Experiencing vaginal bleeding 3-4 times a month can be due to hormonal imbalance, infections, fibroids, polyps, or other underlying health issues. It is important to consult a gynaecologist for proper evaluation to find the exact cause and get the right treatment.

I understand it can be stressful when treatments like Trapic or Trenaxa MF do not fully resolve your bleeding. Moving to medroxyprogesterone acetate (Deviry 10) is a very common, effective next step to help regulate your uterine lining. While taking it, you might experience some mild, temporary side effects as your body adjusts. These can include mild headaches, breast tenderness, bloating, slight mood changes, or some irregular spotting. These symptoms are generally harmless and resolve on their own. However, if you experience severe abdominal pain or any worrying symptoms, please contact your doctor..

Trenaxa MF (tranexamic acid and mefenamic acid) is highly effective for heavy bleeding, but taking it alongside Fluvoxin CR (fluvoxamine) requires caution. The mefenamic acid in Trenaxa MF can increase the risk of stomach upset or bleeding when combined with an SSRI like fluvoxamine. While often prescribed together for short-term use, it is very important to consult your doctor before starting. They will safely evaluate this combination and prescribe the correct dosage, usually taken only during your menstrual days. Please speak with your gynecologist to ensure your safety and comfort.

Trenaxa 500 (tranexamic acid) is designed to significantly reduce heavy menstrual bleeding rather than completely stop your period. You can typically expect to see a noticeable reduction in your flow within 24 to 48 hours of starting the tablets. Please take them exactly as prescribed by your doctor. If your bleeding doesn't lighten after a couple of days, or if you have any concerns, do reach out to your healthcare provider.

Trenaxa (tranexamic acid) is very effective at helping to reduce or stop this spotting, often within a few days of starting the medication. It works by helping your blood clot more efficiently in the uterus to control the bleeding. Once you finish the three-day course, your body will return to its natural hormonal cycle, and your normal period should start again around its usual expected time. If the spotting continues after finishing the medicine, please consult your healthcare provider for a personalized evaluation.

Since this was your first time having sexual intercourse and you had multiple episodes over two days, some minor irritation or trauma can occur due to friction, lack of lubrication, or minor irritation of vaginal tissues, especially after having intercourse multiple times in a short period. However, noticing blood clots after urinating should not be ignored, particularly if the blood is mixed with urine, as it may indicate irritation, a urinary tract infection (UTI), or another urinary/genital issue. Check whether the bleeding is coming from the vagina or urine, avoid intercourse until the bleeding stops, stay hydrated, and monitor your symptoms. Seek medical advice if bleeding continues, becomes heavier, or if larger clots appear, or if you develop pain, burning while urinating, frequent urination, fever, unusual discharge, dizziness, or weakness. Mild spotting that stops quickly may be due to irritation from intercourse, but persistent bleeding requires evaluation by a healthcare professional.