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Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
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Infertility in Females01:28

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Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
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Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
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Related Experiment Video

Updated: Sep 18, 2025

Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives
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[Contraception after forty].

Marie Lambert1

  • 1Service de gynécologie et de médecine de la reproduction, centre Aliénor d'Aquitaine, CHU de Bordeaux, Bordeaux, France.

La Revue Du Praticien
|June 23, 2025
PubMed
Summary
This summary is machine-generated.

Women over 40 still face fertility and pregnancy risks, requiring personalized contraception choices. Long-acting reversible contraception, sterilization, and progestin-only pills are recommended first-line options.

Keywords:
Contraception

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Area of Science:

  • Reproductive Health
  • Geriatric Medicine
  • Pharmacology

Context:

  • Contraception needs persist beyond age 40.
  • Fertility and pregnancy risks remain relevant in this demographic.
  • Age is a significant factor for vascular and metabolic health.

Purpose:

  • To guide the selection of appropriate contraception for women over 40.
  • To identify contraindications and first-line recommendations for this age group.

Summary:

  • No contraceptive method is contraindicated solely based on age.
  • Combined hormonal contraception and injectable progestins are not first-line due to age-related risks.
  • Long-acting reversible contraception, sterilization, and progestin-only pills are recommended as first-line options.

Impact:

  • Informed clinical decision-making for contraception in women over 40.
  • Improved safety and efficacy of contraceptive choices for older women.
  • Reduced risks associated with inappropriate contraceptive selection.