Review Question - QID 109540

A 39-year-old G2P2002 woman presents to her gynecologist for an annual visit. She has regular periods every 28 days and feels well with no complaints. She has a history of 2 uncomplicated vaginal deliveries and is currently using condoms intermittently for contraception. She has no family history of cancer. At this visit, the patient’s temperature is 98.5°F (36.9°C), pulse is 80/min, blood pressure is 119/77 mmHg, and respirations are 13/min. Cardiopulmonary, abdominal, and pelvic exams are unremarkable. A 2 cm hard, fixed nodule is palpated in the upper outer quadrant of her left breast, and the patient is referred for a diagnostic mammogram. The results of this study are shown in Figure A. A biopsy reveals an invasive ductal carcinoma. Which of the following methods is the most appropriate contraceptive choice for this patient at this time?