To help manage heavy menstrual bleeding (menorrhagia), doctors commonly prescribe several effective options. Non-hormonal treatments include tranexamic acid, which helps blood clot during your period, and NSAIDs (like ibuprofen or mefenamic acid) to reduce flow and cramping. Hormonal options work by regulating the uterine lining; these include combined oral contraceptive pills, oral progestins, or a hormonal intrauterine device (IUD) containing levonorgestrel. Rest assured, these are standard treatments that work very well. I highly recommend discussing these options with your gynecologist to determine the safest and most suitable choice for your body.

Prolonged bleeding is a very common issue that is highly treatable, so please do not worry. To help manage and stop the bleeding, a doctor may recommend non-hormonal options like tranexamic acid, or NSAIDs like ibuprofen to reduce blood flow. Hormonal treatments, such as oral contraceptive pills (estrogen and progestin) or progestin-only medications (like medroxyprogesterone), are also very effective at regulating your cycle. Since abnormal bleeding can stem from various easily treatable causes, it is important to consult a healthcare provider for a proper evaluation and prescription before starting any medication.

Bleeding for 15 days post-abortion (using 2-3 pads daily) can be normal, but you must not self-medicate. You need a pelvic ultrasound to ensure the abortion is complete and to rule out infection or retained tissue. Regarding detection, a general physician cannot distinguish between a medical abortion and a natural miscarriage, as the physical findings are identical. However, they can detect that you were recently pregnant. Please consult your healthcare provider or clinic for a proper follow-up and safe prescription.

Stubborn facial hyperpigmentation needs proper medical evaluation, so it is important to consult a dermatologist in person for a detailed skin analysis to identify the exact cause before starting any treatment. Oral tranexamic acid is a prescription medicine and should only be taken if prescribed by a doctor after proper assessment. Do not take any medication on your own, as it may worsen the condition or lead to unwanted side effects.

Heavy bleeding during periods can be due to hormonal imbalance or other underlying causes. Try to take adequate rest, stay well hydrated and eat iron-rich foods to prevent weakness. Avoid excessive physical strain during this time. Keep track of the flow and any symptoms, such as dizziness or fatigue. Consult your doctor for proper evaluation and management if the bleeding is heavy or frequent.

Irregular periods with bleeding twice a month can be due to hormonal imbalance or other underlying causes. Keep track of your cycle, flow and any associated symptoms to understand the pattern. Maintain a healthy routine with proper diet, sleep and stress control. Avoid ignoring frequent or heavy bleeding. Consult your doctor for proper evaluation and suitable treatment.