The Primary Care Pediatric Nurse Practitioner Is Prescribing Contraception for an Adolescent

The primary care pediatric nurse practitioner is prescribing contraception for an adolescent who has not used birth control previously. The adolescent has a normal exam and has no family history of cardiovascular and peripheral vascular disease or diabetes. Which preparation is used initially?

A) A combination oral contraceptive pills (OCP) with 30 to 35 mcg of estrogen and low progestin
B) A combination OCP with low androgenic potency, such as Ortho-Cyclen
C) A progestin-only mini-pill oral contraceptive
D) A subdermal implant contraception, such as Implanon or Nexplanon