What could be causing my wife's continuous abnormal vaginal bleeding since her medical abortion in July, considering that her ultrasounds and thyroid tests are normal, and treatments with Pause MF, Deviry, and the antibiotic Loflax 500mg have not worked?
Since her ultrasounds are normal, and treatments like tranexamic acid with mefenamic acid (Pause MF), medroxyprogesterone (Deviry), and levofloxacin (Loflax) haven't worked, there are a few possibilities. Sometimes, microscopic tissue from the pregnancy can remain even if a standard ultrasound looks clear, or there may be a persistent hormonal imbalance. I highly recommend consulting her gynecologist again. They might suggest a detailed evaluation, such as a hysteroscopy or a specialized ultrasound, to see inside the uterus more clearly and guide a personalized treatment plan to help her heal.