Tranexamic Acid

Tranexamic acid is an antifibrinolytic agent that is used to treat heavy menstrual bleeding. It works by slowing the blood clots from breaking down, thus prevents prolonged bleeding. The common side effects of this medicine are nausea, vomiting, muscle pain, and diarrhea.

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Should I continue Krimson 35 for prolonged bleeding and pain?

Query: Hello doctor, I have PCOS. I had my last periods before seven months. Then I had just spotting last month. I consulted a doctor for the same, and she prescribed me Regesterone 5 mg two tablets for ten days, followed by one tablet a day for 10 days. She also suggested Krimson 35 from the second day ...  Read Full »


Dr. Priyadarshini Tripathy

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. You are having breakthrough bleeding as you missed Regesterone tablets. I would recommend you to continue taking Krimson 35 (Cyproterone acetate and ethinyl estradiol) and add tablet Tranex MF (Tranexamic acid and Mefenamic acid) acid 500 mg thrice a day until bleeding...  Read Full »

I am bleeding after septoplasty. Should I see the doctor or can I take care of myself?

Query: Hello doctor,I had septoplasty in which my turbinates have been shaved, and adenoids were taken out. I had two bleeds already. It started bleeding again and is running down the back of my throat. Should I see the doctor or is this something that I can take care of myself? I am currently on Tranexami...  Read Full »


Dr. Shyam Kalyan N

Allergy Specialist, General Practitioner, ENT Otolaryngologist, Family Physician

Answer: Hello, Welcome to icliniq.com. Sit straight, slightly bring your head forward, and pinch both nostrils firmly. Now keep ice packs over the nose and either side of the nose (cheeks) and breathe through the mouth. This controls the bleeding. If you have Otrivin (Xylometazoline) or Nasivion (Oxymetaz...  Read Full »

I bled abnormally along with pelvic pain. Why?

Query: Hello doctor, I had unprotected sex a month ago, but I used I-pill. Also, I had my period two weeks ago. Yesterday morning, when I went to the restroom, I bled a lot. It was not a normal bleeding and it was abundant. Also, I have pelvic pain and started to have lower stomach pain. Does that mean I ...  Read Full »


Dr. Sonal Prasad

Childbirth Educator, Lactation Counselor, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Yes, there are chances that you might be pregnant and might be aborting. Please get a serum beta hCG test (human chorionic gonadotropin) done. It is a blood test to detect pregnancy. Also, get an ultrasound done to see if the uterus is completely evacuated or not. I sug...  Read Full »

Why did my sister get periods after six months?

Query: Hi doctor, My sister is 12.6 years old. She got her first period about six months ago. Just about four weeks ago, she got her second period. I know when you go through your first menstrual cycle it can be on and off, so that did not really bother me. But then, her second period just keeps coming ba...  Read Full »


Dr. Sonal Prasad

Childbirth Educator, Lactation Counselor, Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. You are right. Periods can go haywire during puberty. One of the reasons for this heavy cycle is because it has come after six months and the uterus is getting rid of six months of the endometrium. It would be wise to visit a gynecologist to find out the causes of prol...  Read Full »

What is the actual definition of heavy menstrual bleeding?

Query: Hello doctor, Recently, I was diagnosed to have iron deficiency anemia. My primary doctor thinks this is due to heavy menstrual bleeding. Therefore, he advised me to see the gynecologist. I never thought I had heavy periods. What is the actual definition of heavy menstrual bleeding? My period alway...  Read Full »


Dr. Sonal Prasad

Childbirth Educator, Lactation Counselor, Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. Yes, your menstruation will be considered as heavy. More than 80 mL of blood loss, bleeding for more than six days and passage of clots indicates heavy flow. Do not be scared about visiting a gynecologist. Since you are a virgin, you will not undergo internal or per sp...  Read Full »

What is the reason for my prolonged bleeding while trying for a baby?

Query: Hello doctor, I am 27 years old and I am recently married. My period starts more than 30 days ago it still continues. We are trying for a baby and my weight is 85 kg. Please help.  Read Full »


Dr. Deepali Raina

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. First step in such situations to get a simple home urine pregnancy test. If negative, then I suggest you wait for three months before planning a pregnancy. Get your blood tested for TSH (thyroid-stimulating hormone) and OGTT (oral glucose tolerance test) and get an ultr...  Read Full »

How to control my spotting?

Query: Hello doctor, I have been spotting for a month. Due to lockdown, I could not visit any doctor. Upon advice of my gynecologist, I started Pause 500 thrice daily for three days. Initially, the spotting reduced but since today again, there is an increase in the bleeding. Please advise.  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Few more history points on previous cycles, any other scan or blood tests or pap smear, body weight and height would have been helpful. Expecting all these to be normal. At this age either your hormone balance is disturbed, as egg count is reducing and support to the ...  Read Full »

Will Yasmin pills help in my prolonged period?

Query: Hello doctor, I am 40 years old. My last month period was on time but it lasted only one day. This time it was four days late and not stopping for around 12 days. Same happened in December last year but my cycle was normal since February. Doctor had advised taking OCP Yasmin for three months which ...  Read Full »


Dr. Reetika Joshi

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. As you are bleeding for 12 days, for symptomatic relief, please start taking Tablet Trapic MF (Tranexamic acid and Mefenamic acid) 500 mg TDS for three days. As you had light bleeding last month, and this time continuous bleeding for 12 days do a urine pregnancy ...  Read Full »

I have heavy bleeding after taking I-pill. What to do?

Query: Hi doctor, I took an I-pill on the 27th hour of unprotected sex. I am having severe abdominal pain since I took the pill. I am experiencing a little shortness of breathing. Now, I am on my periods, but it was four days late. It has been 10 days since I have taken I-pill. I am having unendurable pain...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. The fact that the menses have started after 10 days of I-pill intake ensures that there is no pregnancy. The pain and heavy bleeding are secondary to the progesterone effect of the high dose progesterone pill like I-pill. It is suggested that you should take tablet Tra...  Read Full »

My heavy bleeding with clots does not stop even after Tranexamic acid. What should I do now?

Query: Hello doctor, I am 30 years old. I am married five years back and no kids. I got periods on 20th June. And it is still continuing. Today is the 12th day. I am having heavy bleeding with big clots (for the last seven days). I am feeling so tired because of heavy bleeding and back pain also. What sho...  Read Full »


Dr. Poonguzhali Liston

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. I would like to ask for some additional information. When was your previous period before the one that started on 20th June? Is there a history of sexual activity during your previous cycle?  Read Full »

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