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A healthy, happily married couple in their early 40s has sought your…

- - - - Jobs: Secrete a mucus that serves as a lubricant for intercourse and alkaline fluid which decreases the acidity of urine the resides in the urethra
  - - - Job: Organ of menstruation, allows the development and growth of the fetus and contracts to aid in the expulsion of the fetus during birth
      - divided into three sections
        
        cervix
        
        narrow bottom section, which attaches to the vagina
        
        fundus
        
        the top portion
        
        body (corpus)
        
        middle section
      - inner layer
        
        If fertilization doesn't occur, endometrium deteriorates and causes menstruation
        
        Endometrium has a layer of specialized epithelium which provides for implantation of the fertilized ovum and helps aid in the development of the growing fetus
      - middle layer
        
        Allows for the expansion of the uterus during pregnancy and contracts to expel baby
      - outer layer
        
        serous membrane
    - - 2 tubes that are 5 inches long and attached to the upper part of the uterus.
      - the ends have finger like projections which helps move the ovum
      - Job: Serves as a passageway for the ovum as the ovum moves down toward the uterus. this is where fertilization takes place
    - - Lines with a mucous Membrane with a rugae that allows the vagina to expand for childbirth and intercourse
      - Vagina muscular tube that connects the cervix of the uterus to the outside of the body
      - Job: Serves as a passageway for the menses, receives sperm and semen from the males, and is the organ of copulation and acts as a birth canal
      - Barthdins glands each side of the vaginal openings
      - Secrets mucous for lubrication for intercourse
  - - - Menstrual Phase:
        the spiral arteries rupture secondary to ischemia, releasing
        blood into the uterus, and the apoptosed endometrium is sloughed off lasts four days
        the functional is completely shed
      - Luteal Phase or secretory phase:
        progesterone induces the endometrial glands to secretesubstances – they become tortuous and have large lumens
        endometrium undergoes involution: days 25-26 of the menstrual cycle  vasoconstriction of the spiral arteries
        ischemia may cause some early menstrual cramps
      - Follicular Phase:
        increasing levels of estrogen proliferation of the functionalis from stem cells of the basalis, proliferation of endometrial glands
        --> proliferation of stromal connective tissue.
  - - - Mechanism:
        Suppresses ovulation
        Thickens cervical mucus
        Thins endometrium
        Slows tubal motility
    - - Mechanism:
        Prevents pregnancy in the same way that oral contraceptives
    - - Suppresses ovulation
        Similar to combined pills
    - - Mechanism: CopperT
        Works by preventing fertilization
        Works primarily as a spermicide,Copper ions inhibit sperm motility so they rarely reach the tube