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Married couple in early 40's don't want more children. The women…

- - - - Ovulation
        
        Day 14
        
        release of secondary oocyte
        
        Induced with peak in LH secretion
      - Luteal phase
        
        days 15-28
        
        remaining follicle cells become corpus Luteum
        
        Corpus luteum regression - causes menstruation
        
        sheds lining, menses
        
        Corpus Luteum : temporary endocrine gland
      - Follicular Phase
        
        Days 1-13
        
        20 primordial follicles stimulated to mature by LH & FSH
        
        few primary follicles maturing into secondary
        
        Only 1 matures to vesicular follicle
        
        primary oocyte completes meiosis I
        
        forms secondary oocyte & polar body
        
        reaches metaphase II
      - Maturation of an egg
    - - Proliferative Phase
        
        development of new functional layer of endometrium
        
        overlaps time of follicle growth
        
        days 6-14
      - Secretory phase
        
        increased progesterone secretion
        
        increases vascularization
        
        Days 15-28
        
        uterine gland development
      - Menstrual phase
        
        remove/she off of the functional layer
        
        through period of menstrual bleeding
        
        Day 1-5 of cycle
      - cyclical changes in endometrial lining
        
        influenced by estrogen & progesterone
    - - proliferation phase during ovarian & ovulation
      - secretory phase during ovarian luteal phase
      - menstrual phase during ovarian phase
  - - - Testes
      - Ducts
        
        Ductus (vas) Deferens
        
        Ejaculatory duct
        
        Epididymis
        
        Urethra
      - Scrotum
      - Accessory glands
        
        seminal glands
        
        Prostate
        
        Bulbo-urethral glands
      - Penis
    - - Genitalia
        
        Internal
        
        External
      - Uterus
      - Ovaries
      - Uterine tubes
        
        Ampulla
        
        isthmus
        
        Infundibulum
      - Vagina
      - Vulva
        
        Clitoris
        
        Mons pubis
        
        Labia
        
        Majora
        
        Minora
        
        Vestibule
        
        fourchette
        
        greater vestibular gland
      - Mammary Glands
  - - - how they work
        
        stops sperm from joining with an egg
        
        thickens the mucus on the cervix
        
        blocks sperm so it can't swim to egg
        
        hormones in the pill stop ovulation
      - side effects
        
        Nausea & headaches
        
        sore/swollen breast
        
        spotting/bleeding between periods
        
        weight gain
    - - how they work
        
        change the way sperm cells move so they can't get into an egg
        
        Tiny device put in uterus
      - side effects
        
        cramping/backaches
        
        spotting between periods
        
        Pain when IUD inserted
        
        irregular periods
      - 2 types
        
        hormonal
        
        stops eggs from leaving ovaries
        
        thickens mucus that lives on cervix
        
        Copper
        
        impossible for sperm to get to egg
        
        sperm doesn't like copper
    - - how they work
        
        progesterone in shot prevents ovulation
        
        progesterone thickens mucus around cervix
        
        sperm can't get through
      - side effects
        
        weight gain
        
        headaches
        
        breast tenderness
        
        irregular periods
    - - how they work
        
        stops sperm from getting to vagina
        
        also prevents STD's
        
        covers penis during sex and collects semen
      - side effects
        
        allergic reactions
        
        usually no side effects
        
        high failure if used improperly
  - - - Genitalia
        
        Protect internal genital organs
        
        provide sexual pleasure
        
        enable sperm to enter body
      - Uterus
        
        muscular organ
        
        receives, retains, & nourishes a fertilized egg
        
        site where embryo/fetus develops
      - Mammary Glands
        
        Produce milk
      - Uterine tubes
        
        Ampulla
        
        site where fertilization usually occurs
        
        function
        
        receive the ovulated oocyte
        
        site where fertilization generally occurs
      - Ovaries
        
        produce eggs & hormones
      - Vulva
        
        Clitoris
        
        very sensitive to stimulation & can become erect
        
        Vestibule
        
        Greater vestibular gland
        
        release mucus into vestibule to keep it moist & lubricated
        
        Mucus facilitates intercourse
        
        function of vulva
        
        Protect its opening with Labia Majora & Minora
      - Vagina
        
        organ of copulation
        
        provides delivery for an infant & menstrual flow
    - - Testes
        
        Produce sperm
      - Scrotum
        
        external sac enclosing the testes
        
        protective function and provides cooler temp.fro sperm production
      - Penis
        
        delivers sperm
        
        copulatory organ
      - Accessory glands
        
        Prostate
        
        contains fluid that activates sperm
        
        1/3 of semen volume
        
        Bulbo-urethral gland
        
        produces clear, thick mucus
        
        neutralizes traces of acidic urine
        
        Lubricates glans penis
        
        Seminal glands
        
        70% of semen volume
        
        produce fluid containing fructose sugar that increase sperm motility
      - Ducts
        
        Ductus (vas) deferens
        
        Transports sperm during ejaculation
        
        Ejaculatory duct
        
        Fusion of vas deferens & seminal vesicles
        
        empties into urethra
        
        Epididymis
        
        carries & stores sperm cells
        
        Urethra
        
        carries urine & semen to outside of the body
- - - - complications like blood clots & diseases
  - - - reduces risk of endometrial cancer
      - reduces heavy menstrual bleeding
    - - prevents STD's
    - - permanent option
      - reduces risk of ovarian cancer