The correct option is C i, ii, iii and iv
Surgical methods:
Surgical methods involve sterilisation of male or female partners and used as the terminal methods to prevent any more pregnancies. It includes vasectomy in males (vas deferens is cut and tied up) and tubectomy in females (fallopian tube is cut and tied up).
It is almost irreversible:
Once vas deferens and fallopian tubes are cut and tied surgically, they cannot be ligated again. Therefore, the surgical method is a permanent and irreversible method of contraception. Thus, it is a correct statement.
Of the misconception that it will reduce sexual urge:
Sterilisation method affects the transport of gametes such as sperms and ovum. There’s a trend to avoid this contraceptive method due to the misconception that it will reduce sexual urges. However, recent researches have shown that the sexual urge and behaviors of females get altered post-tubectomy. Thus, it is a correct statement.
It is a surgical procedure:
Sterilisation methods of contraception include vasectomy and tubectomy. In this method, vas deferens and fallopian tubes are cut and tied in males and females respectively. It is a surgical procedure done by practiced physicians. Thus, it is a correct statement about the sterilisation method of contraception.
Of lack of sufficient facilities in many parts of the country:
Vasectomy and tubectomy can be performed easily. There are facilities available for this in many parts of the country. However, the scenario of the rural areas are different due to lack of competent medical professionals and infrastructures. Thus, it is a correct statement.
Final answer : d. i, ii, iii and iv