MP CHO -2019 (Shift-2)
Obstetrics & Gynaecology
Easy
What is true for Male Sterilization?
Appeared in: MP CHO -2019 (Shift-2)
Explanation
- Male sterilization is the medical term for a permanent form of male contraception.
- The surgical procedure performed for male sterilization is called a vasectomy.
- During a vasectomy, the vas deferens (the tubes that carry sperm) are cut, tied, or sealed.
- This prevents sperm from being included in the ejaculate, thereby preventing pregnancy.
Why Other Options Were Wrong
- Option A: This statement is false. Vasectomy is considered a permanent method of contraception because it involves a surgical procedure that is intended to be irreversible.
- Option B: This is incorrect. Vasectomy has one of the lowest failure rates of all contraceptive methods, at about 0.15% (or 1.5 failures per 1000 procedures).
- Option C: This statement is false. There is no absolute upper age limit for a vasectomy. The decision is based on the individual's health, personal choice, and informed consent, not their age.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Male Sterilization (Vasectomy) as background academic context rather than a clinical decision trigger.
- A critical nursing responsibility is to counsel patients that vasectomy is not immediately effective. Backup contraception must be used until a post-procedure semen analysis confirms azoospermia (no sperm), which typically takes about 3 months or 20 ejaculations.
- Nurses must educate patients that vasectomy offers no protection against sexually transmitted infections (STIs), and condoms should still be used if at risk.
- What if? If a patient expresses regret or asks about reversal after the procedure, the nurse should inform them that reversal (vasovasostomy) is a complex microsurgical procedure that is not always successful in restoring fertility and is often not covered by insurance. This reinforces the importance of pre-procedure counseling about permanence.
How to Approach the Question
- First, identify the core subject of the question, which is 'Male Sterilization'.
- The question asks for a 'true' statement, so you must evaluate each option for its factual accuracy.
- Option A: 'Not a permanent method'. Recall that sterilization procedures are, by definition, intended to be permanent. This is likely false.
- Option B: 'Failure rate is very highest'. Recall that sterilization is one of the most effective forms of birth control. A 'very highest' failure rate is incorrect. This is false.
- Option C: 'Cannot be done after the age of 60'. Consider if there are absolute age cutoffs for elective procedures in healthy adults. Generally, informed consent and health status are the deciding factors, not age itself. This is likely false.
- Option D: 'Known as vasectomy'. Recall the specific medical term for male sterilization. This is a direct factual statement. This is true.
Concept Tested & Keywords
- Concept Tested: Male Sterilization (Vasectomy)
- Stem keywords: Male Sterilization, true
- Lead-in keywords: What is true
- Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
- Negative lead-in flag: false
Question ID
QyMi8g2hWg72JDTOHgGjnu
Reference Book
E6 Parks TextBook of Preventive & Social Medicine part 2 — Subpart A (pp 1-232 of 464) p. 2-4
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 8412-8414
E6 Obstetrics Williams p. 1
Practise the full MP CHO -2019 (Shift-2)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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