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.