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.

Pause 500 contains tranexamic acid, which helps control bleeding by helping your blood clot. Because it is not a hormonal medication, it does not affect your ovulation or alter your natural cycle. Therefore, it will not directly cause a delay in starting your next menstrual period. However, the underlying reason for your spotting, such as a temporary hormonal fluctuation or stress, might be what is actually affecting your cycle's timing. If your period is significantly delayed, it is always a good idea to take a pregnancy test or speak with your doctor.

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.

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.

The feeling of fullness and heart palpitations are often linked to everyday factors like digestive gas, stress, or anxiety, which can make you highly aware of your heartbeat. While these symptoms are usually harmless, experiencing them for 18 months means you deserve peace of mind. I highly recommend scheduling a gentle visit with your doctor. They can easily examine your abdomen and run basic tests to rule out any underlying issues and help you feel much more comfortable.

Since Pause (tranexamic acid) hasn't stopped the heavy bleeding after three days, it is very important to see a doctor promptly for a safe evaluation. For non-surgical relief, you can try warm sitz baths for 15 minutes daily to soothe the area. Using generic stool softeners like lactulose and applying mild soothing ointments can help reduce irritation. Please avoid straining and focus on a high-fiber diet with plenty of water. Your safety is key, so please have a professional examine this soon to guide your recovery.