Soru

Seeking contraceptive counseling, a 25-year-old nulligravid woman presents to the gynecology clinic. She is in a monogamous relationship and desires to prevent pregnancy for at least the next five years. Her medical history is significant for Wilson disease, which is currently well-managed with trientine. She also reports a longstanding history of heavy menstrual bleeding that has previously required intermittent oral iron supplementation for mild anemia. Her current medications include trientine and a daily multivitamin. Vital signs are within normal limits, and her body mass index is 24 kg/m $^2$. A point-of-care urine pregnancy test is negative. The patient requests a highly effective, long-acting reversible contraceptive (LARC) method. Which of the following is the most appropriate recommendation for this patient?