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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What can cause the period to come early?

Query: Hello doctor, I am a 42-year-old female. I am facing unexpected suddenly bleeding from yesterday. My periods are expected on 20th and it is always too regular, date to date. I want to point out my periods discharge is always thick, clotty, and very painful for four to five days. This is the first ...  Read Full »


Dr. Deepali Raina

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. The medicine your doctor has prescribed is good. Take tablet Pause 500 mg (Tranexamic acid and Mefenamic acid) thrice a day for five days. I hope your doctor also did a vaginal examination and had a look at your cervix to see for any lesion. Though mostly hormonal it ma...  Read Full »

Kindly suggest a way to control continuous abnormal vaginal bleeding.

Query: Hi doctor, My wife is 45 years old. Since last month, she has had continuous abnormal vaginal bleeding. She has been prescribed by doctor Deviry 10 mg twice a day. Even after one week of medication, no improvement has been seen. Please help.  Read Full »


Dr. Megha Tuli Gupta

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I totally understand your situation. If the bleeding has not responded to Deviry (Medroxy progesterone), then I would suggest you take her to the hospital and get her admitted. She would need some blood work done to see her blood parameter, also would require injectable P...  Read Full »

Is Tranlok-E safe to take during pregnancy?

Query: Hi doctor, I am a 26 year old female. I have checked my pregnancy test on the 8th of this month and my last LMP was on the 5th of last month. I have consulted the doctor, he confirmed my pregnancy and prescribed me capsule Gestafine 200 (Progesterone soft gelatin 200) one capsule per day for 15 d...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. I understand your query completely here. Tranlok-E (combination of Tranexamic acid and Ethamsylate) is an antifibrinolytic. They prevent the blood clot from breaking and hence helps in controlling bleeding. There are insufficient data regarding the safety of Tranexami...  Read Full »

Is it normal to get severe bleeding while resuming regular menstrual cycle after delivery?

Query: Hello doctor, I had normal vaginal delivery 10 months ago and breastfeeding my baby. Since then I did not have my periods. But yesterday, around 10 PM I felt some brown stains, but I started worrying when I saw the flow as it is really heavy. I used three pads in three hours and that too there were...  Read Full »


Dr. Sravanthi Nuthalapati

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. While a woman is breastfeeding post-delivery, menstrual cycles usually do not resume until 6-12 months, and it will vary from person to person. This is like a natural birth control devices by nature to prevent subsequent pregnancies at a shorter interval. But however...  Read Full »

Is it danger to have occasional bleeding after successful frozen embryo transfer?

Query: Hello doctor, One of my relative aged about 36 years (married for 6 years) undergone frozen embryo transfer on 14th March and she got positive beta HCG (human chorionic gonadotropin) on 25th. She developed vaginal bleeding from 5th April varying from light spotting to moderate bleeding on three occ...  Read Full »


Dr. Vidyaprem

Obstetrician And Gynaecologist

Answer: Hello, Welcome to iclinq.com. I can understand the struggle she is going through. The SCH (subchorionic hematoma), is big yet the positive thing is fetal growth of 8 weeks with FHR (fetal heart rate). She is on the right medications and I would like to add an antibiotic like Augmentin 625 mg a...  Read Full »

I have black discharge after Depo-Provera injection. Please help.

Query: Hi doctor, I had an abortion four months ago, I never went back to get checked out and it was a D and E. I am also on Depo-Provera, second dose. I am experiencing dark brown and black discharge with clots. I feel bloated and I have bits of pain. Is this normal?  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. This is breakthrough bleeding and is a common side effect of Depo-Provera injections (Medroxyprogesterone). This may be seen usually after few days once the lady has increased day-to-day stressors during daily chores. This tends to disrupt the already being maintained ...  Read Full »

Why do I have continous vaginal bleeding?

Query: Hello doctor, I am writing on behalf of my wife. She is facing continuous bleeding from vagina since seven days after post pregnancy bleeding. Here is the complete scenario. We blessed with a baby 38 days ago and it was a C-section delivery. 16 days back the bleeding had stopped completely. Everyth...  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. Your wife is having bleeding per vagina following one month of Cesarean section. This is termed postpartum hemorrhage and often creates an emergency. This could be caused by an infection of C-section wound commonly. But, as per your report (attachment removed to pro...  Read Full »

What is storage pool defect?

Query: Hi doctor, My son has storage pool defect. Now, his doctor suspects Crohn's disease on him. All cut tests will result in horrible bleeding time. Should hematology be involved? Should the doctors use coagulant as a precaution? Your further advice would be helpful. Thank you.  Read Full »


Dr. Prakash H Muddegowda

Geriatrician, Hematologist, Pathologist

Answer: Hi, Welcome to icliniq.com. Based on your query, my opinion is as follows: Yes, patients with storage pool deficiency (platelet function disorder) will have increased and horrible bleeding time. We are looking at one of the important bleeding disorder here. Unless they have decided to take a biopsy ...  Read Full »

Can you get pregnant if you had sex two days before periods?

Query: Hi doctor, We had sex before 2 days of her period. She had a pill after 64 hours. She got her periods but it has been continuing for six days. What is the chance of pregnancy? Please help.  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. If she has resumed her menses then there is no chance of pregnancy. For further information consult an obstetrician and gynaecologist online --> https://www.icliniq.com/ask-a-doctor-online/obstetrician-and-gynaecologist  Read Full »

Is menorrhagia likely to cause low hemoglobin?

Query: Hello doctor, I was suffering from menorrhagia after the birth of my second daughter. I went for medication and presently it is almost under control. I have to take Tranexa two tablets three times daily for the first two days of the menstrual cycle. Suddenly I notice that my hemoglobin has fallen ...  Read Full »


Dr. Kamalpreet Kaur Nagpal

Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. Since you are 40 years old now and this problem has not suddenly cropped up. You are having menorrhagia (heavy bleeding) from the last 5 years or so, for which you are having 1 gm of Trenaxa to temporarily stop bleeding. That is the reason for anemia, which is low he...  Read Full »

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