Since tranexamic acid hasn't helped control the bleeding from your 5 cm fibroid, the next best steps involve both looking closer and adjusting your treatment. Diagnostic steps typically include a repeat pelvic ultrasound or an MRI to see if the fibroid is pressing on your uterine lining, alongside a blood test to check for anemia. For management, your doctor may suggest hormonal options like oral progesterone, contraceptive pills, or a hormonal IUD to help thin the lining and stop the bleeding. Please consult your gynecologist soon to safely discuss these next steps.

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.

During perimenopause, hormonal fluctuations are very common. Skipping two months of periods can cause the uterine lining to build up, leading to heavy, prolonged shedding. While tranexamic acid (T-pause) helps reduce bleeding by promoting clotting, it does not correct the underlying hormonal imbalance, which is likely why it is not working well for you right now. Please consult your gynecologist. They can perform a simple ultrasound to check your uterine lining and discuss hormone-balancing options, like progesterone, to safely regulate your cycle and bring you some much-needed relief.

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.

It’s understandable to feel concerned. Every pregnancy is different, and your doctor tailors treatment to your specific needs. Please don’t make changes on your own; your doctor is best placed to guide you. If you’re worried about the medicines or their effects on your baby, share these concerns openly with your doctor so they can reassure you and adjust your care if needed.

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.