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HomeAnswersObstetrics and Gynecologyprolonged periodI have been bleeding profusely with heavy clots. Why?

What are the treatment options available to manage heavy and prolonged menstrual bleeding?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At March 25, 2023
Reviewed AtOctober 10, 2023

Patient's Query

Hi doctor,

I have had a long and irregular period for many years. I am on the 16th day of the period and have been bleeding profusely with heavy clots. The pad gets soaked within 30 minutes. I am also taking iron supplements. How to manage this? Kindly suggest.

Answered by Dr. Uzma Arqam


Welcome to icliniq.com.

I understand your concern. I suggest you answer the questions and follow the instructions mentioned below:

1. Have you taken a serum beta-hCG test to confirm your pregnancy? If not, I suggest you take a serum beta-hCG test and a transvaginal scan to confirm your pregnancy.

2. If the pregnancy test is negative, I suggest you consult a gynecologist and take an injection of 1 gram of Tranexamic acid (antifibrinolytic), and the tablet Ponstan (Mefenamic acid) 500 mg for three to five days.

3. In case of pregnancy, evacuation is suggested after consulting your gynecologist.

I hope this helps you.

Thank you.

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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