Reversible contraception Quiz: Ace Your Exams

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A 36-year-old woman presents to the primary care office requesting contraception. She is planning to begin a three-month treatment with terbinafine for toenail fungus and needs a reliable method of pregnancy prevention while taking this medication. The patient would like to continue the contraception for one year while she completes graduate school and then plans to try to conceive a child after finishing. Her last menstrual period was two weeks ago. She has never had a sexually transmitted infection and has no chronic medical conditions. She smokes one pack of cigarettes per day. Temperature is 37.0°C (98.6°F), pulse is 73/min, respiratory rate is 16/min, blood pressure is 126/82 mmHg, and BMI is 22 kg/m2. She is awake and alert on examination, and in no distress. A pregnancy test is negative. Which of the following is the most appropriate form of contraception for this patient?  

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