The study examines changes in permanent contraception procedures among young adults following the Dobbs v. Jackson Women's Health Organization decision, which overturned the constitutional right to abortion in the US. As of January 2024, 21 states have restricted or banned abortion care, creating a structural barrier to pregnancy control. Early research indicates increased demand for permanent contraception, such as tubal sterilization and vasectomy, in the months following Dobbs. However, no prior studies have evaluated the differential impact of Dobbs on permanent contraception among men and younger adults, who are more likely to have abortions and experience sterilization regret. The study used data from the TriNetX platform, a cross-sectional study with an interrupted time series design. It assessed changes in procedure rates before and after Dobbs using seasonally adjusted segmented autoregressive models. The results show that Dobbs was associated with a significant increase in permanent contraception procedures, particularly among female patients, with a doubling of the increase compared to male patients. The findings suggest that Dobbs may have induced a policy-induced change in contraceptive preferences and increased urgency among individuals interested in permanent contraception. The study acknowledges limitations, including the inability to capture state or healthcare organization identifiers and the lack of insight into the experiences of marginalized groups. The abrupt increase in permanent contraception rates highlights the need to consider the short- and long-term implications of Dobbs on reproductive autonomy.The study examines changes in permanent contraception procedures among young adults following the Dobbs v. Jackson Women's Health Organization decision, which overturned the constitutional right to abortion in the US. As of January 2024, 21 states have restricted or banned abortion care, creating a structural barrier to pregnancy control. Early research indicates increased demand for permanent contraception, such as tubal sterilization and vasectomy, in the months following Dobbs. However, no prior studies have evaluated the differential impact of Dobbs on permanent contraception among men and younger adults, who are more likely to have abortions and experience sterilization regret. The study used data from the TriNetX platform, a cross-sectional study with an interrupted time series design. It assessed changes in procedure rates before and after Dobbs using seasonally adjusted segmented autoregressive models. The results show that Dobbs was associated with a significant increase in permanent contraception procedures, particularly among female patients, with a doubling of the increase compared to male patients. The findings suggest that Dobbs may have induced a policy-induced change in contraceptive preferences and increased urgency among individuals interested in permanent contraception. The study acknowledges limitations, including the inability to capture state or healthcare organization identifiers and the lack of insight into the experiences of marginalized groups. The abrupt increase in permanent contraception rates highlights the need to consider the short- and long-term implications of Dobbs on reproductive autonomy.