Question

A $37$-year-old G3P3 woman presents to the clinic to discuss long-term contraception. She and her partner state that their family is complete, but they prefer a non-surgical option. Her menstrual periods occur every $28$ days, last for $7$ to $8$ days, and are exceptionally heavy, requiring her to change super-absorbent pads every $2$ hours during the first three days of menses. Her past medical history is significant for migraines that are consistently preceded by visual scintillating scotomas. She smokes $15$ to $20$ cigarettes per day. Vital signs show a blood pressure of $124/78 \text{ mmHg}$ and a heart rate of $72$/min. Body mass index is $28 \text{ kg/m}^2$. Pelvic examination is unremarkable. A urine pregnancy test is negative. Laboratory studies reveal a hemoglobin level of $10.2 \text{ g/dL}$. Which of the following is the most appropriate contraceptive method for this patient?