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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

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 byDr. Uzma Arqam

Medically reviewed byiCliniq medical review team

Published At July 16, 2025
Reviewed AtJuly 16, 2025

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

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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