Married couple in their 40's come in for contraceptive advice. Female PT is worried about the long term effects of birth control and is seeking advice on what to do, to avoid pregnancy.
Upstream
Ovarian Cycle
Downstream
Ovulation
Follicular
Luteal
Follicle cells
Secondary
Primary
Finishes Meiosis I
Forming 2 cells
Reaches Metaphase II
If fertilized, completes meiosis
corpus luteum
secretes progesterone & estrogen
Temporary endocrine gland
corpus luteum regression
Release of Secondary oocyte
drops secretion of progesterone & estogen
Menstration
menses
Uterine Cycle
Menstrual phase
28 day cycle
Estrogen
Progesterone
Proliferative phase
Secretory phase
Menstrual bleeding
follicle growth
ovary estrogen secretion
Increased progesterone secretion
Increases vascularization
& uterine gland development
Contraceptive Methods
Morning after pills
Barrier methods
IUD
Vasectomy
Copper/synthetic progesterone preventing implantation
Inhibit ovulation
Prevents sperm from reaching uterine tubes
Sperm unable to leave testis
Female Reproductive system
Ovaries in Females
Gametogenesis
Secondary oocytes
XX Sex chromosomes
Males Reproductive system
Gametes
testes
XY sex chromosomes
Spermatogenesis
spermatogonia
Secondary spermatocyte
spermatid
Primary spermatocyte
Menopause
3 Best choices
3 Worst choices
Female PT gets a hysterectomy
advice to use no precaution if still having intercourse
Tubal ligation
Male PT get a Vasectomy
Ductus deferen cut
uterus removed
segment removed
ends tied
cutting uterine tubes
tying off ends
Wait until female pt undergoes menopause
Withdraw method
high failure rate
menopause
At risk for child w/ Down syndrome
progesterone and estrogen no longer secreted
Uterine line no longer growing
ovarian follicles no longer remain
Trisomy 21
intellectual disability
due to nondisjunction on oocyte/sperm
due to mother's age