**Question:** Following are the characteristic features of an ideal IUCD candidate except?

A. Pregnant women
B. Women with a history of pelvic inflammatory disease (PID)
C. Women with a history of ectopic pregnancy
D. Women with a history of uterine perforation

**Core Concept:** The ideal IUCD candidate is a woman who is:

- Able to provide informed consent and follow-up care
- A non-smoker
- Able to differentiate between menstrual and pain due to IUCD
- Able to regularly attend follow-up visits for insertion and removal
- Able to tolerate the procedure without severe complications

**Why the Correct Answer is Right:** The correct answer is "Pregnant women" because IUCDs should not be placed during pregnancy due to the risk of uterine perforation, which can lead to severe complications for the mother and fetus.

**Why Each Wrong Option is Incorrect:**

**A. Pregnant women:** As mentioned above, pregnant women are not ideal candidates for IUCD insertion due to the risk of uterine perforation and adverse effects on the fetus and mother.

**B. Women with a history of pelvic inflammatory disease (PID):** Women with PID are at an increased risk of pelvic infections, which can lead to complications with IUCD insertion and long-term health concerns.

**C. Women with a history of ectopic pregnancy:** Women with a history of ectopic pregnancy may have anatomical abnormalities that could lead to complications during IUCD insertion or expulsion. However, this option is less critical than the first three, as the patient's ability to tolerate the procedure and complications from IUCD are more important than their history of ectopic pregnancy.

**D. Women with a history of uterine perforation:** Women with a history of uterine perforation should have a thorough evaluation and discussion before considering IUCD insertion, focusing on the reason for the perforation and whether it is a concern for future IUCD insertion.

**Clinical Pearl:** It is essential to assess the patient's medical history and evaluate the potential risks before inserting an IUCD. The goal is to ensure patient safety, minimize complications, and provide appropriate contraceptive options based on individual patient characteristics.