instruction: hello doctor I am 48 years old I have two fibroid am total size and was advised to take 500 my three times a day but it completely stops the bleeding but the bleeding starts after three days again I have had on and off bleeding for two weeks now is this a common problem with the medication I am extremely worried and cannot be normal please help and advise
output: hello welcome to icliniq com it would have been helpful if you could attach the report of your ultrasound for me to have a look based on what you mentioned about the total size of two fibroid to be am I am assuming each one must be less than am and not so huge fibroid would not cause irregular bleeding unless they are lying close to the uterine cavity usually in the perimenopausal age group of women like you are already 48 we prefer to give medical management so as to control the bleeding in those who have excess bleeding as with age your menopause may set in and menses will eventually stop and then you will not have any problems because of the fibroid this is done to avoid unnecessary surgery when the bleeding would anyways stop after menopause in your case I would like to know if the fibroid are close to the uterine cavity on ultrasound which may cause irregular bleeding also in your query the drug name has not come but I guess it is tranexamic acid or tragic or pause which just controls the excessive bleeding means will reduce the bleeding but will neither stop the bleeding pattern due to hormonal disturbance in the perimenopausal abnormal bleeding nor due to the fibroid which bleed due to the close situation to the uterine cavity other causes if irregular bleeding apart from fibroid need to be evaluated like hormonal changes thyearoid issues or uterine lining endometrial thickening etc if it is due to fibroid position that is causing off and on bleeding it may not stop with tragic but only will reduce in amount and may stop only after menopause or after the surgical removal of the uterus but if it is due to the hormonal disturbance or due to the perimenopausal phase it needs to be controlled with some hormonal medications it would be good if you could connect with me through chat and share the reports of yours so that we can have a close look if any further evaluation needs to be done regarding the abnormal bleeding pattern ultrasound report needs to be reviewed thyearoid abnormalities perimenopausal rub abnormal uterine bleeding ca cancer endometrium ein endometrial intraepithelial neoplasia please revert back with reports