Answer ( 1 )

  1. Hello,
    If you are experiencing third menses during this month then you are suffering from polymenorrhoea and the most likely cause for it is likely to be progesterone deficiency once organic causes like endometrial polyp or sub mucous fibroid have been ruled out. You need to get your serum progesterone levels done and if the levels are less than 15ng/dl then you would have to be placed on cyclical progesterones to maintain the hormonal balance and control your polymenorrhoea. In the meantime, for acute control you may opt for antifibrinolytics like tab tranexamic acid 500mg twice a day to control the bleeding.
    So please get an ultrasound pelvis and a hormonal profile to establish the cause.