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.

Since home remedies and Evion haven't helped, the best next step is to consult a dermatologist. They can evaluate if this is seborrheic dermatitis or another underlying issue. They may recommend prescription-strength generic ketoconazole shampoo for the dandruff, or topical minoxidil to support hair regrowth. In the meantime, try to avoid scratching your scalp, and skip the heavy oils like castor oil, as they can sometimes feed the yeast that causes dandruff.

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.

The blood in your morning phlegm, combined with a dry mouth and throat mucus, is often caused by localized irritation, dry airways, or a post-nasal drip. While your previous medications, Pause 500 (tranexamic acid) and Joycin, helped temporarily by reducing bleeding and clearing irritation, dry throat tissues can easily bleed again. For now, try staying well-hydrated and using a cool-mist humidifier at night. Please follow up with your doctor or an ENT specialist to gently examine your throat and nasal passages for a lasting solution.

I am glad your tests show a normal uterine lining, which is very reassuring. Since you are allergic to medroxyprogesterone acetate (T Meparate) and tranexamic acid (T Pause), we have other effective options. Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce blood flow safely. Additionally, a levonorgestrel-releasing intrauterine device (IUD) provides targeted, local treatment to thin the lining and stop bleeding. Other hormonal therapies, like combined oral contraceptive pills, may also be suitable. Please consult your gynecologist to safely choose the best alternative for you.

While irregular periods and breast changes can occur during perimenopause, the milky breast discharge is not a typical symptom. Given your thyroid condition, this discharge and irregular periods could be related to elevated prolactin levels, which thyroid imbalances can trigger. Diabetes can also impact your menstrual cycle. I highly recommend scheduling an appointment with your healthcare provider or endocrinologist. They can perform simple blood tests to check your hormone and thyroid levels to find the exact cause and help you feel much better.