Brief Answer:
You may benefit from additional medicaction during your menstruation

Detailed Answer:
Hello again ma'am, and I'm sorry to hear that you're not feeling well.

It seems that the Primalout has been helping you in terms of that the duration of your cycle, however the intensity and bloodshed with each cycle seems to still be an issue for you.

I do not know if you are taking any medication for pain during your menstrual cycle, however there are certain types of anti-inflammatory medications that will actually improve your cramping and also decrease your blood loss.

Anti-inflammatory pain medication such as ibuprofen, naproxen, or prescription anti-inflammatories (if they are available in your country) such as Celebrex will decrease both the amount of cramping you have during your period and the amount of blood you lose. If you begin taking either of these formulations (at least 600 mg of ibuprofen every six hours or 500 mg of naproxen every 12 hours) at the beginning of your menstrual cycle, you will have less cramping and bleeding. It is better not to wait until the pain becomes severe to take the medication, as the substances that cause you to feel pain once they are built up in your blood are harder to reduce that prevent them from being secreted in the first place.

There is also medication called tranexamic acid that, when taken for the first five days of your menstrual cycle, significantly reduces blood loss. I do not know if this medication is available in your country. But this would also be an option for you to reduce the amount of bleeding during your menstrual period.

So again, you should speak to your local physician about these treatments, however you may be able to purchase ibuprofen or naproxen over-the-counter and have some relief in the meantime.

I hope these suggestions are helpful to help control your pain and bleeding in the meantime until you finish your course of Primalout.

Let me know if I can clarify anything else or be of any further assistance.

Take care,

Dr. Brown

---