Question
A 17-year-old female presents to your office with a 2-year history of irregular menstrual cycles. She reports that her cycles last 7-8 days on average, but some months she may spot in between or miss her cycle completely. She reports some cramping with her cycles and denies vaginal discharge, fever or chills, weight loss, fatigue. She reports she is not sexually active. What would be the most appropriate management for her abnormal uterine bleeding?
| A. | Perform pelvic ultrasound |
| B. |
Prescribe oral contraceptive pills and schedule follow up |
| C. |
Perform endometrial sampling |
| D. |
Prescribe clomiphene and schedule follow up |
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