Ongoing pain and bleeding after a D&C require prompt evaluation, even while taking Pause (tranexamic acid). Because she is still experiencing these symptoms, it is very important to contact her obstetrician or gynecologist right away. They will likely want to perform a pelvic ultrasound to check if the suspected fibroid is the cause or if there are other issues needing attention. Please seek immediate care if she develops heavy bleeding, a fever, or severe pain. Getting her checked will ensure she recovers safely and comfortably.

After experiencing heavy bleeding, your body needs some time to recover. The reason your Preganews test is still showing positive is because the pregnancy hormone (hCG) can take several weeks to completely clear from your system, even after a pregnancy has ended. Your ultrasound findings?a thin 6mm uterine lining and a developing follicle in your ovary?are actually reassuring signs that your body is successfully resetting and returning to its natural menstrual cycle. I highly recommend following up with your doctor to monitor your hormone levels until they safely return to zero.

I understand how exhausting and worrying it is to experience heavy bleeding for three months, especially when the Pause injection and medication haven't worked. Please be reassured that this is a common issue with many manageable causes. Since tranexamic acid hasn't stopped the bleeding, it is very important to consult your gynecologist. They can perform a pelvic ultrasound to check for underlying causes like hormonal imbalances, fibroids, or polyps, and check your blood count for anemia. Other treatments, such as hormonal therapies, can be highly effective. Please schedule an appointment soon so you can get the targeted care and relief you deserve.

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.

Since the Pause 500mg (tranexamic acid) has not stopped the bleeding after three days, it is very important that you contact your gynecologist promptly. In PCOD, prolonged bleeding is often caused by hormonal imbalances that may require specific hormonal treatments to regulate your cycle, rather than just non-hormonal bleeding control. Your doctor can safely evaluate the cause of your pain and adjust your therapy.

Since tranexamic acid (Pause) hasn't worked, another non-hormonal option to help reduce bleeding is a class of medications called NSAIDs, such as ibuprofen or mefenamic acid, which lower uterine prostaglandin levels. Because she has been bleeding for a month, starting an iron supplement is also essential to prevent anemia and support her energy. I highly recommend discussing a simple blood test with her pediatrician to check her blood counts and rule out thyroid issues or bleeding disorders, ensuring we find the safest way to help her body adjust.