Antifibrinolytic medicines can help in reducing the amount of blood loss during menstruation, making it a commonly used over the counter drug for heavy menstrual bleeding. The advantages of Tranexamic acid are: The medicine slows bleeding quickly (within two to three hours). It has to be taken only a few days a cycle. It does not affect the chances of pregnancy.
It reduces menstrual blood loss (MBL) by 26%–60% and is significantly more effective than placebo, nonsteroidal anti-inflammatory drugs, oral cyclical luteal phase progestins or oral etamsylate, while the levonorgestrel-releasing intrauterine system reduces MBL more than tranexamic acid. Medical therapy is usually considered a first line treatment for idiopathic HMB. Tranexamic acid significantly improves the quality of life of women treated for HMB. The recommended oral dosage is 3.9–4 g/day for 4–5 days starting from the first…
