What Causes Heavy Bleeding During Perimenopause Despite Taking Ethamsylate?

Hi Dr, I am 43 year old and in perimanopause state from 1 year. Last 16 days I am having heavy bleeding and upon consulting gynec, she suggested to use Tamik BC and ethasylate 250mg. I am using them from 2 days, but don t see any improvement. Can u help me.