UPPSC 2017
Obstetrics & Gynaecology (E5)
Easy

Copper T 380 A provide protection against pregnancy for how many years?

Appeared in: UPPSC 2017

Explanation

  • The Copper T 380A is a second-generation, non-hormonal intrauterine device (IUD) approved for 10 years of continuous use.
  • It is one of the most effective long-acting reversible contraceptive (LARC) methods available.
  • Its mechanism involves releasing copper ions, which create an inflammatory environment in the uterus that is spermicidal and prevents implantation.
  • Studies have shown that its efficacy can extend even beyond 10 years, up to 12 years.

Why Other Options Were Wrong

  • Option A: A 3-year duration is characteristic of lower-dose hormonal IUDs, not the copper IUD.
  • Option B: A 5-year duration is associated with hormonal IUDs like Mirena or other copper IUDs like Nova T, not the Copper T 380A.
  • Option C: 6 years is not a standard approved duration for any of the commonly available IUDs, either hormonal or non-hormonal.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Duration of effectiveness for Copper T 380A intrauterine device (IUD) as background academic context rather than a clinical decision trigger.
  • Accurate patient counseling is a key nursing responsibility. Nurses must provide correct information on the duration, benefits, and side effects of different contraceptive methods to support informed decision-making.
  • It is crucial to document the type of IUD inserted and its scheduled replacement date (10 years for CuT 380A) and to educate the patient on this timeline.
  • What if? If a patient desires long-term contraception but also suffers from heavy menstrual bleeding (menorrhagia), a hormonal IUD like Mirena (effective for 5-8 years) might be a better recommendation, as it often reduces menstrual flow, whereas the copper IUD can sometimes increase it.
How to Approach the Question
  • Identify the keyword in the question: 'Copper T 380 A'.
  • Recognize that this is a factual recall question asking for a specific detail about a contraceptive device.
  • Access your knowledge base on family planning methods, specifically focusing on Intrauterine Devices (IUDs).
  • Differentiate between the types of IUDs: non-hormonal (copper) and hormonal (levonorgestrel-releasing).
  • Recall the specific approved duration for the Copper T 380A, which is one of the longest-acting reversible methods.
  • Compare this with the durations of other common IUDs to eliminate the incorrect options (e.g., 3 and 5 years are typical for hormonal IUDs).
Concept Tested & Keywords
  • Concept Tested: Duration of effectiveness for Copper T 380A intrauterine device (IUD).
  • Stem keywords: Copper T 380 A, protection against pregnancy, years
  • Lead-in keywords: how many

Question ID

Q82DJAwjYlzonW0PvLujlR

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 190-192

E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 8411-8413

Practise the full UPPSC 2017

Attempt every question from this paper in a timed mock, then review the full solution for each one.