Contraception questions from a 16 year-old female

Question 1 of 9

You are a general pediatrician in a small community. Today you are seeing Eva, a 16 year old girl whom you have been following for 4 years due to her asthma. Your appointment sheet does not state the reason for her visit today.

You enter the exam room and find a tall 16 year old girl reading a novel.

Eva tells you that her asthma is well-controlled and she has no concerns today. The reason she is here is that she has been having heavy periods for the last few months and she has heard the birth control pill can be helpful for that.

Upon further questioning you discover that Eva reached menarche at age 13. For the last two years her periods have been regular, occur every 28 days and last 5-6 days. She changes her pad or tampon every 3-4 hours. She experiences mild cramping and bloating the first 2 days of her period. The first day of her last menstrual period was seven days ago.

	Eva suffers from menorrhagia and should be worked up for abnormal uterine bleeding and iron deficiency anemia
	Although Eva's menstrual cycle lies within normal ranges, the birth control pill does often lead to shorter, lighter periods
	Eva's menstrual cycle lies within normal ranges so the birth control pill would not have any effect on her menses
	In patients with menorrhagia the brith control pill can be dangerous because it could mask an underlying malignancy
	None of the above are correct