Her in Obstetrics & Gynecology — 32yo Woman | General Gynecology | SMLE Q#1535
SMLE Question #1535
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 32-year-old woman has dilated cardiomyopathy (LVEF 30%, NYHA class II) and is on long-term warfarin after a previous ventricular thrombus. She is sexually active and requests reliable contraception because pregnancy would carry high maternal risk. She previously used a combined oral contraceptive pill but stopped it after medical review. What is the most appropriate contraceptive method for her?
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