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A healthy, happily married couple in their early 40s has sought your…
A healthy, happily married couple in their early 40s has sought your advice on contraceptive strategies
Both with primary reproductive organs, gonads
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affect maturation, development, activity of reproductive organs
Produce sex cells, gametes
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E.g., ducts to carry gametes away from gonads
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Three of the worst options: Tubal ligation because of the success rate and how invasive that the procedure is. Withdrawal method—pull out before ejaculation; high failure rate. Abstinence because it could harm their relationship and cause tension or stress.
Three best options: Barrier methods—prevent sperm from reaching uterine tubes(Condoms, spermicidal gels, diaphragms) because it is the simplest method. Vasectomy
because it is an outpatient procedure and it is highly effective/successful. Rhythm method—avoid sex during ovulation time because it has no other side effects or tools needed.
The woman is concerned about the long-term effects of birth control pills and wants to stop taking
them.
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Timeline based on 28-day uterine cycle, but varies (21-35 day)
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Without progesterone, sloughs off functional layer
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Condoms, spermicidal gels, diaphragms
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Ductus deferens cut, segment removed, ends tied
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