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

Answered by
Dr. Uzma Arqam
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 25, 2023

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.



Welcome to

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.

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