Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for writing to us. KRIMSON 35 contains Cyproterone Acetate and Ethinyl Estradiol as ingredients. It is used to treat Poly Cystic Ovarian Disease. Here, slight bleeding 4 days after starting KRIMSON 35 may be due to hormonal imbalance & mental stress as you didn't get your last period. It is not your regular period. Maintain genital hygiene properly. Suggestion: You would continue the prescribed medication regardless the slight bleeding and wait for regular period in due time. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish your good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through WWW.WWWW.WW

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Brief Answer: DETAILS ARE GIVEN. Detailed Answer: Hello, Thanks for follow up query. 1) YES, you would take KRIMSON 35 as your bleeding type is not like a regular period. Hormonal imbalance is the main cause in this case. 2) You can continue above medicine till menopause stage if you have irregular cycle or PCOD problem. However, you need to undergo periodic check up to your gynecologist for clinical evaluation. Some other measures have to be taken along with this like taking healthy diet with more green vegetables and IRON supplements, avoiding mental stress by regular meditation or yoga, controlling body weight by regular light to moderate exercise, complete avoidance of fatty or sugary foods and taking sound sleep. It will help to regularize your monthly period and maintain over all healthy life. Hope, I have answered your queries. Kindly, close the discussion. Good luck and all the best. Regards, Dr Soumen

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Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for follow up query. You can take Tranexamic Acid group of drug like PAUSE etc- 500 mg twice daily for 3 to 5 days to stop slight bleeding or discharge. You must take IRON supplements with healthy diet and maintain genital hygiene to avoid pelvic infection. Hope, it helps for your information. Kindly, close the discussion if you don't have other query. Wish your good health and take care yourself. Regards, Dr Soumen

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Brief Answer: DETAILS ARE GIVEN BELOW. Detailed Answer: Hello, Thanks for additional queries. 1) At this age, heavy period for last 6 months needs to be investigated properly to rule out underlying pelvic pathology like uterine fibroid, polyps, endometrial hyperplasia, adenomyosis etc. Hormonal ups & down at Peri-menopausal age is also an important cause for the same. Irregular spotting or discharge can't be predict how long it will stay. You have to undergo one Trans Vaginal Ultrasound scan (TVS) and other relevant tests to know the exact underlying cause and pinpoint the diagnosis. One clinical evaluation is needed to be carried out under the guidance of your GYNECOLOGIST. 2) Menopause is usually defined as complete cessation of menstrual period for consecutive 12 months or more. One missed period with slight bleeding on next cycle is not conclusive to define menopausal sign. It may be your transitional period or Peri-Menopause stage. 3) Recurrent vaginal itching may be due to YEAST infection or Trichomoniasis. In this stage, I would suggest to undergo one CULTURE and SENSITIVITY TEST of vaginal discharge, blood sugar (PPBS) and differential count to rule out causative organism and confirm the diagnosis. It helps to determine better drug treatment. Next thing, you have to ELIMINATE or CORRECT some additional predisposing factors like diabetes, mental stress, lack of sleep, poor eating habits, hormonal imbalance, certain medicines (like hormone pills, antibiotics, steroids etc), weak immune system, cervicitis, vaginitis, poor genital hygiene etc. It may be aggravated by using chemical substance like lubricant or jelly with condom or soap/ detergent/ other bath products, causing repeated friction and irritation inside vagina. So, you have to modify all these things to get effective result. You can consult with your GYNECOLOGIST for proper guidance. TREATMENT: a) Vaginal suppository or anti-fungal vaginal tab like CANDID CL can be used. Other supportive treatment may be required. b) Use vaginal moisturizer cream or maintain vaginal pH with RepHresh pH gel etc to avoid recurrent infection. VAGISIL cream can be used prior to intimation each time and maintain genital hygiene before and after sex. c) Wear only clean and cotton underwear. Don't wear any tight fitting cloths or pants to avoid repeated friction/ irritation. Take sound sleep adequately. d) Take healthy diet as you have mentioned with anti oxidant (like Vitamin -E or C, selenium, zinc, lycopene etc) supplements. Drink plenty of water or juice for better systemic circulation. You must avoid salty, sugary or fatty foods. e) Your partner also needs one urine culture and sensitivity test and STD panel to exclude any kind of asymptomatic infection or STD. Proper treatment is required to avoid repeated infection. f) Avoid chemical cosmetics or soap or scented bath products around genital area. Don't practice unprotected sex till the problem is completely resolved. Hope, it helps for your information. Kindly, close the discussion if you don't have any other query. Wish your good health and take care yourself. Regards, Dr Soumen

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