Evaluation of Vasectomy Trends in the United States

Ostrowski, Kevin; Holt, Sarah K.; Haynes, Brandon; Davies, Ben; Fuchs, Eugene F.; Walsh, Thomas J.

doi:10.1016/j.urology.2018.03.016

Cited by 70 publications

(43 citation statements)

References 8 publications

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“…Research has identified that there are regional disparities in permanent contraceptive use. While measures and data sets vary, research indicates that vasectomy prevalence rates are lower in the southern states compared to those in the other parts of the country (Barone et al, 2006;Ostrowski et al, 2018;Pile & Barone, 2009). Using the Truven Health MarketScan database, Ostrowski et al (2018) estimate that the proportion of men undergoing vasectomy from 2007 to 2013 was higher in the North Central and Western regions, compared to that in the Southern or Northeast regions of the United States, although statistics by state are not reported.…”

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confidence: 99%

“…While measures and data sets vary, research indicates that vasectomy prevalence rates are lower in the southern states compared to those in the other parts of the country (Barone et al, 2006;Ostrowski et al, 2018;Pile & Barone, 2009). Using the Truven Health MarketScan database, Ostrowski et al (2018) estimate that the proportion of men undergoing vasectomy from 2007 to 2013 was higher in the North Central and Western regions, compared to that in the Southern or Northeast regions of the United States, although statistics by state are not reported. Similarly, data from a 2003 survey of physicians also reported higher rates of vasectomies performed in the Midwest and West, compared to those in the South and Northeast, although no statistics by state are reported (Barone et al, 2006).…”

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confidence: 99%

“…Approximately 500,000 vasectomies are performed each year in the United States ( Ostrowski et al, 2018 ). Knowledge about who gets a vasectomy is primarily derived from the National Survey of Family Growth (NSFG; Anderson et al, 2010 , 2012 ; Eisenberg et al, 2009 ; Eisenberg & Lipshultz, 2010 ).…”

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confidence: 99%

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Men’s Vasectomy Knowledge, Attitudes, and Information-Seeking Behaviors in the Southern United States: Results From an Exploratory Survey

et al. 2020

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Vasectomy is one of the few options men have to manage their reproductive capacity and take on a more equitable role in pregnancy prevention. While the method is underused throughout the United States, the southern states have a lower prevalence rate compared to the rest of the country. Existing survey research does not assess what men know or think about the procedure as a means of understanding why this is the case. We created and conducted an exploratory survey to assess men’s knowledge, attitudes, and information-seeking behaviors about vasectomy in the Southern United States. We used targeted Facebook advertising to recruit men ages 25–70 years living in 7 southern states to complete an online survey ( n = 397). Using regression analyses, we identify that participants who had a vasectomy knew more about the procedure than participants who had not. Participants who had not had a vasectomy had less positive attitudes about the procedure across all six attitude subscales compared to participants with vasectomies. We highlight potential avenues for future research to understand why this may be the case. Finally, the majority of participants knew someone who had had a vasectomy. This suggests that men disclose having a vasectomy to others. The interpersonal dynamics around vasectomy decision-making and disclosure remain unknown and a viable area for future research. Findings from this exploratory survey may be used by public health officials interested in implementing campaigns to increase knowledge about vasectomy and reduce stigma, which may encourage more positive attitudes about the procedure.

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confidence: 99%

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confidence: 99%

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Men’s Vasectomy Knowledge, Attitudes, and Information-Seeking Behaviors in the Southern United States: Results From an Exploratory Survey

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“…However, it is less widely used: about 6.6% of US men ages 18-45 years have had a vasectomy, while 16.4% of women in the same age range have undergone tubal ligation [23]. Approximately 525,000 vasectomies were performed in the USA in 2015, about 82% of them by urologists [24].…”

Section: Vasectomymentioning

confidence: 99%

Surgery of the Male Genital Tract

Rew

2020

Family Medicine

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“…The absence of hormonal male contraceptives from the market is notable given that nearly a quarter of all contraceptive use is currently male-mediated, inclusive of condoms, vasectomy, and withdrawal (coitus interruptus) [3]. While vasectomy is one of the safest and most effective methods of contraception, it is considered permanent and data suggest its decreasing uptake [4]. Vasectomy reversal is complex, cost-prohibitive, and fertility is not guaranteed [5].…”

Section: Introductionmentioning

confidence: 99%

Continuing the search for a hormonal male contraceptive

Yuen

Nguyen

Swerdloff

et al. 2020

Best Practice & Research Clinical Obstetrics & Gynaecol

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This chapter discusses the mechanisms of action of hormonal male contraception, which suppresses the hypothalamic-pituitary-testis axis. When the intratesticular concentration of testosterone is subsequently suppressed to adequately low concentrations, spermatogenesis is arrested. Androgens are a necessary hormonal male contraceptive component because they not only suppress the hypothalamic-pituitary-testis axis, but also provide the male hormone necessary to maintain peripheral androgen functions. Past studies using testosterone alone and testosterone combined with progestins demonstrated contraceptive efficacy in the female partner at rates similar to combined hormonal female methods. Newer hormonal male contraceptive formulations and the alternative routes of administration are discussed, along with potential barriers, challenges, and opportunities for hormonal male contraceptive development. Novel methods that are safe, effective, reversible, user-friendly, and coitus-independent are intrinsic to equitably meet the various needs and limitations of an increasingly diverse population.

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Evaluation of Vasectomy Trends in the United States

Cited by 70 publications

References 8 publications

Men’s Vasectomy Knowledge, Attitudes, and Information-Seeking Behaviors in the Southern United States: Results From an Exploratory Survey

Men’s Vasectomy Knowledge, Attitudes, and Information-Seeking Behaviors in the Southern United States: Results From an Exploratory Survey

Surgery of the Male Genital Tract

Continuing the search for a hormonal male contraceptive

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