This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Contraceptives, Subject name: Gynaecology & Obstetrics
Side effects/Complications of Copper T are all except : 
Select and explain. 
A. Menorrhagia, B. Dysmenorrhea, C. Ectopic pregnancy, D. Perforation
C: Ectopic pregnancy
Answer: C: Ectopic pregnancy 
Explanation: PLEASE NOTE: IUCD per say does not lead to ectopic pregnancy But if there is IUCD FAILURE (pregnancy occurs in spite of IUCD) then there is increased the risk of ectopic pregnancy Complications of IUD Immediate Difficulty in inseion Vasovagal attack Uterine cramps Early Expulsion (2-5%) Perforation (1-2%) Spotting, menorrhagia (2-10%) Dysmenorrhoea (2-10%) Late PID--2-5%. IUCD does not prevent transmission of HIV Pregnancy--1-3 per 100 woman years (failure rate) Ectopic pregnancy Perforation Dysmenorrhoea