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A healthy, happy married couple in their early 40's has sought your…

- - - - Testis
      - Epididymis
      - Corpus Cavernosa
      - Coprus Spongiosum
      - Prostate gland
      - Seminal Vesicle
      - Ductus Deferens
      - Scrotum
      - Penile urethra
      - Glans Penis
      - Ejaculatory duct
    - - Ovaries
      - Fimbrae
      - Clitoris
      - Labia majora
      - Labia Minora
      - Vagina
      - Cervix
      - uterus
      - Fallopian tube
      - Ampulla
      - Oocyte
      - Mammary gland
      - Lactiferous duct
      - Nipple
  - - - Testis
        
        production of gametes, secret hormones
      - Ejaculatory duct
        
        conducts sperm and a component seminal fluid into prostatic urethra
      - Scrotum
        
        protects testis
      - Glans penis
        
        contains erectile tissue that is stimulated during sexual arousal and orgasm
      - Seminal Vesicle
        
        secret viscous whitish-yellow alkaline fluid containing fructose and prostaglandins
      - Corpus Spongiosum
        
        prevents urethra from being pinched closed during erection
      - Epididymis
        
        stores sperm until motile and mature
      - Corpus Cavernosa
        
        fills with blood and becomes rigid
      - Prostate Gland
        
        secrets milky fluid that is weakly acidic and rich in citric acid
      - Ductus Deferens
        
        transports sperm to the epididymis
      - Penile Urethra
        
        transports urine and sperm outside the body
      - prepuce
        
        protects glans from abrasion
    - - Cervix
        
        allows flow of menstrual blood from uterus , directs sperm to uterus during intercourse
      - Vagina
        
        receives penis during intercourse
      - Fimbrae
        
        finger like folds that envelope ovary at the time of ovulation
      - Oocyte
        
        female gamete
      - Uterus
        
        nurturing fertilized ooctye that becomes fetus
      - Ampulla
        
        site of oocyte fertilization
      - Fallopian tube
        
        funnel shaped passage way for egg to travel from ovary
      - Labia majora
        
        provides protection
      - Clitoris
        
        erectile tissue , provides pleasure during intercourse
      - Labia minora
        
        provides protection
      - Ovaries
        
        produce oocytes and reproductive hormones
      - Mammary glands
        
        production of milk
      - Lactiferous duct
        
        drains breast milk from a single lobe
      - Nipple
        
        allows breast milk to leave breast
  - - - Follicular (days 1-13)
        
        primary oocytes develope and become secondary oocyte
      - Ovulation (day 14)
        
        release of secondary oocyte
      - Luteal Phase ( days 14-28)
        
        mature follicle becomes corpus luteum
    - - Menstrual (days 1-4)
        
        shedding of functional layer of endometrium/ menstrual bleeding
      - Proliferative ( preovulatory days 5-13)
        
        development of new functional layer of endometrium
      - Secretory (postovulatory days 14-28)
        
        increased vascularization and deveopment glands occurs
  - - - long-acting reversible contraceptive (IUD)
      - hormonal contraception ( the pill or Depo shot)
      - barrier methods ( condoms)
      - emergency contraception
      - fertility awareness
      - permanent contraception ( vasectomy or tubal ligation)
    - - barrier methods
        
        work by not allowing the sperm to enter into vagina
      - IUD
        
        blocks the sperm from fertilizing an egg by blocking off the Fallopian tubes
      - hormonal contraception
        
        contains man made estrogen and progesterone that work to inhibit the body's natural cycles, it prevents ovulation from occurring
      - emergency contraception
        
        uses hormones to block or delay the release of an oocyte or ovulation
      - fertility awareness
        
        this method works by tracking basal body temperature and cervical mucus to give a person awareness of when they are fertile so that they can avoid having intercourse on those days
      - permanent contraception
        
        these are methods of sterilization that permanently prevent pregnancy such as vasectomy for men or tubal ligation for women
    - - bleeding between periods,or spotting
      - headaches
      - nausea
      - breast tenderness
      - weight gain
      - mood swings
      - Long term use
        
        can raise risk to develop blood clots
        
        increases chance of heart attack after 35
        
        can lead to breast cancer
- - - - because of their personal wants in this situation this would be a worse case senerio because the couple has already decided that they are done having children.
    - - because after 35 the chances of having a baby with some type of complications increases
    - - At the age of 40 having a baby or continuing to use hormonal birth control pills can both have a negative impact on a woman
        
        by taking birth control pills she is increasing her chance or a heart attack or blood clot that can lead to a stroke
        
        By having a baby at 40 she is increasing her chance to develop high blood pressure, preeclampsia, gestational diabetes, miscarriage, low birth weight, and ectopic pregnancy
  - - - doing a tubal ligation would eliminate the chance of an unwanted pregnancy
    - - doing this procedure would eliminate the chance of an unwanted pregnancy and it is less invasive then a tubal ligation on a women
    - - although this choice may not be the most trusted if done right it can help to prevent unwanted pregnancy and also it does not present any unwanted use of hormones long term