Does tranexamic acid help reduce menstrual pain as well or only reduce the amount of bleeding? can you take it sagelt with ibuprofen?

NSAIDs (ibuprofen) and tranexamic acid are both treatment options for abnormal and heavy menstrual bleeding, particularly for women <40. They are used individually, tranexamic acid does not treat pain, but no interactions occur if taken together. Other options include hormones and surgery is last resort. A work up typically includes blood work and a pelvis ultrasound to determine the exact cause

Your doctor can prescribed you pills that would limit your period to once a year address the menstruation related symptoms.