This document discusses the Copper T intrauterine device (IUD). It begins by explaining that Copper T is a plastic and copper device used for contraception and emergency contraception. It works primarily by preventing fertilization through copper ions that decrease sperm motility. The document then describes the different types of Copper T devices and the mechanism of action. It provides eligibility criteria for Copper T insertion and notes it should be inserted during or within 10 days of menstruation. The document outlines advantages like effectiveness and reversibility, and disadvantages like possible side effects. It emphasizes Copper T is a safe, highly effective reversible method and concludes by summarizing proper use and follow-up care.

1. Copper T
Dr. Shibasish Banerjee
Department of Community
Medicine
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2. Learning objectives
At the end of the session learners will be able to
 Mention the mechanism and different type of copper T
 Mention the purposes and advantages and disadvantages of
copper T
 Explain the eligibility criteria of copper T insertion
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3. Introduction
• Copper T is an intrauterine device made of
plastic and copper
• It is used for contraception and family
planning
• It is also used for emergency contraception(5
days after intercourse)
• It is highly effective reversible family planning
methods
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4. Mechanism
• Act primarily by preventing fertilization
• Copper ions decrease sperm motility and
function by altering the uterine and
tubal fluid environment, thus preventing sperm
from reaching the fallopian tubes and fertilizing
the egg.
• The device also stimulates foreign body reaction
in the endometrium that releases
macrophages and prevents implantation.
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5. Types
• Earlier devices: Cu-7
Cu T 200
• Newer devices: Cu T 220 C
Cu T 380 A (2002,
NFWP,10YRS)
Nova T
ML-Cu-250(3 YRS)
ML-Cu-375(5 YRS)
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12. Ideal candidate for IUD use:
1. Having atleast one child
2. No h/o PID, ectopic pregnancy
3. Normal menstrual cycle
4. Access to follow up and treatment
5. In monogamous relationship
6. Willing to check IUD tail
Use : during or within 10 days of menstruation- uterine cavity is
relaxed, insertion is easy, contractions are minimum so
expulsion chance less.
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13. Advantages:
Effective and reversible method
Not complex process in insertion, though supervised
Inexpensive if duration is considered
Free of side effects(metabolic)
One time motivation reqired
Highest continuation rate
Disadvantages:
• Contraindication : Absolute
Suspected pregnancy/ PID/ Genital Bleeding/ CA of genital tract/
previous ectopic
Relative – anemia/ menorrhagia/ purulent cervical discharge/ h/o
PID / Distortion of uterine cavity/ un motivated person
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14. • Side effects:
1. Bleeding
2. Pain
3. Pelvic infections
4. Uterine perforation
5. Ectopic pregnancy
6. Expulsion – partial or complete
7. Mortality – extremely rare
• Follow up : examined after her first menstrual cycle, then on
third menstrual period, and after that after 6-12 months
interval
To motivate/ confirm presence of IUD/ diagnose or treat any
complication.
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15. Take home message
• Copper T is a safe , highly effective , reversible
family planning method
• Cu T 380 A currently used in national
programme
• Can be used as post-coital contraceptive
methods
• Insertion required supervision
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16. Contd…..
• Can be used in lactating mother also
• Low failure rate
• Low expulsion rate
• Avoid in PID, STI/RTI patient
• Required follow up and motivation
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17. Problem exercises
• All of the following are contraindication for Copper T except:
1.PID
2. DUB
3.P/h/o Ectopic pregnancy
4. Lactating mother
Ans: 4
• Which Cu T is used in NFWP recently?
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18. Thank you
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