Despite Pause-MF and Sylate, heavy bleeding indicates a hormonal or uterine etiology and requires immediate gynecological care. Please get medical attention right away; you might require hormonal therapy, IV medications, diagnostics, and ongoing iron and fluids.

Restarting Pause-MF on your own is not advised,?a doctor's assessment is necessary if there is significant bleeding after 53 days. A physician can do an ultrasound and measure hormone levels before selecting a suitable, potentially less expensive hormonal or non-hormonal treatment. Before taking or changing any pills, please consult your gynecologist.

If bleeding persists for 25 days despite Pause-MF, there may be an endometrial issue, fibroid or polyp, or hormonal imbalance. If the cause is hormonal or structural, Pause-MF will not be effective in reducing bleeding. You require hormone testing, an ultrasound, and an urgent gynecologist assessment.