Does not conceiving during pre-pregnancy have anything to do with having sex during ovulation bleeding?

Patient's question:

I am a female white-collar worker, and at the age of 58, I suddenly felt unwell. After a check-up, I was diagnosed with this disease. Please ask: Is there a relationship between not getting pregnant during pre-pregnancy and having intercourse during ovulation bleeding?

Doctor's answer:

Ectopic bleeding is generally not significant. As long as there is a normal menstrual cycle, it will never lead to infertility. It suggests chronic pelvic inflammation, with blockage in both fallopian tubes and pelvic adhesions. This should be considered as tubal infertility. It is recommended to undergo a combined laparoscopic and hysteroscopic surgery to restore the fallopian tubes before trying to conceive again.
Then, the patient needs to maintain a balanced diet, follow a regular sleep schedule, and regulate physical and mental health. In daily life, it is important to keep a positive mood, eat more light, soft, and liquid foods, drink plenty of water, and consume more vegetables and fruits.

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