While tranexamic acid (Pause 500) helps control bleeding, underlying hormonal imbalances related to your thyroid (Eltroxin) or prolactin levels (Cabgolin) might still be stabilizing. Additionally, the vaginal burning could be due to a mild infection or irritation, which can sometimes occur while taking antibiotics like azithromycin (Azithral). Please don't worry, but I highly recommend contacting your gynecologist for a follow-up. They can safely evaluate your symptoms, adjust your treatment, and help you find relief quickly.

It is very unlikely that you are pregnant. Combination birth control pills remain highly effective even if one pill is taken eight hours late, and you are protected during your pill-free week. Light periods and mild cramping are very common as your body adjusts to the hormones. However, because you are experiencing dizziness and pain when breathing, I strongly recommend seeing a doctor right away. While these symptoms can have simple causes, oral contraceptives can sometimes increase the risk of blood clots, so it is very important to get evaluated promptly to ensure your safety.

The lines on your breasts might be prominent veins or stretch marks, which are often linked to hormonal fluctuations rather than Pause 500 (tranexamic acid) itself. While tranexamic acid is highly effective for heavy bleeding, any new vascular changes should be safely evaluated. Please consult your doctor before stopping this medication to ensure your bleeding remains controlled. However, if you experience sudden chest pain, breathing difficulties, or redness and warmth in your breasts, please seek immediate medical attention.

Bleeding continuously for more than six weeks with PCOD is not normal. This usually happens because the hormones are out of balance and the uterine lining isn’t shedding properly, or because of another underlying medical cause. Ongoing bleeding can make you weak from anaemia and may also affect the uterus lining. This isn’t something you can manage on your own, so it’s important to see a gynaecologist promptly. They will carry out the necessary tests and then plan an appropriate treatment to stop the bleeding and protect your health.

Bleeding for 20 days, especially alongside feeling weak and sleepy, suggests you may be experiencing anemia from the blood loss. Your symptoms of darkened skin and excess hair growth, combined with missed periods, point towards a hormonal imbalance, possibly Polycystic Ovary Syndrome (PCOS). Since tranexamic acid (Pause 500) and Ashokarishta haven't stopped the bleeding, please consult a gynecologist immediately. You need a physical evaluation, a complete blood count to check your hemoglobin, and a hormone panel. Rest as much as possible and stay hydrated while you arrange your visit.

Regarding your query, Devry (medroxyprogesterone) is generally considered safe during breastfeeding. However, Pause XT (tranexamic acid and ethamsylate) requires careful medical supervision while lactating. Since your flow is naturally diminishing two months after your C-section, letting your body heal naturally is often preferred. Please consult your obstetrician before taking these medications. They can properly evaluate your postpartum recovery, determine if treatment is truly necessary, and ensure the utmost safety for both you and your breastfed baby.