Background: Alternative contraceptive methods for sperm, often referred to as “male contraception” are in development. Given the lack of current contraceptive options for people who produce sperm, we sought to understand if people with vasectomies would have preferred an alternative contraceptive method, had one been available. Methods: We conducted a cross-sectional online survey with 195 participants. Participants were recruited via an email list of 658 people who had received vasectomies from Planned Parenthood North Central States (PPNCS) since 2013 and were willing to be contacted for research purposes. Results: 26.7% of participants reported that access to a different method of birth control for sperm that was highly effective, non-surgical, and fully reversible would have likely or very likely changed their decision to have a vasectomy (44.6% reported it was unlikely or very unlikely and 28.7% were neutral). Reasons for preferring alternative contraceptive methods included reversibility, the desire to avoid surgery, and the accessibility of alternative methods. Demographic findings include that 46.2% of people surveyed had no children at the time of their vasectomy and only 41% of participants were married at the time of their vasectomy. Previous literature has suggested most people undergoing vasectomies are married with children. Two main motivating factors in participants’ decision to have a vasectomy were wanting to prevent future biological children and the preference of participants or their partners for vasectomy over other contraceptive methods. Conclusions: Alternative contraceptive methods for sperm would likely or very likely be preferred by a significant proportion of people who have undergone a vasectomy.

Abortion Access as a Racial Justice Issue The Dobbs decision rolls back fundamental rights for many people, and it is a direct assault on efforts to improve racial equity in health care. Indeed, ab...

Despite routine law enforcement use of chemical agents for crowd control, the reproductive health safety profiles of these products are unknown. Moreover, limited evidence has documented a link between such exposures and adverse reproductive health outcomes including abnormal uterine bleeding and potential pregnancy disruption. This cross-sectional study examined reproductive outcomes in adults with uteri exposed to chemical agents used by law enforcement, more commonly known as "tear gas". Participants were recruited through social media in the wake of police violence protests. Of the 1,276 participants included in analysis, 83% reported experiencing at least one of the outcomes of interest, included uterine cramping (69%), early menstrual bleeding (55%), breast tenderness (30%), and delayed menstrual bleeding (21%). Chemical agent exposure was significantly associated with higher odds of an adverse reproductive health outcome, those with 5 days or more of exposure have 2.6 times the odds (CI 1.61, 4.22) of adverse outcomes. and having a perception that one's menstruation may fluctuate according to psychosocial stressors was associated (OR=1.94, CI: 1.36, 2.79) with a higher odds of an adverse reproductive health experience. These findings suggest a potential relationship between exposure to chemical agents and adverse reproductive health outcomes. Given the pervasive use of these chemical agents and their potential for reproductive health harm, further investigation into the safety of these products and their impacts on individual and community health is warranted urgently.