CGHS SSC - 2018
Obstetrics & Gynaecology
Easy

Which of the following is a permanent method of sterilization in women?

Appeared in: CGHS SSC - 2018

Explanation

  • Tubectomy, or tubal ligation, is a permanent surgical method of contraception specifically for women.
  • The procedure involves the occlusion or division of the fallopian tubes, which physically prevents the sperm and ovum from meeting, thus preventing fertilization.
  • It is considered a permanent method because it is not easily reversed, and reversal procedures are complex, expensive, and not always successful.
  • With an effectiveness rate of over 99%, it is one of the most reliable forms of birth control available.

Why Other Options Were Wrong

  • Option A: A condom is a temporary, single-use barrier method of contraception. It is not a permanent form of sterilization.
  • Option B: Intrauterine Devices (IUDs) are a form of Long-Acting Reversible Contraception (LARC). While they provide effective contraception for several years, they are designed to be removed, allowing fertility to return.
  • Option C: Vasectomy is a permanent method of sterilization, but it is performed on males, not females. The procedure involves cutting or sealing the vas deferens to prevent sperm from entering the ejaculate.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain The core concept tested is the identification of permanent versus temporary methods of contraception, specifically for females as background academic context rather than a clinical decision trigger.
  • A nurse's primary role is to provide comprehensive counseling to patients considering sterilization. This includes discussing all available contraceptive options, both permanent and reversible, to ensure informed consent.
  • It is critical to emphasize the permanence of tubectomy and discuss the potential for regret, especially in younger patients or those whose life circumstances may change. The discussion should include the low success rates and high cost of reversal.
  • Nurses must educate patients about the risks associated with the surgery, including infection, bleeding, and the small but serious risk of a future ectopic pregnancy if the procedure fails.
How to Approach the Question
  • First, carefully read the question and identify the key criteria: the method must be (1) permanent and (2) for women.
  • Evaluate each option against these two criteria.
  • Option A, Condom, is for women (or men) but is not permanent. Eliminate it.
  • Option B, Intrauterine Devices, are for women but are reversible, not permanent. Eliminate it.
  • Option C, Vasectomy, is permanent but is a procedure for men, not women. Eliminate it.
  • Option D, Tubectomy, is a surgical procedure for women and is a permanent method of sterilization. This is the correct answer.
Concept Tested & Keywords
  • Concept Tested: The core concept tested is the identification of permanent versus temporary methods of contraception, specifically for females.
  • Stem keywords: permanent method, sterilization, women
  • Lead-in keywords: Which of the following

Question ID

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Reference Book

E6 Gynecology Williams p. 120-150

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

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