Contraception, preconception and infertility practice

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Obstetrics and Gynaecologymiddle twist

A 32-year-old woman wants highly effective contraception and would prefer predictable light bleeding. She does not want a method requiring daily action and has migraine with visual symptoms that precede some headaches. She has no history of venous thromboembolism, breast cancer or liver disease. Which contraceptive method is most appropriate?