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Couple in their 40's seeking birth control options (Best (Tubal…

- - - - Ducts
        
        Accessory Glands
        
        Penis
        
        Urethra
        
        drains sperm to outside
        
        Penetration
        
        Prostate Gland
        
        activate sperm cells
        
        Bulbourethral gland
        
        neutralize acid
        
        Seminal vesicles
        
        alkaline fluid & ATP
        
        Move sperm out of testis
        
        Vas Deferens
        
        Drain sperm to ejaculatory duct
        
        Ejaculatory Duct
        
        Drain Sperm to Urethra in penis
        
        Epididymis
        
        Mature Sperm & move it to vas deferens
      - House Testis
- - - - Uterus
        
        Vagina
        
        Receive penis
        
        Site of implantation & gestation
        
        Proliferation
        
        Endometrium rebuilds
        
        ↑ estrogen
        
        Secretory
        
        Secrete uterine milk
        
        ↑ progesterone
        
        Menstrual
        
        Functional layer shed
        
        ↓ estrogen & progesterone
      - Site of fertilization
    - - 2° oocyte released from ovary stimulated by LH
    - - Thickening of endometrium stimulated by progesterone
    - - ↑ Estrogen stimulated by FSH
- - - - Doesn't interfere with hormones
    - - One time cost
  - - - But has to be replaced
- - - - misused
        
        must be used within 20-30 mins prior to sex
  - - - more likely to remove it
- - - - Chemicals that stop sperm from reaching egg
      - Side effects: Irritation, increase in UTIs
      - IUD
        
        Sluffs off anything trying to attach to uterine wall
        
        Side effect: Pelvic inflammatory disease
        
        Tubal Ligation
        
        Cut & cauterize uterine tubes to prevent egg & sperm from meeting
        
        Side effect: damage to GI organs, ectopic pregnancy