Antifibrinolytics

Drugs that prevent blood clots from becoming problematic are called antifibrinolytics. Aminocaproic acid and Tranexamic acid are some examples of antifibrinolytics. It is commonly used to treat heavy menstrual bleeding (menorrhagia).

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I am filling my pad in less than an hour. How to manage this heavy bleeding?

Query: Hi doctor, I am having a lot of clotting bigger than quarter size back to back, filling my tampon or pad in less than an hour. I am not on any medications and there is no bad medical history.  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. If this is the first time that you are experiencing excessive bleeding and clots are being passed, then you can opt for antifibrinolytics for controlling the bleeding presently. You can choose for an ultrasound pelvis once the bleeding stops to look for an organic ca...  Read Full »

Why am I still bleeding a month after a miscarriage?

Query: Hello doctor, I had an abortion a few months back but retained the gestational sac. After 39 days, I had my periods. Again I conceived three months back and had a miscarriage 5 weeks later. I am still bleeding and it is heavy bleeding with lots of blood. The blood is bright red in color. Along with...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. The fact that your bleeding has not stopped even after a month of miscarriage, indicates that there is all likelihood that you may have retained products of conception. It is mandatory to get a transvaginal ultrasound pelvis to check for endometrial thickness and fo...  Read Full »

How to stop vaginal bleeding after depot injection?

Query: Hello doctor, I am a 22 year old female. On the 24th, I got an implant (rod) in my arm to prevent unwanted pregnancy. 10 days after getting that done, I had bleeding for roughly three months non-stop. So, I started taking the pill for a while but the bleeding did not stop. Roughly two weeks ago, I...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hi, Welcome to icliniq.com. I understand that you are a candidate in whom implanon (birth control implant) did not suit well. It is good that you got it removed. You switched over to depot injection almost immediately. Ideally, you should have given a gap of a month and should have been placed on...  Read Full »

Unless I take progesterone, I am bleeding continuously. Why?

Query: Hi doctor, I am 5'10" and 250 lbs. I am 28 years old. I have a history of PCOS, had an endometrial biopsy, and it came back negative for hyperplasia and malignancy. The reason for my visit was period started with passing large clots and continuous period. Currently, I am menstruating for three mon...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. This is a typical progesterone deficiency where you should ideally be started on cyclical progesterone therapy from day 11 to day 25 of your cycle or on continuous progesterone therapy for three months. You should take treatment for at least three months to control men...  Read Full »

Kindly clarify if I am suffering from uterine cancer.

Query: Hi doctor, I am sending you the reports of my transvaginal ultrasound. Please tell me if the fibroids are to be removed and the risks of such surgery.  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome back to icliniq.com. As the pictures are really unclear, kindly avoid sending photos of the report. You may just scan the written report and send it to me. I would like to see the ultrasound report. Revert back with the reports to an obstetrician and gynaecologist online --> https...  Read Full »

Is it advisable to take Tranlok-E during pregnancy?

Query: Hi doctor, I am a 26 year old female. I have checked my pregnancy test on the 8th of this month and my last LMP was on the 5th of last month. I have consulted the doctor, he confirmed my pregnancy and prescribed me capsule Gestafine 200 (Progesterone soft gelatin 200) one capsule per day for 15 d...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. I understand your query completely here. Tranlok-E (combination of Tranexamic acid and Ethamsylate) is an antifibrinolytic. They prevent the blood clot from breaking and hence helps in controlling bleeding. There are insufficient data regarding the safety of Tranexami...  Read Full »

Please advise regarding storage pool defect.

Query: Hi doctor, My son has storage pool defect. Now, his doctor suspects Crohn's disease on him. All cut tests will result in horrible bleeding time. Should hematology be involved? Should the doctors use coagulant as a precaution? Your further advice would be helpful. Thank you.  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Yes, patients with storage pool deficiency (platelet function disorder) will have increased and horrible bleeding time. We are looking at one of the important bleeding disorder here. Unless they have decided to take a biopsy ...  Read Full »

Had sex before two days of periods. What is the chance of pregnancy?

Query: Hi doctor, We had sex before 2 days of her period. She had a pill after 64 hours. She got her periods but it has been continuing for six days. What is the chance of pregnancy? Please help.  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. If she has resumed her menses then there is no chance of pregnancy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist  Read Full »

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