Permanent Birth Control Is in Demand in the U.S.—But Hard to Get

The fall of stands to dramatically shake up contraception trends. In the days following the U.S. Supreme Court’s ruling, clinics began to report a surge in people requesting tubal ligations—more commonly known as getting one’s tubes tied. This is a procedure in which the fallopian tubes are surgically blocked or sealed to prevent future pregnancies, one that is very difficult to reverse.

But those requesting the procedure often encounter a big barrier: doctors. Despite the American College of Obstetricians and Gynecologists (ACOG) advising that “respect for an individual woman’s reproductive autonomy should be the primary concern guiding sterilization provision,” people who can get pregnant are often refused the procedure. By and large, the decision still lies very much in the hands of the physician.


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