Permanent method of contraception is:

IGNOU PB Bsc Entrance-2023

Obstetrics & Gynaecology

Easy

Appeared in: IGNOU PB Bsc Entrance-2023

Explanation

The question asks to identify the permanent method of contraception.
Tubal ligation (for females) and vasectomy (for males) are surgical sterilization procedures.
These methods are considered permanent because they are designed to be irreversible, preventing either the egg from reaching the uterus or sperm from being ejaculated.
Both procedures involve cutting or blocking the respective reproductive tubes (fallopian tubes or vas deferens).

Option A: This option is incorrect because it pairs a permanent method (vasectomy) with a temporary one (oral pills). For the option to be correct, both methods must be permanent.
Option B: This option is incorrect because both Intrauterine Contraceptive Devices (IUCDs) and oral pills are temporary, reversible methods of contraception. IUCDs are long-acting, but can be removed to restore fertility.
Option D: This option is incorrect because Saheli and Mala D are brand names for oral contraceptive pills. All oral pills are temporary, hormonal methods of birth control that must be taken regularly to be effective.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Permanent vs. Temporary Contraceptive Methods as background academic context rather than a clinical decision trigger.
A nurse's primary role in contraceptive counseling is to provide accurate, unbiased information about all available methods, enabling the patient to make an informed choice that aligns with their life goals.
For sterilization, it is a critical nursing responsibility to ensure the patient understands the permanence of the procedure. The informed consent process must be thorough, confirming the patient's certainty about ending their fertility.
Patient safety includes post-operative monitoring for complications like infection or hemorrhage and providing clear instructions for follow-up, especially for vasectomy, where sterility is not immediate.

How to Approach the Question

First, identify the key term in the question: 'Permanent method'. This tells you the answer must involve methods that are not reversible.
Next, evaluate each option as a pair. Both items in the pair must fit the 'permanent' criteria.
Option A: 'Vasectomy' is permanent, but 'oral pills' are temporary. Eliminate this option.
Option B: 'IUCDs' are temporary (long-acting but reversible), and 'oral pills' are temporary. Eliminate this option.
Option D: 'Saheli' and 'Mala D' are oral pills, which are temporary. Eliminate this option.
Option C: 'Tubal ligation' and 'vasectomy' are both surgical sterilization procedures intended to be permanent. This is the correct choice.

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