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healthy couple looking for contraceptive advice, female concerned about…

- - - - anterior pituitary gland releases FSH & LH
        
        LH surges
    - - ovum travels from ovaries to the infundibulum from there it travels into the ampulla of the uterus
        
        when the sperm penetrates the ovum fertilization occurs
  - - - proliferative phase day 6-14 increase in estrogen
        
        secretory phase day 15-28 progesterone increases vascularization and development of uterine gland/building the endometrial layer in anticipation of implantation
        
        no fertilization occurs corpus luteum dies/hormone lvls decrease/the stratum functionalis begins to slough
- - - - once ejaculation occurs, sperm travel out the epididymus through the ducts deferens
        
        sperm travel into the ejaculatory duct that opens into the prostatic urethra
        
        sperm travel out the urethra of the penis into the vagina/uterus/where in ideal conditions it meets the egg in the ampulla of the uterine tubes
        
        condoms block sperm from entering vagina by covering the penis (85% effective), diaphragm w/ spermicide block sperm from entering cervix(92-96% effective)
        
        friction on the corpus cavernosum in the penis stimulates the brain to ejaculate
        
        Vasectomy-is a surgical procedure for male sterilization or permanent contraception, during the procedure, the ductus deferens are cut and tied or sealed so as to prevent sperm from entering into the urethra, side effects include blood in your semen, infection of the surgery site, bleeding or blood clot, mild pain, and swelling
- - - - a thin t-shaped device inserted into the uterus-99% effective, Paragard IUD lasts for up to 12 years, most others last up to 7 years depending on the females exact age this contraception could carry through until menopause and it can be reversed
    - - accomplished correctly the ductis deferens is cut and the ends cauterized, after 3 months 100% effective, aside from pain and discomfort side effects are rare
    - - a thin rod inserted in the skin of the upper arm that release progestin inhibits ovulation and and reduces elasticity of cervical mucus complicating sperm's path to the uterus, 99% effective, no long term side effects
  - - - risk in women over 40 include cardiovascular complications-such as blood clots, and possible bone fractures, pill must be taken daily, 92% effective