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An older married couple ((Anatomy and Physiology of Female, Ovaries:…
An older married couple
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Vaginal: A tube for for intercourse, birth canal and mensturation
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After some time, the endometrium lining sheds off if the egg does not have a contact with the sperm.
This events occurs in about 28 days,
This events includes proliferative and secretive phase. Estrogen increases and progesterone decreases. Progesterone helps maintain the uterus for pregnancy. it takes 7 days for the eggs to go to the Fallopian tube.
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IUD is fairly good as long as the side effects like cramping, back pain or irregular menstrual flow is not long term
Vasectomy would be the first best option to try, this is because, It blocks the sperm from entering the semen thereby preventing the man from ejaculating. It's a short process and have no long term effects as long as its done correctly
I would not suggest tying of the uterus(. This is because it's possible for the lady to have complication in the process. Such as infection and damage to other abdominal organs.
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And I would consider if the lady still wants to have regular period or menstrual flow and how much the IUD would affect her body chemistry
Another birth control would be the oral contraceptives. This can be taken by the couple it's safe and does not involve any rigorous process. It has a good chance of preventing pregnancy 91%