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.

Pause 500 contains tranexamic acid, which is excellent for quickly reducing heavy bleeding, though it does not balance your hormones. To treat the underlying low progesterone, doctors typically prescribe progesterone therapy (such as oral micronized progesterone) to help regulate your cycle and prevent heavy bleeding in the future. Please discuss these options with your gynecologist to find a personalized plan that helps you feel your best.

Since the Pause 500mg (tranexamic acid) has not stopped the bleeding, it is very important that you consult a gynecologist as soon as possible. Continuous heavy bleeding can lead to anemia and fatigue. Your doctor will likely recommend a pelvic ultrasound and blood tests to find the underlying cause, such as a hormonal imbalance, and suggest more effective treatment options. Please rest as much as possible and stay well-hydrated.

Since uterine polyps are physical growths, non-hormonal medications often struggle to control the bleeding effectively. While removing the polyps is usually the most definitive solution, there are non-surgical options to help manage the symptoms. You might discuss hormonal treatments, such as oral progestogens or a hormone-releasing intrauterine device (IUD), with your gynecologist. These can help thin the womb's lining and reduce bleeding. Please consult your doctor to safely discuss the best path forward for your comfort and health.

Persistent heavy bleeding weeks after medical abortion, which hasn't responded to Pause 500, strongly suggests an incomplete abortion (retained tissue in the uterus) or an associated infection. You must consult your gynaecologist immediately for a pelvic ultrasound to locate the source of the bleeding. A change in medication alone may not work; if retained products of conception are found, you may require a minor surgical procedure like uterine aspiration (D and C) to completely clear the womb and stop the bleeding. Please seek emergency medical care immediately if you experience dizziness, fainting, or fever.

It does not necessarily mean the remaining babies are in danger. 'Pause' contains tranexamic acid, a medication that helps your blood clot more effectively. Whether given as an injection or tablet, it stabilizes the area and prevents further active bleeding to help protect your ongoing pregnancy, please stay in close contact with your obstetrician, who will continue to monitor and support you.