Continuous bleeding for a month despite taking Primolut-N and Ovacare myo requires an urgent evaluation by your gynaecologist. Please do not self-medicate or add new drugs, as this can worsen hormonal imbalances. Your doctor may need to adjust your Primolut-N dose, temporarily prescribe an antifibrinolytic like tranexamic acid to stop active bleeding, or perform an ultrasound to check for cysts or polyps. Additionally, your severe sleep deprivation (4-5 hours) raises cortisol, directly disrupting your menstrual cycle. Alongside medical evaluation, prioritising 7-8 hours of sleep is critical to help regulate your hormones. Please consult your doctor for a safe, tailored treatment plan.