It is very common to experience some spotting or bleeding a few days after taking the i-pill (emergency contraception). This is a normal hormonal response and is usually nothing to worry about. Your next actual period should arrive around its expected date, though it might be a few days early or up to a week late. If your period is delayed by more than a week, I gently recommend taking a home pregnancy test just to be sure.

Pause MR contains tranexamic acid and mefenamic acid. While it helps control bleeding, mefenamic acid is an NSAID, which is generally not recommended when trying to get pregnant as it can interfere with ovulation and implantation. Because you have irregular periods, it is very important to identify the underlying cause of this bleeding first. Please consult your gynecologist before taking Pause MR. They can safely evaluate you and prescribe the best treatment to support both your health and your fertility journey.

It is a positive sign that your bleeding has reduced significantly after completing the 3-day course of Pause-500 Tablet. Since you are now using only one pad a day, the medicine appears to have helped control the heavy bleeding. At this stage, do not continue or restart the use of Pause-500 Tablet unless your doctor specifically advises you to do so. Light bleeding or spotting may continue for a few days in some women, depending on the underlying cause of the heavy menstrual bleeding. Continue to monitor the amount of bleeding and note whether it continues to improve or becomes heavier. Stay well hydrated and eat iron-rich foods if you have lost a significant amount of blood. If the bleeding becomes heavy again, lasts longer than expected, or is accompanied by severe pain, dizziness, fainting, weakness, or large blood clots, contact your doctor promptly. Seek urgent medical care if you soak through one pad every hour or feel faint.

Pause tablets contain tranexamic acid, which helps your blood clot to reduce heavy flow. While it often starts working within a few days, its effectiveness depends on the underlying cause of your bleeding and the specific dosage. Since you have been taking it for three days without improvement, it is best to contact your prescribing doctor. They can safely evaluate your progress, adjust the dose if needed, or explore other causes. Please be reassured that this is a very common situation, and your doctor will help you find the right path forward.

Since you do not have heartburn, these symptoms?especially painful swallowing and foamy saliva?could be related to how the muscles in your food pipe (esophagus) are squeezing, a condition like achalasia, or perhaps some localized inflammation. Please be reassured that these issues are very treatable. I highly recommend seeing a doctor or a gastroenterologist soon.

Since your ultrasound is normal, it is reassuring that there are likely no retained tissues. However, bleeding for two months means your uterine lining needs hormonal support to reset. Since tranexamic acid (Pause) hasn't worked, please consult your gynecologist. They may recommend a short course of hormonal therapy, such as progesterone or combined oral contraceptive pills, to help stabilize the lining and stop the bleeding. Please also have your hemoglobin levels checked to ensure you aren't becoming anemic. This is highly treatable, and you will get through this.