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.

Since your ultrasound is completely normal with no retained tissue, we can rule out an incomplete termination. This persistent bleeding is likely due to temporary hormonal fluctuations caused by the pregnancy and termination process. Since tranexamic acid (Pause) has not stopped the bleeding, you may require a different approach, such as a short course of hormonal therapy (like progestins) to help regulate and stabilize your uterine lining. Please follow up with your gynecologist to discuss this option and request a blood test to check your hemoglobin levels.

A heart rate fluctuating between 50 and 144 beats per minute, alongside a brief 1.8-second pause, is important to note but not an immediate reason to panic. These variations can occur for several reasons, including temporary rhythm shifts like atrial fibrillation. Because of your cardiac history, the best step is to share these monitor results with your cardiologist promptly. They can review the detailed tracings to see if any simple adjustments to your care or medications are needed to keep your heart rhythm steady, safe, and comfortable.

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.

It is very common for your cycle to be irregular as your body recovers after a miscarriage. While Deviry (medroxyprogesterone acetate) helped last month and Pause (tranexamic acid) did not, please consult your doctor before taking either medication now. Self-medicating with hormones like Deviry or clotting agents like Pause can disrupt your natural hormonal recovery or mask conditions that need medical attention. Your gynecologist can safely evaluate your healing, perhaps with an ultrasound, to determine the safest way to regulate your bleeding.

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.