Hallow Dear, Pause 500 is a medicine which contains Tranexamic Acid. This medicine tries to control bleeding by making alterations in the bleeding and clotting properties of the blood. The bleeding you are having seems to be due to hormonal imbalance. If Tranexamic Acid cannot control it, you may take some Progestational medicine like Deviry with your Gynaecologist s advice. These pills will stop the bleeding completely. After stoppage of bleeding, when you discontinue these pills, the bleeding will start again after about 4-7 days; however, this bleeding will be very moderate and will stop of its own. You have been given iron to recoup the loss of blood. Along with them, please take high protein diet. You may get ultrasonography done. If any organic lesion is found in the genital tract (i.e. fibroid uterus) you may require different modality of the treatment. However, since this is your first experience of such bleeding, such possibility is very remote. At this age, the possibility of hormonal imbalance is more. You may give a fair trial of progesterone and observe. If it goes on recurring and does not respond to the hormonal treatment, you may opt for ultrasonography investigation. I would advise you to get Thyroid function test (T3, T4, TSH) done. At this age, Thyroid dysfunctions are commonly known and do cause menstrual problems. If found, you may need the required support. Please visit to your Gynaecologist. I hope this will help you. Dr. Nishikant Shrotri