5) a 15-Year-Old, Sexually Active Woman, Using Condoms for Contraception, Presents

5) A 15-year-old, sexually active woman, using condoms for contraception, presents with a history of irregular bleeding since the onset of menses at age 13. She started bleeding 2 weeks ago after a prolonged period of no bleeding. She has been changing three to four soaked pads per day. Her history and physical leads you to believe she has ovulatory dysfunction. Her urine pregnancy test is negative. What is the most appropriate medication regimen to prescribe for this woman?

A) Medroxyprogesterone acetate 20 mg 2 pills TID X 7 days followed by 1 pill daily X 2 weeks
B) A monophasic 35 mcg oral contraceptive ,1 pill PO TID X 7 days, f/u by a 1, 20 mcg OC pill, daily X 21 days
C) Nonsteroidal anti-inflammatory medication, e.g., Ibuprofen 800 mg TID for 5 to 7 days
D) Medroxyprogesterone acetate 150 mg intramuscular (IM) , at the time of the visit