A 28-year-old nulligravid woman presents with heavy and prolonged menstrual bleeding for the past 6 months, causing her to feel fatigued. Her hemoglobin is 9.5 g/dL. Pelvic exam is normal. She desires contraception. Which of the following is the most appropriate first-line medical treatment that also provides contraception?
✓ Correct Answer: Option D
The levonorgestrel-releasing IUD is highly effective for reducing heavy menstrual bleeding and also provides excellent contraception. It is often preferred for long-term management due to its localized effect and sustained hormone release.