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MediumObstetrics & GynaecologyHeavy Menstrual Bleedingukmlamrcgp aktpaneprescribing safety assessment

A 16-year-old girl presents with heavy menstrual bleeding, experiencing flooding and passing large clots. Her periods last 8-10 days and occur every 25 days. She feels tired and her haemoglobin is 98 g/L. She is not currently sexually active. According to NICE guideline NG88, what is the most appropriate first-line pharmacological treatment, assuming no contraindications?

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