આ MCQ મોડ્યુલ આના પર આધારિત છે: NCERT Exercises and Solutions: Reproductive Health
NCERT Exercises and Solutions: Reproductive Health
આ મૂલ્યાંકન આના પર આધારિત હશે: NCERT Exercises and Solutions: Reproductive Health
મૂલ્યાંકન બનાવવામાં તેમની સામગ્રી સામેલ કરવા ચિત્રો, PDF અથવા Word દસ્તાવેજ અપલોડ કરો.
NCERT Exercises and Solutions: Reproductive Health
Chapter 3 — Reproductive Health: Summary
Reproductive health is a holistic measure of physical, emotional, behavioural and social well-being relating to reproduction. India, one of the first countries to take national-level action, runs the Reproductive and Child Health Care (RCH) programme — promoting awareness, contraception, antenatal/post-natal care, STD treatment and infertility help. Population explosion has been controlled through education, raising the marriage age (♀ 18, ♂ 21), and a wide range of contraceptive options. Safe MTP, STD prevention and Assisted Reproductive Technologies (ART) round out the modern reproductive-health toolkit.
4.1 Reproductive Health
- WHO definition (4 dimensions)
- India started family planning in 1951
- RCH programme today
4.2 Population & Birth Control
- Causes of population explosion
- Natural / Barrier / IUDs / Pills / Surgical
- Saheli — non-steroidal pill
4.3 MTP
- MTP Act 1971
- Safe in 1st trimester
- Bans sex-selective abortion
4.4 STDs
- Bacterial, viral, parasitic
- HIV/Hep-B → also non-sexual routes
- Prevention principles
4.5–4.6 Infertility & ART
- Male/female causes
- IVF, ZIFT, IUT, GIFT, ICSI, AI
- Adoption as alternative
Key Terms (chapter-wide)
🎯 Interactive: Sort the Concept
Pick a term and see where it fits in this chapter (theme + section number).
Theme: —
Section: —
NCERT Exercises — Chapter 3: Reproductive Health
- Functionally normal reproductive organs and freedom from STDs and infertility.
- Awareness about safe sex, contraception, MMR/IMR control, and adolescent changes.
- Equal opportunity for both sexes — combating gender bias and female foeticide.
- Access to medical-care for pregnancy, childbirth and infant survival.
(ii) Population control — promote contraception and small-family norms.
(iii) Strict enforcement against sex-selective abortion (PCPNDT Act).
(iv) Better STD detection & treatment, especially for the 15-24 age group.
(v) Wider availability of infertility care (ART) at affordable cost.
(vi) Improved maternal health — antenatal and post-natal care, breast-feeding promotion, immunisation.
- Provide correct biological information about reproductive organs, puberty, menstruation and adolescence.
- Discourage myths and misconceptions about sex picked up from unreliable sources.
- Inform about safe and hygienic sexual practices, STDs, AIDS and need for contraception.
- Promote consent, gender equality and respectful relationships.
Measures:
- Strict enforcement of the PCPNDT Act 1994 banning prenatal sex-determination.
- Government schemes that incentivise the girl-child (e.g., Beti Bachao Beti Padhao, Sukanya Samriddhi).
- Public-awareness campaigns showcasing girls' achievements and equality.
- Free or subsidised education, mid-day meals and scholarships for girls.
- Penalties on doctors / clinics conducting illegal sex-determination.
- Empowering women economically and socially so they are equally valued.
- Natural / Traditional — periodic abstinence, withdrawal (coitus interruptus), lactational amenorrhoea.
- Barrier — condoms (Nirodh), diaphragm, cervical cap, vault.
- IUDs — Lippes loop, CuT, Cu7, Multiload-375, LNG-20, Progestasert.
- Hormonal — combined oral pills (Mala-D / Mala-N), Saheli, injectables, implants.
- Surgical (sterilisation) — Vasectomy (♂), Tubectomy (♀).
- Emergency contraception within 72 h of unprotected intercourse.
- Inhibiting ovulation — no ovum is released from the ovary.
- Inhibiting implantation — even if fertilisation occurs, the endometrium is unsuitable for the embryo to attach.
- Altering cervical mucus — making it thick, retarding/blocking entry of sperms into the uterus.
- Nausea, slight weight gain, breast tenderness, mild headache.
- Mood changes, irregular spotting initially.
- Slightly raised risk of blood clots in some women (especially smokers / older than 35).
- Rarely, hypertension or breakthrough bleeding.
- IUDs — useful for women who want a long-term, low-maintenance, reversible method (especially after first child).
- Sterilisation (vasectomy/tubectomy) — when family is complete and no further children are desired.
- Emergency contraception (within 72 h) — for unprotected sex, condom failure, or rape.
- Hormonal pills — to delay first child or space births in women with no contra-indications.
- Non-medicated IUDs (Lippes loop) — induce a sterile inflammatory reaction in the uterus that increases phagocytosis of sperms.
- Copper-releasing IUDs (CuT, Cu7, Multiload-375) — release Cu²⁺ ions which suppress sperm motility and fertilising capacity, in addition to the inflammation effect.
- Hormone-releasing IUDs (LNG-20, Progestasert) — release progestogen which makes the uterus unsuitable for implantation and the cervix hostile to sperms (thick mucus).
| Merits | Demerits |
|---|---|
| High efficacy when taken correctly | Must be taken daily; missing doses reduces efficacy |
| Reversible — fertility returns after stopping | Side-effects: nausea, weight gain, breast tenderness, mood swings (esp. with steroidal pills) |
| Some non-contraceptive benefits (regular cycles, less menstrual pain, lower risk of ovarian/endometrial cancer) | No protection against STDs / HIV |
| Saheli (Indian non-steroidal) — once a week, very few side-effects | Slightly raised risk of clotting in smokers / older women |
| User-controlled; no medical procedure needed | Not recommended in women with hypertension, history of stroke, breast cancer, etc. |
(a) Surgical methods of contraception prevent gamete formation.
(b) All sexually transmitted diseases are completely curable.
(c) Oral pills are very popular contraceptives among rural women.
(d) In E.T. techniques, embryos are always transferred into the uterus.
(b) False. Most bacterial STDs are curable, but HIV, Hepatitis B and genital herpes are not completely curable (only managed).
(c) False. Among Indian rural women, condoms and IUDs are more popular; oral pills require daily-use discipline and are less universally used.
(d) False. In ZIFT the early embryo (≤8 cells) is transferred to the fallopian tube; only in IUT is the >8-cell embryo transferred to the uterus.
(a) Surgical methods of contraception do not prevent gamete formation.
(b) Abortions could happen spontaneously too.
(c) Infertility is defined as the inability to produce a viable offspring and is always due to abnormalities/defects in the female partner.
(d) Complete lactation could help as a natural method of contraception.
(b) Correct as given — spontaneous abortion (miscarriage) can happen due to genetic, hormonal or physical reasons.
(c) Incorrect. Infertility is the inability of a couple to conceive after 1-2 years of unprotected co-habitation. The defect may be in the male, the female, or both partners — not always the female.
(d) Partially correct. Lactational amenorrhoea works only when breast-feeding is intense and exclusive, and only up to about six months after parturition; after that the failure rate increases.
Useful for: diagnosing genetic disorders (Down syndrome, haemophilia, sickle-cell anaemia) and chromosomal abnormalities in the foetus, allowing parents to make informed decisions.
Misuse: The technique is often misused for sex-determination of the foetus, leading to selective abortion of female foetuses. To curb this, the Government of India has imposed a statutory ban (PCPNDT Act 1994) on its use for sex-determination — punishable by law for the doctor, the clinic and the requesting couple.
- IVF (In Vitro Fertilisation) — "test-tube baby"; ova + sperm fertilised in lab, embryo transferred back.
- ZIFT — zygote/early embryo (≤8 cells) transferred into fallopian tube.
- IUT — embryo (>8 cells) transferred into uterus.
- GIFT — donor ovum + male partner sperm transferred into a healthy fallopian tube of the recipient who cannot produce ova.
- ICSI — single sperm injected directly into ovum cytoplasm; for severe male-factor infertility.
- AI / IUI — semen artificially introduced into vagina or uterus when male cannot inseminate.
- Avoid sex with unknown partners and multiple partners.
- Always use condoms during coitus — they form a physical barrier preventing exchange of body fluids.
- Use sterile / disposable needles & syringes — avoid sharing them.
- Insist on screened blood and blood-products before transfusion.
- Take Hepatitis B and HPV vaccines.
- If in doubt, visit a qualified doctor for early detection and complete treatment.
- Spread awareness — break the stigma, especially for the high-risk 15-24 age group.
(a) Infertility is defined as the inability to produce a viable offspring and is always due to abnormalities in the female partner.
(b) Any abnormality / disease of the reproductive system can be diagnosed by amniocentesis.
(c) ZIFT is the transfer of zygote into the fallopian tube.
(d) Vasectomy prevents the production of sperms.
(b) False. Amniocentesis detects foetal chromosomal/genetic abnormalities — not adult reproductive-system diseases.
(c) True. ZIFT (Zygote Intra-Fallopian Transfer) places the zygote/early embryo (≤8 cells) into the fallopian tube.
(d) False. Vasectomy blocks the transport of sperms by cutting/tying the vas deferens; sperm production in the testis still occurs.
Aim: Convert this whole chapter into one A4 mind-map.
- Place "Reproductive Health" at the centre.
- Branch 1: WHO definition + RCH.
- Branch 2: Population control → 6 contraceptive families.
- Branch 3: MTP — indications, MTP Act, safe window.
- Branch 4: STDs — list, transmission, prevention.
- Branch 5: Infertility & ART (IVF / ZIFT / IUT / GIFT / ICSI / AI / Adoption).
- Use colour to mark "examinable definitions" vs "applied/social" content.
📚 Competency-Based Questions (Chapter-wide Mix)
1. Which government act bans pre-natal sex-determination in India? L1
2. The intentional, voluntary termination of pregnancy before full term is called __________. L1
3. Why is the use of condoms recommended even for couples using a different contraceptive? L3
4. A doctor advises a couple struggling to conceive to opt for ICSI rather than IVF. Justify the choice. L4
5. Critically evaluate: "RCH programme has solved India's reproductive-health problems." L5
🧠 Assertion–Reason (Chapter-wide)
Choose: (A) Both true, R explains A. (B) Both true, R doesn't explain A. (C) A true, R false. (D) A false, R true.
A: Saheli is preferred over conventional combined oral pills.
R: Saheli is non-steroidal and is taken once a week, with very few side effects.
A: Adoption is an alternative to ART for infertile couples.
R: ART is expensive and technologically demanding; adoption gives a parentless child a loving family.
A: MTP Act 1971 was enacted primarily to enable sex-selective abortion.
R: Sex-determination of the foetus is legal in India.