Patient's question:
Seven days ago, a laparoscopic ectopic pregnancy tubal resection was performed, with the right fallopian tube removed and a cyst removed from the left side. The postoperative body temperature has been normal, and there was a very small amount of blood discharge for the first two days. In the days after discharge, the bleeding has gradually increased without any abdominal pain or other symptoms, just continuous bleeding that feels like menstruation. Today, the bleeding is particularly heavy. Postoperatively, fresh bamboo juice oral liquid was consumed due to coughing.Doctor's answer:
The endometrium cyclically peels off and flows out from the vagina, which is menstruation. If pregnant, the endometrium, under the influence of progesterone, focuses on thickening without peeling off to restore the needs for the implantation and growth of the fertilized egg. However, because it is an ectopic pregnancy, the hormone levels rise slowly, and in some areas, the endometrium cannot maintain its thickness, leading to a small amount of peeling off. Therefore, one symptom of ectopic pregnancy is irregular vaginal bleeding, which is usually minimal or intermittent.If surgery is performed to remove the affected fallopian tube, the body's progesterone levels will drop rapidly. Under insufficient hormonal support, the endometrium will peel off and flow out from the vagina, resembling menstruation. This process continues until the endometrium is completely peeled off and regenerates, at which point the peeling stops.