I am on medication for fibroids and getting on and off bleeding. Is this the side effect of medication?

Hello,

Welcome to icliniq.com.

It would have been helpful if you could attach the report of your ultrasound for me to have a look. Based on what you mentioned about the total size of two fibroids being around 3.5 inches, I am assuming each one must be less than 2 inches, and not so huge. Fibroids would not cause irregular bleeding unless they are lying close to the uterine cavity. Usually, in the perimenopausal age group of women, like you, we prefer to give medical management to control the bleeding in those who have excess bleeding. As with age, your menopause may set in, and menses will eventually stop, and then you will not have any problems because of the fibroids. This is done to avoid unnecessary surgery when the bleeding would anyways stop after menopause.

In your case, I would like to know if the fibroids are close to the uterine cavity on ultrasound, which may cause irregular bleeding. Also, in your query, the drug name has not come up, but I guess it is Tranexamic acid (or Trapic or Pause), which just controls the excessive bleeding, and that means will reduce the bleeding. But will neither stop the bleeding pattern due to hormonal disturbance in the perimenopausal abnormal bleeding nor due to the fibroids which bleed due to the close situation to the uterine cavity. Other causes of irregular bleeding apart from fibroids need to be evaluated like hormonal changes, thyroid issues, uterine lining (endometrial) thickening, etc. If it is due to fibroid position that is causing off-and-on bleeding, it may not stop with Trapic (but only will reduce in amount) and may stop only after menopause or after the surgical removal of the uterus. But if it is due to hormonal disturbance or due to the perimenopausal phase, it needs to be controlled with some hormonal medications.

I hope this helps.

Please revert in case of further queries.

Thank you.