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A couple in their early 40's is looking into contraceptives because…

- - - - highly effective
        
        long term
        
        safe to use for many years
        
        good option for people who can use estrogen containing contraceptives
    - - release progestin
        
        thickens mucus of cervix
        
        things lining of uterus
    - - copper damages sperm
        
        emergency contraception
        
        starts working immediately
        
        also creates an immune response
        
        stops the development of healthy eggs and destroy eggs that develop
      - long lasting
        
        safe for many years up to 10 in some cases
- - - - tubal ligation
  - - - She is not in menopause
      - Birth control used in 20's and 30's may not be best option in 40's and 50's
        
        may need hormone free contraceptives
        
        IUDs with levonorgestrel
        
        Copper IUD
        
        Contraceptive implant-has progestin
        
        minipill-has progestin
        
        not as effective
        
        birth control shot
        
        after unprotected sex:
        
        Plan B
        
        Ella
        
        Copper IUD
      - condoms
        
        diaphragm
      - May already be using
        
        pill
        
        patch
        
        ring
- - - - clitoris
        
        vagina
        
        uterus (womb)
        
        ovaries
        
        Fallopian tubes
        
        tubes that are attached to top part of the uterus
        
        serves as a tunnel for the ova to travel from ovaries to uterus
        
        conception normally occurs here
        
        1 more item...
        
        The ovaries are small, oval-shaped glands that are located on either side of the uterus
        
        produce eggs and hormones
        
        a hollow pearshaped organ that holds a developing fetus
        
        divided into 2 parts
        
        cervix
        
        opens to let sperm travel through and menstural blood to exit
        
        main body of the uterus
        
        expands to hold fetus
        
        a canal that joins the cervix to the outside of the body
        
        also known as the birth canal
        
        the two labia meet here
        
        sensitive protrusion-comparable to he penis
        
        covered by prepuce
      - inside of the labia majora and surround the opening of the vagina and urethra
  - - - Progestin thickens the mucus on your cervix, which stops sperm from swimming through to your egg
        
        changes in your menstrual periods
        
        vaginal itching or discharge
        
        acne, mood changes, weight gain
    - - hormones in the pill stop ovulation
        
        No ovulation means there's no egg hanging around for sperm to fertilize, so pregnancy can't happen
        
        Side effects
        
        Spotting between periods (breakthrough bleeding)
        
        Possible weight gain or fluid retention.
        
        Breast swelling or tenderness.
        
        Nausea or upset stomach.
        
        Mood changes
    - - prevents pregnancy by not allowing the sperm to fertilize the egg
        
        An IUD coated with progestin works in a similar way, but also thickens the cervical mucus and thins the uterine lining
        
        side effects
        
        irregular bleeding for several months.
        
        lighter or shorter periods or no periods at all.
        
        symptoms of premenstrual syndrome (PMS), which include headaches, nausea, breast tenderness, and skin blemishes
- - - - can slide or be pushed during intercourse
        
        can be uncomfortable to woman and her partner
    - - left in place at least 6 hours after sex
    - - risk of bladder infection
  - - - breast tenderness
        
        nausea
        
        low sex drive
        
        headaches
        
        mood swings
        
        spotting
    - - blood clots
        
        stroke
        
        especially if you are a smoker
        
        heart attack
        
        liver tumors
        
        in vary rare cases they can lead to death
  - - - high failure rate
    - - contact dermatis
      - allergy to spermicides or lubes
      - latex sensitivity or allergy
- - - - testicles
        
        epididymis
        
        vas deferens
        
        ejaculatory ducts
        
        urethra
        
        seminal vesicles
        
        3 more items...
        
        The urethra is the tube that carries urine from the bladder to outside of the body
        
        These are formed by the fusion of the vas deferens and the seminal vesicles. The ejaculatory ducts empty into the urethra.
        
        The vas deferens transports mature sperm to the urethra, the tube that carries urine or sperm to outside of the body, in preparation for ejaculation
        
        The vas deferens is a long, muscular tube that travels from the epididymis into the pelvic cavity, to just behind the bladder
        
        a long, coiled tube that rests on the backside of each testicle
        
        It transports and stores sperm cells that are produced in the testes
        
        also is the job of the epididymis to bring the sperm to maturity, since the sperm that emerge from the testes are immature and incapable of fertilization
        
        oval organs about the size of large olives that lie in the scrotum
        
        responsible for making testosterone, the primary male sex hormone, and for generating sperm
      - the loose pouch-like sac of skin that hangs behind and below the penis
      - It contains the testicles (also called testes), as well as many nerves and blood vessels
        
        acts a temp control for the testicles as well