A 36 year old woman G4P4 presents for contraceptive counseli…
A 36 year old woman G4P4 presents for contraceptive counseling. Her past surgical history is significant for four cesarean deliveries. She has an asymptomatic 12 week sized fibroid uterus. Her past medical history is significant for obesity, which she feels worsened after her use of depot medroxyprogesterone acetate ( Depo-Provera) and a pulmonary embolism following her last delivery. She does not desire future fertility. The most appropriate contraceptive option for her would be:
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