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Help with Prolonged Menstrual Bleeding
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Gynecology & Pregnancy Care
Question #27024
90 days ago
161

Help with Prolonged Menstrual Bleeding - #27024

Sameeksha

Hii doctor my name is sameeksha, i am suffering from periods issue my last period started on Feb10 th with minimal red blood flow but till now it is not stopped till today I get a blood spotting either in red colour or blackI have visited doctor and my scaning show all parts are normal only bulk overies is enlarged so she gave the the tablet of texakind to stop the flow but it is not stopped and she said after bleedings stop take evercare please give me the medicine to stop the blood I am exhausted 🫩

How would you describe the severity of your bleeding?:

- Light spotting

Have you noticed any other symptoms along with the bleeding?:

- Severe cramps

Have you had any changes in your lifestyle or stress levels recently?:

- Yes, significant changes
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
90 days ago
5

Hello

Sameeksha, I’m really sorry — prolonged bleeding is exhausting, especially when it just won’t stop

What you can do now • Since Tranexamic acid (Texakind) didn’t stop the spotting, don’t keep taking it on your own. • The usual next step to actually stop prolonged spotting is a hormonal tablet (like progesterone / combined hormonal pills), which must be prescribed by a gynecologist after reviewing your case. • Once bleeding stops, starting Evercare (hormonal regulation) is correct — but only after bleeding is controlled.

For cramps & weakness • Take mefenamic acid + dicycloverine for pain (after food). • Start an iron supplement daily — prolonged spotting causes fatigue and dizziness.

Important • Spotting for >20 days, black + red blood, severe cramps, and enlarged ovaries = hormonal imbalance, often worsened by stress. • This is not an emergency, but needs medication adjustment, not waiting.

Please do this • Revisit your gynecologist today or tomorrow and tell them: • Tranexamic acid didn’t work • Bleeding since Feb 10 • Severe cramps + exhaustion

I trust this helps Thank yoi Take care

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
90 days ago
5

Hello dear See there can be chances of delayed periods causing extreme bleeding I can suggest below precautions and medication for improvement Stay hydrated Elevate legs to maintain blood flow consistent Replace pads within 1 hrs Take meftal plus twice a day for 3 days for gastric motility Take tranasexamic acid tablet swished in water Avoid aspirin In case of no improvement consult gynecologist in person for better clarity Hopefully you recover soon Regards

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Prolonged menstrual bleeding can be distressing, and understanding the potential causes and treatments is crucial. Given that you’ve been experiencing minimal yet prolonged blood flow and spotting for an extended period, one consideration might be hormonal imbalances, potentially caused by conditions like PCOS (polycystic ovary syndrome), especially since you’ve mentioned bulk ovaries. While your scan showed everything to be normal, sometimes hormone levels still play a big role in these symptoms.

Since Tranexamic acid (Texakind) hasn’t been effective in stopping the bleeding, it’s important to further investigate other possible causes or explore alternative treatments. Should the bleeding continue, another option could be discussing hormonal treatments with your doctor, like combined oral contraceptives or progesterone, which can help regulate the menstrual cycle and reduce bleeding. Also, the medication Evercare that was suggested post-bleeding might be a multi-vitamin or mineral supplement to support your body’s recovery, so clarifying its purpose with your doctor could be helpful too.

Your exhaustion is completely understandable, but if the bleeding becomes heavy (like soaking through a pad or tampon every hour) or if you’re experiencing symptoms like dizziness or weakness, it would be wise to seek immediate medical attention — there may be a need for more urgent intervention, such as an in-office procedure or further evaluation to rule out other possible conditions. Meanwhile, rest and hydration are essential. Ensure your iron levels stay sufficient with a diet rich in iron-containing foods to avoid anemia. Keep track of the bleeding — noting patterns, intensity, and related symptoms can provide valuable information to guide further treatment. Always consult directly with your healthcare provider before making any changes to your medication or treatment plan.

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