What is the typical failure rate of a copper IUD?

Study for the American Board of Obstetrics and Gynecology (ABOG) Qualifying Exam. Hone your skills with flashcards and multiple choice questions, complete with hints and explanations. Prepare confidently for your exam!

The copper IUD (intrauterine device) is one of the most effective forms of long-term reversible contraception. The typical failure rate of the copper IUD is approximately 0.8% in the first year of use. This means that out of 100 women using the copper IUD for one year, about 0.8 will become pregnant. This high efficacy is due to the copper's ability to create an inflammatory reaction in the uterus that is toxic to sperm and prevents fertilization.

Understanding the failure rate of contraceptive methods is crucial for appropriately counseling patients about their options. The copper IUD's low failure rate makes it a preferred choice for many women seeking reliable contraception without the need for daily attention, as is the case with barrier methods or hormonal pills.

In this context, the other figures provided reflect different methods or variations in study populations and not the standard failure rate associated with the copper IUD. This further emphasizes the accuracy of 0.8% as a relevant statistic for clinical practice when discussing the effectiveness of the copper IUD.

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