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.

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.

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 usually indicates old blood, which is quite common in early pregnancy. However, since you have completed your five-day course of Trenaxa (tranexamic acid) and are still experiencing spotting, it is very important to contact your obstetrician. They will likely recommend a pelvic ultrasound to check on your baby's development and ensure everything is progressing safely. In the meantime, please rest as much as possible, avoid heavy lifting, and reach out to your healthcare provider for an evaluation to give you peace of mind.

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.

But please be reassured that a pelvic ultrasound is a painless, safe scan using sound waves to help us understand your symptoms. Your painful, irregular periods and discomfort during urination or bowel movements could be due to common, treatable conditions like endometriosis or fibroids. While Trenaxa (tranexamic acid) helps control the heavy bleeding, it only manages the symptom rather than the underlying cause. Please share your fears with your healthcare provider; they can support you gently through the ultrasound. Finding the source of your pain is the most important step toward getting you lasting relief.