Contraception · NEET PG Preparation Obstetrics & Gynaecology

Which of the following is the primary mechanism of action of the Copper-T 380A intrauterine device?

Practice question from Contraception (NEET PG Preparation Obstetrics & Gynaecology), with the correct answer and a step-by-step solution.

medium · MCQ · Q-115DDA

Which of the following is the primary mechanism of action of the Copper-T 380A intrauterine device?

  1. A.Inhibition of the hypothalamic-pituitary-ovarian axis preventing ovulation
  2. B.Thickening of the cervical mucus to prevent sperm penetration
  3. C.Spermicidal and inflammatory endometrial reaction preventing fertilization and implantationCorrect answer
  4. D.Direct suppression of luteinizing hormone surge

Solution

The primary mechanism of copper IUDs is a sterile inflammatory reaction within the endometrium induced by copper ions, which is toxic to sperm and ova, thereby preventing fertilization. Copper does not prevent ovulation; hormonal IUDs, however, work primarily by thickening cervical mucus and suppressing endometrial proliferation.

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