Sterilisation techniques are generally fool proof methods of contraception with least side effects. Yet, this is the last option for the couples because
(i) It is almost irreversible
(ii) of the misconception that it will reduce sexual urge/drive
(iii) it is a surgical procedure
(iv) of lack of sufficient facilites in many parts of the country
Choose the correct option

Options

A. (i) and (iii)
B. (ii) and (iii)
C. (ii) and (iv)
D. (i),(ii),(iii) and (iv)

Explanation

To solve the question about why sterilization techniques are often considered the last option for couples despite being foolproof methods of contraception with minimal side effects, we need to evaluate each of the provided statements carefully.

### Step-by-Step Solution:

1. **Evaluate Statement (i): It is almost irreversible.**
- Sterilization methods, such as tubectomy for females and vasectomy for males, are indeed considered terminal methods of contraception. Once performed, reversing these procedures is complex and not guaranteed to restore fertility. This statement is true.

2. **Evaluate Statement (ii): Of the misconception that it will reduce sexual urge/drive.**
- Many couples harbor misconceptions regarding sterilization, believing that it may lead to a decrease in sexual desire or affect sexual performance. This is a common myth, and it contributes to the hesitation in opting for sterilization. This statement is also true.

3. **Evaluate Statement (iii): It is a surgical procedure.**
- Sterilization is a surgical intervention, which can deter couples who may be apprehensive about undergoing surgery. The surgical nature of the procedure makes it a significant consideration for couples. This statement is true as well.

4. **Evaluate Statement (iv): Of lack of sufficient facilities in many parts of the country.**
- In many regions, especially rural or underdeveloped areas, there may be inadequate healthcare facilities, trained personnel, or hygienic conditions to safely perform sterilization procedures. This statement is also true.

5. **Conclusion:**
- All four statements (i, ii, iii, and iv) are correct and highlight valid reasons why couples may consider sterilization as a last option despite its effectiveness and minimal side effects. Therefore, the correct answer is option D, which includes all the statements.