A 28-year-old nonsmoking woman presents to discuss birth control methods. She requests a contraceptive option that is not associated with weight gain. She and her husband agree that they desire no children for the next few years. Her periods are regular, but heavy and painful, with severe lower abdominal cramping and back pain, requiring pad changes every 4 hours. This pattern of bleeding has been present since she was 15 years old. For a week before her period begins, she experiences uncharacteristic tearfulness, irritability, and depression, which are affecting her personal relationships. Her physical examination reveals blood pressure 110/75, BMI 22, and moderate acne on her face and neck. What recommendation would best address her mood, skin, and contraceptive needs?
AProgesterone intrauterine device (IUD)
BDepo-Provera (medroxyprogesterone acetate) shots every 3 months
CCombination oral contraceptive pill with drospirenone and ethinyl estradiol
DTubal ligation (permanent sterilization)
Combined oral pills reduce the risk of?
ABreast cancer
BOvarian cancer
CCervical cancer
DVaginal cancer
Which of the following is not a long-acting reversible contraceptive method?
ACombined oral contraceptives
BImplanon
CCopper T
DDepo-Provera injection
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