Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

144 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Started bleeding heavily after removing coil. Will it start bleeding after stopping tranexamic acid?

Answered by
Dr.
Dr. Minoo Bhagia

OBGYN

Practicing since :1983

Answered : 979 Questions

default
Posted on Wed, 26 Dec 2012 in Women's Health
Question: I had a coil removed/replaced 12 days ago and was bleeding very heavily - dr gave me tranexamic acid which has now stopped the bleeding - however there is only enough for 10 days (another 7 days supply) - when I stop taking them will the bleeding return. I don't want to be on them long term because I am worried about side effects - however I don't want that massive bleeding to come back again. She has also prescribed me extra progesteron tablets that she says will get my hormones back in kilter.
doctor
Answered by Dr. Minoo Bhagia 10 minutes later
Hello

Welcome and thanks for writing to us

I would like to know whether the coil was removed due to heavy bleeding or there was heavy bleeding after removal of the coil.Secondly whether it was a simple coil or a mirena coil.It is good that you got it removed.The bleeding usually stops within 10-15 days after the removal.Tranexamic acid is a good drug and will control the bleeding.If there is an underlying cause of bleeding like an endometrial hyperplasia or hormonal imbalance or hypothyroidism then the bleeding can recur for which you have to take progesterone like norethisterone or medroxyprogesterone under your doctor's guidance.Get Hb levels and ultrasound done.Take iron supplements.

Best wishes
Take care
Any further query is most welcome

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Minoo Bhagia 10 minutes later
It was a merina coil - I had it fitted 5 years ago for heavy bleeding and it was great. It had come to end of its life and I had started to bleed again so I got it replaced. I was a bit shocked because I'd had no bleeding after the first one was fitted but this time the clots were massive. My GP said it was because of the new hormones coming in my body. I am taking iron. I am glad the bleeding has stopped with the tranexamic acid and I have not also started the norethisterone (which my GP says should get my hormone levels straightened out) - I am just worried that when I stop the tranexamic acid in a couple of days the bleeding will return as heavy as it was. It was so heavy that I had to change my pad every hour (or less). I have to say I am a big fanof the Mirena coil but just a bit anxious that this time I have bled so much. Maybe I am taking bad having been bleed free for five years.Sorry that should read that I have NOW started the norethisterone. I am on both the acid and this.
doctor
Answered by Dr. Minoo Bhagia 10 minutes later
Hello

Welcome back

Mirena coil can cause bleeding for first three months then it gradually stops.It gives best response in an endometrial hyperplasia.As you have got it removed the bleeding will stop gradually if there is no associated factor like fibroid in the uterus.As you are reaching perimenopausal age so it can be another cause for heavy bleeding.It is good that you started norethisterone and tranexamic acid.Do not worry and keep an inj of tranexamic acid with you.If clotting and very heavy bleeding occurs it is better to visit your doctor till then this inj can be given IM.
Best wishes
Take care
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Drug/Medication ,   ,  

Recent questions on  Antifibrinolytics

doctor1 MD

Can you use primulot to temporarily stop problem bleeding while on progesterone only pill.

doctor1 MD

having my period day 3 day very heavy, im extremely shakey.. I do have anxiety disorder and am on lexapro 20mgs.. I haven't had a painful period like this one in a long time.. my anxiety is off the charts.. im on klonopin .5mgs 2x daily but the...

doctor1 MD

I was put on a course of various tablets including tranexamic acid to stop bleeding in the throat, Since I ve stopped taking the tranexamic acid my left lower leg has been painful and swollen, it started easing off for a while and was just mild shooting pains but the past few days the pain has been constant and really sore, it s been quite swollen for 2-3 days but has started to go down now.. It s sore to move and touch, extreme pain when walking and is still sore to even rest, the right leg is completely fine, not actually sure if it has anything to do with the tablets or such, did suspect it was maybe a pulled muscle or something of the kind but can only pin point it too when I stopped the course of tablets, any ideas or suggestions? Thank you

doctor1 MD

I had my first delivery in C-section on six months ago and I got my regular periods after 3 months of delivery. but the flow is very heavy. Now I am on my third period after delivery. still I am bleeding very heavy. doctor gave me meprate tablets....

doctor1 MD

My cousin had an abortion a month back.she was bleeding litle in evenings yet in her 4th week after d abortion.her scan was fyn n her gyn old her to use tranlok 500mg ie tranexamic acid tablets for 3days.do u think these tabs wil help and without side effects?i dont know what they exactly do.

doctor1 MD

i had my daughter 4 and a half months ago. I haemorraged after delivery and still bleeding. I had a scan, no abnormalities. I had swabs, no infection. smear was normal.the doctors arent bothered now really but its getting me down. what can i try next? I've had tranexamic acid but it eased the bleeding and once i stopped it continued. please help.

doctor1 MD

Hello Doctor, I got married 4yrs back, still i have no child, i went atleast 5 docs for treatment but till no results, i have a problem of hyperthyorid,polycistovaris for which i got leproscopy done in april since then my periods irregular, i had doudt that i had taken TRANEXAMIC ACID (500mg)tablets for 3days as i was having heavy bleeding and again after 15days bleeding started again i took the same tablet to stop till august12th after stopping the tablet i didnt have the periods is any chance of getting pregnent?