Prolonged Bleeding: Insights on Medications and Ovulation

Bleeding issues

Hello, Doctor: Due to polycystic ovary syndrome, I initially used Diane-35 to regulate my menstrual cycle.
Although my period has arrived, I have been experiencing bleeding for over 10 days.
I went for a gynecological examination, and the doctor mentioned that there are follicles, indicating that ovulation may occur soon.
However, since I am still experiencing bleeding, the doctor prescribed me both Idebenone and Tranexamic Acid to take together.

1.
Is Idebenone also a contraceptive? How strong is the dosage?
2.
What type of medication is Tranexamic Acid?
3.
The gynecologist mentioned that ovulation may occur soon; will taking these two medications affect my ovulation and the timing of my next menstrual period?

Jia You Mei Shao Nu, 20~29 year old female. Ask Date: 2018/10/10

Dr. Cao Guotao reply Obstetrics and Gynecology

Hello, the purpose of prescribing these two medications is to achieve hemostatic effects, which generally do not affect the ovulation period or the next menstrual cycle.
Wishing you good health.

Reply Date: 2018/10/10

More Info

Prolonged bleeding, especially in the context of polycystic ovary syndrome (PCOS), can be concerning and requires careful management. In your case, the use of medications like Idacio (伊黛歐) and Tranexamic Acid (TRANEXAMIC ACID) is aimed at controlling the bleeding and managing your menstrual cycle.

1. Idacio (伊黛歐): This medication is indeed a form of hormonal contraceptive, specifically a combination oral contraceptive pill. It contains estrogen and progestin, which work together to regulate the menstrual cycle. The dosage strength can vary depending on the specific formulation, but generally, these pills are designed to provide effective contraception while also helping to regulate menstrual cycles and reduce heavy bleeding. In your case, it may help stabilize your hormonal levels and potentially reduce the duration and intensity of your bleeding.

2. Tranexamic Acid (TRANEXAMIC ACID): This medication is an antifibrinolytic agent, which means it helps to prevent the breakdown of blood clots. It is often used to treat heavy menstrual bleeding by stabilizing clots and reducing blood loss. Tranexamic Acid is not a hormone and does not affect ovulation directly. It works by inhibiting the activation of plasminogen to plasmin, which is responsible for breaking down fibrin in blood clots. By preventing this breakdown, Tranexamic Acid can help control excessive bleeding.

3. Impact on Ovulation and Menstrual Cycle: The use of Idacio and Tranexamic Acid should not significantly interfere with your ovulation or the timing of your next menstrual period. Idacio, being a hormonal contraceptive, may regulate your cycle and potentially lead to a more predictable ovulation pattern. However, if you are experiencing prolonged bleeding, it may take some time for your body to adjust to the hormonal changes, and ovulation may not occur as expected initially. Tranexamic Acid, on the other hand, is used to manage bleeding and does not have a direct impact on ovulation.

It's important to follow your doctor's instructions regarding the use of these medications and to keep them informed about your bleeding patterns and any side effects you may experience. If the bleeding persists or worsens, or if you have any concerns about your medications, do not hesitate to reach out to your healthcare provider for further evaluation and management.

In summary, while Idacio is a hormonal contraceptive that can help regulate your menstrual cycle, Tranexamic Acid is an effective medication for controlling heavy bleeding. Both medications can be used together to manage your symptoms without significantly affecting ovulation. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust treatment as necessary.

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