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Suggest Remedy For Heavy Menstrual Bleeding And Clots

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Posted on Mon, 24 Nov 2014
Question: I had an episode of very heavy menstrual bleeding and large clots. So much so I fainted from blood loss. The physician gave me cyklokapron (tranexamic acid) 500mg to take if the problem ever occurred again. It did not, so I never needed to take it. Now I have a very heavy flow over the past two days that is soaking through any products I wear. I have no large clots. I was going to take it as I am the main speaker at a convention and will be sitting and standing for most of the day over the next two days. How long does this medication take to kick in? The dose is 2 tablets 3 x daily when needed.
doctor
Answered by Dr. Dr. Rakhi Tayal (24 minutes later)
Brief Answer:
Start progesterone therapy.

Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
The irregular and heavy bleeding that you are having can be due to uterine fibroids, polyps or hormonal disturbances commonly seen in perimenopausal age group. For diagnosis, you need to have an ultrasound scan of your lower abdomen.
To decrease the bleeding you need to have progesteone pills along with hemostatic agents like ethamsylate or tranexaemic acid after consulting with your gynaecologist.
The tranexaemic acid that has been prescribed needs to be taken regularly as 500mg twice a day for a sustained effect. Along with this, starting a hormonal therapy will help in controlling the excessive bleeding in 48 hours.
Meanwhile start taking iron supplements to combat excessive blood loss from your body and have plenty of fluids orally.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Dr. Rakhi Tayal (12 minutes later)
Yes, I had the scan and everything when the problem first occurred. They did not find anything and that might be why the problem has never reoccurred. However, this time it is not anywhere near as severe. It is simply a heavy flow period. If I start taking the medication above as prescribed by my physician, does it take 48 hours to slow the flow? That is the question I need answered. How quickly does this medication work? I have a major public presentation today and I need to ensure I am not running off the stage!
doctor
Answered by Dr. Dr. Rakhi Tayal (2 hours later)
Brief Answer:
Takes 2-3 hours.

Detailed Answer:
Hello.
Thanks for writing again.
After taking the tablet it takes 2-3 hours for the flow to reduce and the effect of a tablet persists for 5-6 hours. Individual variations are common. It is best to start using the tablet from today itself to have a proper control of bleeding.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Rakhi Tayal

OBGYN

Practicing since :2001

Answered : 14039 Questions

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Suggest Remedy For Heavy Menstrual Bleeding And Clots

Brief Answer: Start progesterone therapy. Detailed Answer: Hello, Thanks for trusting us with your health concern. The irregular and heavy bleeding that you are having can be due to uterine fibroids, polyps or hormonal disturbances commonly seen in perimenopausal age group. For diagnosis, you need to have an ultrasound scan of your lower abdomen. To decrease the bleeding you need to have progesteone pills along with hemostatic agents like ethamsylate or tranexaemic acid after consulting with your gynaecologist. The tranexaemic acid that has been prescribed needs to be taken regularly as 500mg twice a day for a sustained effect. Along with this, starting a hormonal therapy will help in controlling the excessive bleeding in 48 hours. Meanwhile start taking iron supplements to combat excessive blood loss from your body and have plenty of fluids orally. Please feel free to discuss further. I will be glad to answer the follow up queries that you have. Wishing you good health. Regards. Dr. Rakhi Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal