Dr. Tyler Handcock, an Austin OB-GYN, said his clinic has heard from hundreds of patients seeking sterilization since the Supreme Court’s June 24 decision. Many choose this route because they fear long-acting birth control or other contraceptives could also become targets, he said.

His clinic scheduled a July 9 group counseling session to handle the surge, and every one of the 20 patients who showed up to hear about the risks and ramifications of fallopian tube-removal made an appointment to have the surgery.

Some physicians are reluctant to perform the surgery on young women with many reproductive years left, fearing they will change their minds later. Handcock said he heard from one 28-year-old woman who said six OB-GYNs declined to sterilize her.