Since the bleeding returned after stopping tranexamic acid, it is very important to contact your gynecologist. They can safely evaluate you and may suggest temporarily adjusting your combined oral contraceptive dose, restarting a short course of tranexamic acid, or adding a nonsteroidal anti-inflammatory drug to help manage the flow. Please don't worry, as this is a common challenge with PCOS and can be managed effectively, but a professional evaluation is the safest next step to help your body regulate.

The lines on your breasts might be prominent veins or stretch marks, which are often linked to hormonal fluctuations rather than Pause 500 (tranexamic acid) itself. While tranexamic acid is highly effective for heavy bleeding, any new vascular changes should be safely evaluated. Please consult your doctor before stopping this medication to ensure your bleeding remains controlled. However, if you experience sudden chest pain, breathing difficulties, or redness and warmth in your breasts, please seek immediate medical attention.

Pause Tablet (tranexamic acid) may help reduce bleeding, and if it works, improvement may be seen within a few days. However, the exact time varies from person to person. It depends on factors such as the severity of your piles, your overall health, other medical conditions, the medicines you are taking, your diet, lifestyle, and how your body responds to treatment. Since Pause Tablet helps control bleeding but does not treat the underlying cause of piles, it should be taken only as advised by a doctor. If the bleeding continues, worsens, or returns, consult your doctor for a proper examination and appropriate treatment.

Pause 500, which contains the generic medicine tranexamic acid, is typically taken only on the days of heavy bleeding, usually for 3 to 5 days maximum during your menstrual cycle. It is important to only take it as prescribed by your doctor. Please make sure to discuss your symptoms with your healthcare provider to ensure this is the safest and most effective option for you.

The feeling of fullness and heart palpitations are often linked to everyday factors like digestive gas, stress, or anxiety, which can make you highly aware of your heartbeat. While these symptoms are usually harmless, experiencing them for 18 months means you deserve peace of mind. I highly recommend scheduling a gentle visit with your doctor. They can easily examine your abdomen and run basic tests to rule out any underlying issues and help you feel much more comfortable.

Bleeding for 20 days, especially alongside feeling weak and sleepy, suggests you may be experiencing anemia from the blood loss. Your symptoms of darkened skin and excess hair growth, combined with missed periods, point towards a hormonal imbalance, possibly Polycystic Ovary Syndrome (PCOS). Since tranexamic acid (Pause 500) and Ashokarishta haven't stopped the bleeding, please consult a gynecologist immediately. You need a physical evaluation, a complete blood count to check your hemoglobin, and a hormone panel. Rest as much as possible and stay hydrated while you arrange your visit.