Some people believe an IUD (without any hormonal supplements) would be the best. But like everything in life, it is not a one size fits all answer.
If you are a healthy 49 year old, who doesn't smoke; you can safely take BCP, use a patch, a diaphragm or even use a NuvaRing. If you have never been pregnant, an IUD may not be the best devise for you. This is a question to take up with your GYN or midwife, to truly find the best method for you.
See Link for options to discuss with your health care professional.
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