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  5. After bleeding from subchorionic hematoma and passing a huge clot, doctor put me on tranexamic acid + progesterone (oral + vaginal + injection) the bleeding started at six weeks + 4 and stopped after few days but still there are brown/yellow discharge. baby is good and the hematoma is shrinking. But now two weeks still I’m on tranexamic acid and progesterone. Will using tranexamic acid for this long period cause any harm to the baby.

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After bleeding from subchorionic hematoma and passing a huge clot, doctor put me on tranexamic acid + progesterone (oral + vaginal + injection) the bleeding started at six weeks + 4 and stopped after few days but still there are brown/yellow discharge. baby is good and the hematoma is shrinking. But now two weeks still I’m on tranexamic acid and progesterone. Will using tranexamic acid for this long period cause any harm to the baby.

Asked by Female, 40 · 2 days ago

It’s understandable to feel concerned. Every pregnancy is different, and your doctor tailors treatment to your specific needs. Please don’t make changes on your own; your doctor is best placed to guide you. If you’re worried about the medicines or their effects on your baby, share these concerns openly with your doctor so they can reassure you and adjust your care if needed.
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Using tranexamic acid for two weeks during early pregnancy is generally considered with caution, but current evidence does not strongly indicate harm to the baby when used under medical supervision for bleeding control like in your case.

🩺 Your Current Situation

  • You have a subchorionic hematoma with bleeding that has stopped, and your baby is doing well with the hematoma shrinking.
  • Brown/yellow discharge can be common after bleeding episodes but should be monitored.

⚕️ Safety of Tranexamic Acid in Early Pregnancy

  • Tranexamic acid is an anti-fibrinolytic used to reduce bleeding by helping blood clots stabilize.
  • It is typically prescribed short-term; prolonged use is less common but sometimes necessary in cases like yours.
  • Available data do not show clear evidence of harm to the fetus when used carefully, but long-term safety data in pregnancy are limited.

🩺 Recommendations

  • Continue following your doctor’s advice closely.
  • Report any new bleeding, pain, fever, or changes in discharge promptly.
  • Regular ultrasound monitoring of the hematoma and fetal well-being is important.
  • Discuss with your obstetrician the duration of tranexamic acid therapy and any concerns about risks versus benefits.

It is best to keep in close contact with your obstetrician (specialist in pregnancy care) who can tailor treatment and monitoring to your specific situation. If you want, I can explain more about how tranexamic acid works or what signs to watch for.

Answered 2 days ago

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