A 32-year-old female presents to the emergency department with heavy menstrual bleeding for the past three days. She reports a history of irregular, often heavy periods but notes this episode as significantly worse. She denies pregnancy, and her vitals are stable. What is the most appropriate initial management for her condition?
Prescribe oral hormonal contraceptives
Give tranexamic acid orally
Administer intravenous estrogen
Perform immediate dilation and curettage