What is the best birth control?

have had Mirena for years now. It has caused me to get ovarian cysts, so I’ve been thinking about switching. I can’t take pills because I could have a stroke. I don’t want the depot because I don’t want to keep making appointments. So I’m thinking para guard. Was wonder how others did on it. Before Mirena, I had crazy irregular periods that were SUPER painful (like contraction painful) and heavy.