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Married couple in their early 40s seek advice about contraceptive…
Married couple in their early 40s seek advice about contraceptive strategies. The woman is concerned about long-term effects of birth control pills and wants to stop taking them
What factors are important considerations for this couple that might not be in a different couple or individual seeking birth control options?
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They already have two children in high school, having another would mean a large age gap between them
They are happily married, other couples may be arguing about the best thing to do or may be on completely different pages about the subject
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Three worst options
Hormone shot because if it is used continuously over many years, bone density can be lessened
Vasectomy because if for any reason, whether they end up getting a divorce or the woman dies and the man wants to have kids with the next woman he is with, he wouldn't be able to
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Major contraceptive methods, how they work, and potential side effects
Birth control pills
Stops sperm from joining with an egg, includes hormones that stop ovulation, makes your body think it is already pregnant
Can cause weight gain and fluid retention, nausea, mood changes, breast swelling or tenderness
Spermicides
Blocks the cervix and slows sperm down, making it harder for them to swim to an egg
May increase risk of urinary tract infection, may cause vaginal irritation
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IUD
Hormonal intrauterine device that sits inside the uterus, the hormones make mucus of the cervix thinker so sperm can't get to an egg and stop eggs from leaving the ovary
Can cause irregular bleeding for several months, lighter, shorter, or no period, symptoms of premenstrual syndrome
Vasectomy
Blocks or cuts vas deferens tubes, keeping sperm out of semen and are instead abosorbed by body
Can cause bleeding or blood clot in the scrotum, blood in semen, bruising of scrotum, swelling, infection of surgery site
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