Menstrual cycles have become problem

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Reference no: EM133965135

Question

Angie, a 24-year-old female, presents to your office complaining that her menstrual cycles have become a problem. They are now lasting 6-7 days instead of 3-4, and come every 30 days instead of every 26 days. She has no pain, cramping, or vaginal discharge. She has never missed a menstrual cycle. She has not been sexually active for over 6 months. Her past medical history is remarkable only for severe reflux disease for which she takes daily PrilosecAll laboratory tests return normal. You find out that Angie is missing work 1-2 days per month and is avoiding social activities during the first three days of her period. She adamantly refuses to consider combination hormonal contraception.

The best alternative strategy for managing her cycle includes: (Please provide rationale for your choice). A. Reassurance B. Iron supplementation C. Tylenol during her menstrual cycles D. Daily ibuprofen from the beginning of her menstrual cycle through the end of her menses E. Contraception containing progesterone only.

Reference no: EM133965135

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