A 22-year-old nulliparous woman requests a copper IUD for contraception. According to WHO Medical Eligibility Criteria, nulliparity is classified as which category for IUCD use?
- A Category 1 (no restriction)
- B Category 2 (advantages generally outweigh risks) ✓
- C Category 3 (risks generally outweigh advantages)
- D Category 4 (unacceptable health risk)
Correct answer: B. Category 2 (advantages generally outweigh risks)
Explanation
WHO MEC classifies nulliparity for IUCD as Category 2, meaning the advantages of the method generally outweigh the theoretical or proven risks. While insertion may be technically more difficult and expulsion rates slightly higher, IUCDs are safe and effective in nulliparous women.
Reference: WHO Medical Eligibility Criteria for Contraceptive Use, 5th ed.
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Written and medically reviewed by the StethoPrep medical team.