Which IUCD needs to be replaced only after 10 years?

NCL (MP) Nursing Officer - 2019

Obstetrics and Midwifery Nursing

Easy

Appeared in: NCL (MP) Nursing Officer - 2019

Explanation

The Cu-T 380A is a second-generation, copper-containing IUD.
The number '380' signifies its large copper surface area of 380 mm², which provides a highly effective and long-lasting contraceptive effect.
It is approved for use for up to 10 years, making it one of the longest-lasting reversible contraceptive methods available.
The copper ions released create an inflammatory response within the uterus that is spermicidal, preventing fertilization.

Option A: Copper 'T' 200 has a smaller copper surface area (200 mm²) and is therefore effective for a shorter duration, typically 3 to 4 years.
Option B: Progestasert is a third-generation, hormone-releasing IUD, not a copper IUD. Its reservoir of progesterone depletes over time, requiring it to be replaced annually (every 1 year).
Option D: Nova 'T' is another type of copper IUD, but it has a shorter approved lifespan than Cu-T 380A, typically around 5 years.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Replacement schedule of different Intrauterine Contraceive Devices (IUCDs) as background academic context rather than a clinical decision trigger.
Nurses play a crucial role in counseling patients on contraceptive options. Accurate knowledge of the duration of effectiveness for different IUDs is essential for providing correct information and ensuring timely replacement.
Patient education should include not only the replacement schedule but also how to check for the IUD threads and what side effects or warning signs (e.g., fever, pelvic pain, missed period) warrant a clinical visit.
What if a patient with a Cu-T 380A presents for a check-up at 11 years? The nurse must advise the patient that the device is past its approved lifespan and is no longer considered an effective contraceptive. The nurse should assess for pregnancy, discuss removal, and explore options for a new contraceptive method.

How to Approach the Question

Identify the key requirement of the question, which is the specific replacement duration (10 years) for an IUCD.
Recall the different types of IUCDs and their classifications (non-medicated, copper-releasing, hormone-releasing).
Compare the known lifespans of the options provided: Copper 'T' 200 (shorter), Progestasert (hormonal, yearly), Cu-'T' 380 A (long-acting copper), and Nova 'T' (mid-range copper).
Match the 10-year timeframe to the correct device. The number '380' in Cu-T 380A is a clue to its higher copper content and longer duration compared to the '200' in Copper T 200.
Select Cu-'T' 380 A as the only option that meets the 10-year criterion.

Concept Tested & Keywords

Concept Tested: Replacement schedule of different Intrauterine Contraceive Devices (IUCDs)
Stem keywords: IUCD, replaced, 10 years
Lead-in keywords: Which
Negative lead-in flag: false

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