The safest step now is to consult a gynaecologist promptly. They can examine you, run tests (such as ultrasounds or blood tests), and decide on the right treatment. Please don’t wait for it to stop on its own, as prolonged bleeding can lead to anaemia and other complications.

Periods generally cannot be safely preponed with medication, as hormonal medicines are typically used to delay periods rather than bring them earlier; if you wish to adjust your cycle for a specific occasion, it is important to consult a gynecologist, who can evaluate your health, including your thyroid status since you are on Thyronorm and advise the safest approach, rather than attempting self-medication which may cause irregular bleeding or other complications.

For home care, focus on a nutrient-rich diet with plenty of iron, protein, and vitamins. Avoid harsh heat styling and tight hairstyles. Medically, topical minoxidil is a common over-the-counter treatment that stimulates regrowth. However, because hair loss at your age can sometimes be linked to hormonal imbalances, thyroid issues, or nutritional deficiencies, I highly recommend consulting a dermatologist or primary doctor. They can run simple blood tests to find the exact cause and tailor the best treatment plan for you.

While tranexamic acid (Pause 500) helps control bleeding, underlying hormonal imbalances related to your thyroid (Eltroxin) or prolactin levels (Cabgolin) might still be stabilizing. Additionally, the vaginal burning could be due to a mild infection or irritation, which can sometimes occur while taking antibiotics like azithromycin (Azithral). Please don't worry, but I highly recommend contacting your gynecologist for a follow-up. They can safely evaluate your symptoms, adjust your treatment, and help you find relief quickly.

Heavy bleeding with clots and sharp pain after starting hormonal therapy can happen as your body adjusts, or it could point to structural changes like polyps, fibroids, or even an ovarian cyst causing that right-sided pain. A dilation and curettage (D&C) is indeed a common, effective procedure to help stop heavy bleeding and provide clear answers. However, whether it is the best immediate step depends on your specific transvaginal ultrasound findings. I highly recommend discussing these results with your gynecologist.

Since the Pause (tranexamic acid) tablets haven't stopped your bleeding, the most important next step is to consult your gynecologist. Please share your ultrasound reports with them right away. The scan results will help your doctor identify the exact cause of the persistent bleeding and modify your treatment plan safely, perhaps by adjusting the dosage or trying a different medication.