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 regarding why sterilization techniques are often the last option for couples despite being foolproof methods of contraception, we will analyze each of the provided statements step by step.

### Step-by-Step Solution:

1. **Understanding Sterilization Techniques**:
- Sterilization techniques are methods used to prevent pregnancy by ensuring that sperm does not meet the ovum. They are considered foolproof and have minimal side effects compared to other contraceptive methods.

2. **Types of Sterilization**:
- For males, the procedure is called vasectomy, where the vas deferens is cut and tied to prevent sperm from being released.
- For females, the procedure is called tubectomy, where the fallopian tubes are cut and tied to prevent ovum from meeting sperm.

3. **Evaluating Each Statement**:
- **(i) It is almost irreversible**: This statement is true. Once a couple undergoes sterilization, reversing the procedure is often difficult and not guaranteed to restore fertility.
- **(ii) Of the misconception that it will reduce sexual urge/drive**: This statement is false. There is no scientific basis for the belief that sterilization affects sexual desire or drive.
- **(iii) It is a surgical procedure**: This statement is true. Both vasectomy and tubectomy are surgical procedures, which may deter some couples due to the associated risks and invasiveness.
- **(iv) Of lack of sufficient facilities in many parts of the country**: This statement is generally false. While access to healthcare can vary, there are usually facilities available for sterilization in most areas.

4. **Conclusion**:
- The correct reasons why sterilization is often a last option for couples are (i) it is almost irreversible and (iii) it is a surgical procedure. Therefore, the correct options are (i) and (iii).

### Final Answer:
The correct options are (i) and (iii).

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