the procedure, including women of color, poor women, and those with disabilities or mental health issues—still exists. Blacks, Latinos, and Native Americans in the United States are ready twice as likely as white women to be approved for sterilization, while women with or without public health insurance are about 40 percent more likely to receive the procedure than privately insured women.

“The effect is that the way this is regulated — and the way these very subjective judgments can be made — is just a means of perpetuating this very white, wealthy, able-bodied, cisgender perception of who should have children,” Hintz says.

One corner of the internet where those seeking the procedure can find advice and tips is r/childfree community on Reddit. The subreddit has folders comprehensive information on how to request the procedure, a compiled list of doctors who perform it, and a sterilization folder that members can take to their doctor with a template consent form and a form listing the reasons for the procedure.

Along with increasing requests for permanent forms of contraception must be repealed Roe has already launched an rise the number of people seeking longer-lasting but non-permanent contraception, such as intrauterine devices (IUDs). But the very idea that contraception—permanent or otherwise—could replace abortion is inherently flawed, says Krystale Littlejohn, an assistant professor of sociology at the University of Oregon whose work examines race, gender, and reproduction. Despite the fact that most people who can get pregnant are using some form of birth control, every fourth woman have an abortion during their lifetime. Hence the “just tie the tubes” or “just get the IUD” rhetoric that has emerged Dobbs no help, he says.

First, choosing these forms of birth control is not a trivial medical decision: Heavier, more painful periods and potentially painful implantation procedure – often with no pain relief– are the possible consequences of getting an IUD. Tubal ligations require an invasive surgical procedure and, like any surgical procedure, can lead to complications.

In fact, advice to use birth control can be seen as just another form of controlling people’s bodies, Littlejohn says. “When it comes to people suggesting that their friends or their loved ones get long-acting contraception, I think people think they’re helping other people, but what they’re really doing is violating their human right to bodily autonomy,” she says. Roethe fall isn’t just about people with wombs being forced to give birth, he says; it also applies to forcing them to use longer-acting or permanent forms of contraception.

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