Classification HgB level Estrogen option Mild >/ = 12 mg/dL No hormone replacement indicated Close follow-up and monitoring of cycle calendar 30–35 μg ethinyl Norethindrone 0.35 mg estradiol with daily 0.3 mg of an androgenic progestin (norgestrel or levonorgestrel) pill daily for mo OCP taper: Medroxyprogesterone acetate 10 mg every pill every hrs hrs until bleeding for days stops, then begin pill every hrs taper: for days pill twice daily times daily for days times daily for days for days Twice daily for days pill daily pill daily (Do not take placebo pills -ORduring taper ) Norethindrone 5–10 mg daily until bleeding stops then use taper High doses of norethindrone will peripherally convert into ethinyl estradiol 50 μg ethinyl Medroxyprogesterone estradiol with acetate 0.5 mg 10 mg every 4–6 hrs norgestrel until bleeding stops every hrs followed by taper -OR- Moderate with NO 10–12 active bleeding mg/dL Moderate with active bleeding Severe and