How many abortions occurred in the U.S. each year from 2022 to 2025 after Roe v. Wade was overturned?

Checked on November 30, 2025
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Executive summary

Federal surveillance shows roughly 613,000 legal induced abortions reported in 2022 (613,383 from 48 reporting areas; 609,360 for 47 continuous-reporting areas) [1] [2]. Independent research efforts and institute estimates paint a different picture for 2023–2025: Guttmacher and #WeCount-style projects report that clinician‑provided abortions rose after Dobbs and continued through 2024–early 2025, with interstate travel and telehealth playing major roles [3] [4] [5].

1. What the official federal numbers say — 2022 is the last full CDC year available

The Centers for Disease Control’s Abortion Surveillance report for 2022 is the most recent annual federal dataset: it lists 613,383 legal induced abortions reported from 48 reporting areas (or 609,360 for the 47 areas that reported continuously 2013–2022), an abortion rate of about 11.2 per 1,000 women aged 15–44 for the continuous set, and a small (2%–3%) decrease from 2021 to 2022 [1] [6] [2]. The CDC caveat is important: its figures exclude some states that did not report or meet reporting standards, and the agency’s Abortion Surveillance system publication lags by roughly two years [7] [1].

2. Why the federal count isn’t the whole story — coverage and reporting limits

CDC totals come from voluntary reporting by states and omit several jurisdictions in some years; that makes their national totals undercounts compared with provider‑level studies that actively survey clinics [1] [2]. Independent trackers note the CDC figures exclude abortions obtained via pills outside clinical settings and can miss cross‑state care and telehealth shifts that accelerated after Dobbs [8] [9] [2].

3. Independent estimates show trends after Dobbs — increases, interstate travel, telehealth

Guttmacher’s monthly and full‑year studies and the Society for Family Planning’s #WeCount monitoring indicate clinician‑provided abortions increased relative to pre‑Dobbs levels in the years following the Supreme Court’s June 2022 Dobbs decision, with a sustained rise through 2023 and 2024 and continued high volumes into early 2025 in many states that still provide care [3] [4] [5]. These groups report sizable interstate flows — roughly 155,000 people crossed state lines for abortion in 2024 (about 15% of abortions in states without total bans) — and rising telehealth provision that partly offsets in‑state bans [3] [5].

4. What the best available sources allow us to state — numbers for 2022–2025

Available federal data provide a clear, cited number only for 2022: roughly 613,000 reported legal abortions [1] [6]. For 2023–2025, available sources do not produce a single consensus national annual total comparable to the CDC’s 2022 figure; instead, the evidence is a mix of Guttmacher, #WeCount, and academic studies showing increases in clinician‑provided abortions in many states and substantial cross‑border and telehealth care [3] [4] [5]. Thus, a definitive, single national count for each year 2023–2025 is not available in the provided reporting.

5. Competing interpretations and methodological reasons for disagreement

Different groups use different methods: CDC aggregates state reports (voluntary, lagged), Guttmacher tries to contact providers directly and runs monthly surveillance of clinician provision, and #WeCount collects near‑real‑time clinic data to capture post‑Dobbs shifts [1] [3] [4]. These methodological differences explain why Guttmacher and #WeCount can report rising clinician‑provided abortions even as the CDC’s most‑recent published year shows a modest decline year‑to‑year for the areas it covers [6] [3] [4].

6. Hidden agendas and how they shape numbers

Advocacy and policy groups have incentives to emphasize different measures: pro‑choice organizations and research groups focused on access highlight clinic counts, telehealth and out‑of‑state care to show continued or increased provision; opponents may cite selected state declines or CDC undercounts to argue access fell [3] [9] [1]. Readers should weigh source methods and stated limitations — the sources themselves explicitly note incomplete reporting and changing delivery modes after Dobbs [1] [3] [4].

7. Bottom line for your original question — what can be cited with confidence

Citable, federal data exist for 2022: ~613,000 reported legal induced abortions (613,383 from 48 reporting areas; 609,360 for 47 continuous areas) [1] [6] [2]. For 2023–2025, available sources show clinician‑provided abortion volumes rose in many parts of the country and that travel and telehealth expanded, but they do not provide a single, reconciled national annual figure equivalent to the CDC’s 2022 tally in the materials you supplied [3] [4] [5].

Limitations: this analysis uses only the supplied documents and their stated caveats; the CDC system’s lag and non‑reporting by some states mean the federal time series is incomplete, while independent trackers use different, sometimes overlapping samples that resist a simple annual aggregation [7] [1] [4].

Want to dive deeper?
How did national and state abortion reporting change after the 2022 Dobbs decision?
Which states saw the largest declines or increases in reported abortions 2022–2025 and why?
What data sources track annual abortion counts in the U.S. and how reliable are they?
How did changes in cross‑state travel and telehealth affect abortion numbers 2022–2025?
What role did medication abortion trends play in national abortion totals after 2022?