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The most suitable form of birth control for a young female who frequently forgets to take her pills and wants to avoid pregnancy for at least five years is the intrauterine device (IUD).

IUDs are highly effective long-term contraceptive options that can provide pregnancy prevention for several years, typically ranging from three to ten years, depending on the type. One of the significant advantages of IUDs is that they are a set-and-forget method; once inserted by a healthcare provider, they require little to no maintenance compared to other forms of contraception that require daily or regular prompts, such as the birth control pill or patch. This characteristic makes IUDs particularly beneficial for individuals who may struggle with adherence to a daily regimen.

In addition, IUDs can be a better fit for women seeking long-term contraception without having to remember to take a daily pill or replace a patch regularly. This aligns with the patient's needs for a reliable means to prevent pregnancy for an extended period.

While other options, like the contraceptive injection, can also be effective, they require a visit to a healthcare provider every three months for administration, which may not be as convenient as an IUD that lasts for multiple years without needing frequent attention. Thus