Dysmenorrhea in Obstetrics & Gynecology — 28yo Woman | General Gynecology | SMLE Q#1527
SMLE Question #1527
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 28-year-old woman has a known simple 4-cm ovarian cyst on pelvic ultrasound 2 months ago. She has regular 28–30-day menstrual cycles with dysmenorrhea and no acute pelvic pain. She requests effective, reversible contraception. She is a nonsmoker with no history of venous thromboembolism or migraine with aura. She prefers an oral method and declines intravaginal contraception. What is the most appropriate contraceptive method?
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