Menstrual cycle, puberty and hormones practice

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Obstetrics and Gynaecologycommon

A 38-year-old woman presents with two days of very heavy bleeding during an otherwise predictable menstrual cycle. Her blood pressure is 118/72 mmHg, she is not pale, and a pregnancy test is negative; she has migraine with visual aura but no other illness. Which one of the following is the most appropriate initial medication?