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.

Trenaxa MF, which contains tranexamic acid and mefenamic acid, is used to control heavy bleeding and typically does not delay your next period. A missed cycle is more likely due to other factors, including stress, hormonal fluctuations, or pregnancy. If there is a possibility of pregnancy, taking a simple home pregnancy test is a highly reliable and reassuring first step. Please consider discussing this with your doctor or gynecologist to help you understand your cycle better.

The high uric acid of 10.6 and joint pain are known side effects of TB medications like pyrazinamide (P-Zide) and ethambutol (Combutol). Additionally, the nausea, vomiting, stomach pain, and rash could be reactions to your regimen, which includes R-Cinex and Levonac. Please contact your treating doctor immediately for an urgent review. It is very important not to stop your medications without their guidance. Your doctor can evaluate these symptoms, check your liver function, confirm your diagnosis, and safely adjust your treatment to help you feel much better.

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.

It is reassuring that your bleeding has decreased with Trenaxa (tranexamic acid). Since some light bleeding continues after five days, please consult your doctor to evaluate the underlying cause. Since you wish to avoid hormones, other non-hormonal options include nonsteroidal anti-inflammatory drugs (NSAIDs), such as mefenamic acid, which can further reduce blood loss. Your doctor may also suggest checking for benign causes like uterine fibroids or polyps, which can be managed with targeted non-hormonal treatments or simple procedures. Please rest assured, there are several safe, hormone-free pathways to help you find complete relief.

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.