**Question:** Characteristics of an ideal candidate for copper-T insertion include all of the following except

A. Female of reproductive age (16-49 years)
B. Well-informed and committed to accept the method
C. In a stable relationship with a partner who shares the decision to use contraception
D. Pregnant or breastfeeding

**Core Concept:**
An ideal candidate for copper-T (intrauterine device with copper) insertion should be within the appropriate age range, well-informed, and committed to using the method. Copper-T is a long-acting, reversible contraceptive method suitable for women of reproductive age, typically 16-49 years.

**Why the Correct Answer is Right:**
D. Pregnant or breastfeeding women are excluded from copper-T insertion due to the potential risks for the fetus and newborn. Copper-T can cause premature labor and low birth weight in pregnant women, and it can interfere with milk production in breastfeeding mothers.

**Why Each Wrong Option is Incorrect:**
A. While copper-T is suitable for women of reproductive age, age range does not exclude candidates who are not within the stated period (e.g., premenarchal girls or postmenopausal women).
B. Commitment to accept the method is important but not an absolute criterion for copper-T insertion. The ideal candidate should be properly informed about the method and its benefits/risks.
C. A stable relationship and shared decision-making are important factors in long-term method continuation, but they are not exclusion criteria for copper-T insertion.

**Clinical Pearl:**
Copper-T insertion is a valuable method for contraception and family planning. Informed and committed candidates within the reproductive age range are suitable candidates for this method. It is essential to discuss the method's benefits and potential risks with the patient before insertion to ensure successful long-term use.