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How to manage prolonged periods after taking ECP?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have used the MTP kit, but bleeding has been continuous for 22 days without any pain. The bleeding appears to be a mix of red and whitish colors. Is this normal?

Please help me.

Thank you.

Answered by Dr. Uzma Arqam

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and understood it.

It would be better if you could provide me with a detailed history about yourself. If married, the number of children and obstetric history; if unmarried, then menstrual and medical history are needed to guide you well. Medical issues related to the liver could cause excessive bleeding. On the other hand, pelvic pathology and hormonal imbalance could also lead to excessive bleeding.

I suggest you follow the instructions below:

  1. Undergo CBC (complete blood test) and thyroid function tests, along with a pelvic ultrasound.

  2. Take a capsule of Tranexamic Acid 500 mg thrice daily along with the tablet Ponstan (Mefenamic acid) 500 mg thrice daily for three to five days. Tranexamic Acid dosage should be reduced if bleeding decreases or stops.

  3. Consume apples and milk daily.

  4. Follow up with reports.

I hope this helps.

Kindly follow up if you have more doubts.

Thank you.

The Probable causes

Hormones induced menorrhagia.

Investigations to be done

Complete blood test and thyroid profile.

Treatment plan

Medicines, blood tests, and a diet rich in iron and calcium.

Regarding follow up

Follow-up with reports.
Answered by Dr. Uzma Arqam
Medically reviewed by iCliniq medical review team
Published At July 16, 2025
Reviewed At July 16, 2025

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Uzma Arqam is a dedicated Obstetrician and Gynecologist with expertise in prenatal care, high-risk pregnancy management, infertility treatment, menstrual disorders, and minimally invasive gynecological procedures. She provides comprehensive women’s healthcare with a focus on safety, compassion, and personalized treatment. Dr. Arqam is committed to supporting women’s health at every stage of life through evidence-based practices and patient-centered care.

This doctor is not available for online consultations on the platform anymore.

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