Maisha wants to start using contraception. She doesn't want to have to remember something daily, she would like it to lighten her menstrual flow, and she would prefer not to use something that releases progestin into her body. Which of the following would be the best method of contraception for her and why?
A. Mirena IUD is best because it can be effective for as long as five years, it has been shown to reduce menstrual bleeding, and it only releases estrogen to prevent pregnancy.
B. Nexplanon is best because it can be effective for as long as three years, it has been shown to reduce or eliminate menstrual bleeding, and releases estrogen to prevent pregnancy.
C. A diaphragm is best because it can be left in for up to two weeks, can block the flow of menstrual bleeding, and releases no hormones at all.
D. Paragard IUD is the best option because it can be effective for up to 12 years, it has been shown to reduce menstrual bleeding, and it does not release any hormones at all.
Answer: D
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