MCQ – 50349

Correct Answer » B Explanation

Detailed Explanation:

Clinical Reasoning for the Correct Answer
– At age 37, estrogen-containing methods (like combined oral contraceptive pills) must be used with caution, especially if there are cardiovascular risks.
– IUCDs (especially copper IUCDs) are safe, highly effective, long-acting, but reversible (temporary) methods.
– They are hormone-free, require minimal user compliance, and are ideal for women who have completed their families or wish not to conceive for a few years.

Why Option A is Incorrect
– Diaphragm is less effective than IUCDs or oral contraceptives (typical-use failure rate ≈12%).
– User-dependent; requires correct placement and consistency.
– Not the method of choice for most well-educated/motivated women wanting reliable contraception.

Why Option B is Correct
– IUCD is safe, effective (failure rate 35 years without contraindications.
– No increased risk of thromboembolism or hormonal side effects.
– Requires minimal maintenance and provides long-term contraception.

Why Option C is Incorrect
– Mala-D is a combined oral contraceptive pill.
– While suitable for many women, caution advised in women >35 years, especially smokers or those with cardiovascular risk.
– Compliance required; missing pills decreases efficacy.

Why Option D is Incorrect
– Mala-N is also a combined oral contraceptive pill, nearly identical in profile to Mala-D.
– Same age-related caution as above; user compliance needed.
– Not superior to IUCD for a healthy, well-educated woman of this age.