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Female patient, married, both in early 40's seek an effective…

- - - - Testes
        
        Epididymis
        
        Ductus Deferens
        
        Urethra
        
        Terminal portion of male duct system
        
        Transports urine and semen
        
        Penis
        
        Copulatory organ
        
        Delivers sperm into the female reproductive tract
        
        Carries spermatozoa from the epididymis to the ejaculatory duct
        
        Site of sperm maturation
        
        Tightly coiled tube
        
        Produces sperm by meiotic division
        
        Synthesizes and secretes androgens for male reproductive functions
      - Sac of skin that contains and protects the testes
    - - Seminal Glands
        
        Produces seminal fluid, secretions account for 70% of semen volume
      - Prostate
        
        Donut-shaped gland the size of a peach pit
        
        Produces secretion that activates sperm, accounts for 1/3 of semen volume
      - Bulbo-Urethral Glands
        
        Produces mucus that lubricates the glans penis during sexual excitement
  - - - Uterine Tubes
        
        Uterus
        
        Cervix
        
        Vagina
        
        Thin-walled tube that lies between bladder and rectum
        
        Provides a passageway for the delivery of an infant and for menstrual flow
        
        Organ of copulation
        
        Receives penis and semen during sexual intercourse
        
        Narrow outlet of the uterus, projects into vagina inferiorly
        
        a.k.a Womb
        
        Hollow, thick-walled organ that receives, retains and nourishes a fertilized ovum
        
        Form the initial part of the female duct system
        
        Receive ovulated oocyte and are the site where fertilization usually occurs
      - Female gonads
      - Produce gametes and sex hormones, estrogens and progesterone
    - - Menstrual Phase
        
        Days 0-4
        
        The uterus sheds all but deepest parts of its endometrium
        
        Accompanied by bleeding for 3-5 days
        
        Growing ovarian follicles start to produce more estrogens by day 4
        
        Proliferative Phase
        
        Days 5-14
        
        The endometrium rebuilds itself
        
        Ovulation occurs in response to surge in LH from the anterior pituitary
        
        Ovary wall ruptures and expels a secondary oocyte
        
        Secretory Phase
        
        Days 15-28
        
        14-day phase, most constant
        
        Endometrium prepares for an embryo to implant
        
        1 more item...
  - - - Barrier Methods
        
        Hormonal Methods
        
        Hormone-containing products like the pill, IUD, patches, vaginal ring and implanted/injected agents
        
        Very effective, low risk
        
        Diaphragms, cervical caps, male/female condoms and spermicides
        
        Especially effective when used in pairs
      - Coitus Interruptus
        
        Withdrawal of penis before ejaculation, very ineffective
      - Rhythm Method
        
        Avoiding intercourse during periods of ovulation, often ineffective
      - Abstinence
        
        Abstain from sexual intercourse completely
    - - Tubal ligation (Female)
      - Vasectomy (Male)
- - - - Extremely effective (.05% failure rate), low risk
    - - Extremely effective (0.15% failure rate), minimally invasive, low risk
    - - Very effective (.5% failure rate), however more invasive than vasectomy
  - - - Very unreliable, ineffective (28% failure rate)
    - - Very unreliable, ineffective (24% failure rate)
    - - Very unreliable, ineffective (22% failure rate)