Trenaxa MF, which contains tranexamic acid and mefenamic acid, can indeed help reduce heavy menstrual bleeding. However, because you have been bleeding for nearly three weeks, it is very important that you consult a healthcare provider before taking it. Prolonged bleeding requires a proper evaluation to find the underlying cause and to check your blood counts for anemia. Please visit a gynecologist so they can safely diagnose the issue and guide you on the correct dosage.

That being prescribed Trenaxa, Cheri, and Gynaset does not mean you are pregnant. These medications are commonly used to manage spotting and irregular bleeding. Gynaset (norethisterone) helps regulate your hormone levels, Trenaxa (tranexamic acid) helps control the bleeding, and Cheri capsules (iron supplements) help prevent anemia from blood loss. Together, they address menstrual irregularities rather than pregnancy. If there is a chance you might be pregnant, I gently suggest taking a simple home pregnancy test for peace of mind. Please continue to follow your doctor's advice, and feel free to share any concerns with them.

Bleeding after first-time sex can happen due to minor tissue injury, but persistent bleeding for 3 days should be evaluated by a doctor. Avoid taking any medicine on your own and consult a gynaecologist to check for injury, infection, or other causes so the right treatment can be given safely.

I understand how frustrating it is to deal with persistent irregular bleeding, especially when Trenaxa 500 hasn't provided relief. Your TSH of 4.7 is slightly elevated, which can sometimes disrupt your menstrual cycle. Since tranexamic acid wasn't effective, other options to discuss with your doctor include hormonal treatments like oral contraceptive pills or oral progestins to help regulate your cycle and control the bleeding. Additionally, mildly elevated thyroid levels can be managed with thyroid hormone replacement (levothyroxine) if your doctor feels it is contributing to the issue. Please consult your gynecologist to tailor the best treatment plan for you.

While tranexamic acid is effective at reducing blood loss, ongoing bleeding suggests an underlying issue that needs a closer look. Common causes at 38 can include hormonal fluctuations, uterine fibroids, or polyps. Please schedule an appointment with your gynecologist as soon as possible. They can perform a pelvic ultrasound to find the exact cause and guide you toward a treatment that works. Please take care, and know that there are very effective solutions once the cause is identified.

Brown spotting represents old blood, which is quite common as your uterus continues to heal and your hormones adjust postpartum. Spotting only at night can occur due to pooling of blood that is released when your body posture changes. While Trenaxa (tranexamic acid) helps control active bleeding, it may not immediately stop this residual, old blood. I highly recommend sharing this with your OB/GYN to ensure your healing is progressing perfectly.