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A 16-year-old girl with focal epilepsy attends a general practice alone and asks for contraception. She has been seizure-free for two years on carbamazepine and takes no other medicines. She has a regular boyfriend, is currently relying on condoms alone, and says she knows she would forget a daily tablet. She has never been pregnant, has a normal blood pressure and body mass index, no migraine and no family history of thrombosis. She understands that condoms are still needed to prevent sexually transmissible infections. Which one of the following contraceptives should you recommend?
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