Community Medicine (PSM) · Family Planning and Contraceptives

The Copper-T 380A intrauterine device has a failure rate (Pearl Index) of approximately:

  • A 0.1–0.5 per 100 woman-years (highly effective)
  • B 2–3 per 100 woman-years
  • C 5–8 per 100 woman-years
  • D 10–15 per 100 woman-years
Correct answer: A. 0.1–0.5 per 100 woman-years (highly effective)

Explanation

The Copper-T 380A (CuT380A) has a Pearl Index of approximately 0.1–0.8 per 100 woman-years, making it one of the most effective reversible contraceptives available. It can remain in situ for up to 10–12 years. It works primarily by copper-mediated spermicidal effect and alteration of uterine/tubal motility. Condoms have a typical-use Pearl Index of 12–15.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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