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NCERT Exemplar · Q12

Q.The correct surgical procedure as a contraceptive method is:

(a) Ovariectomy
(b) Hysterectomy
(c) Vasectomy
(d) Castration
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Vasectomy is the correct surgical contraceptive procedure — a minor operation that blocks sperm transport without removing organs or affecting hormone production.

When we talk about contraceptive methods, we need to distinguish between procedures designed specifically to prevent pregnancy while preserving normal physiology, and those that involve removing reproductive organs entirely. The question asks for the correct surgical procedure as a contraceptive method, which means we're looking for something safe, reversible where possible, and designed purely for birth control.

Vasectomy is a surgical method of contraception performed in males. During this procedure, a small segment of the vas deferens — the tube that carries sperm from the testes to the urethra — is cut and tied off on both sides. This prevents sperm from entering the ejaculatory fluid. The operation is minor, usually done under local anaesthesia, and the man can return home the same day. Crucially, it doesn't affect testosterone production or sexual function because the testes remain intact and continue their hormonal role. The seminal fluid is still produced; it simply lacks spermatozoa.

The female equivalent is tubectomy (or tubal ligation), where a portion of the fallopian tubes is cut and tied to prevent the egg from meeting sperm. Both vasectomy and tubectomy are recognized contraceptive sterilization methods.

Now let's see why the other options don't qualify:

  • Ovariectomy is the surgical removal of one or both ovaries. This is not a contraceptive procedure — it's a treatment for conditions like ovarian cancer, severe endometriosis, or ovarian cysts. Removing the ovaries eliminates egg production entirely and stops oestrogen and progesterone secretion, leading to immediate menopause with significant hormonal consequences.

  • Hysterectomy involves removing the uterus itself. Again, this is a major surgical intervention for medical conditions such as uterine fibroids, cancer, or severe bleeding — not a method of contraception. While it does render pregnancy impossible, the scale and consequences of the surgery make it entirely inappropriate as a birth control measure. …

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