Question

A $26$-year-old nulliparous woman comes to the clinic to discuss contraceptive options. She and her partner are sexually active and wish to avoid pregnancy for at least the next $3$ years. Her menstrual periods occur every $28$ days, last for $7$ to $8$ days, and are associated with heavy bleeding that requires changing a super-absorbent pad every $2$ hours on her heaviest days. Her past medical history is significant for episodic headaches that occur approximately once a month. These headaches are characteristically preceded by bilateral flashing lights and zig-zag lines, followed by throbbing unilateral head pain. She takes sumatriptan as needed with good relief. Her blood pressure is $118/76\text{ mmHg}$, heart rate is $72\text{/min}$, and body mass index is $24\text{ kg/m}^2$. A urine beta-hCG test is negative. Pelvic examination is unremarkable. Which of the following is the most appropriate contraceptive recommendation for this patient?