Pregnancy: Tranexamic acid crosses the placenta and appears in cord blood at concentrations approximately equal to maternal concentration. Clinical experience of use in pregnant women is limited. Animal studies have not supplied any evidence of an increased incidence of foetal damage.
Lactation: Tranexamic acid is excreted into breast milk.
Fertility: There are no clinical data in humans supporting the impact of tranexamic acid on fertility. Fertility was not affected in male or female rats at high oral doses up to approximately 850-880 mg/kg/day.