What is the problem with excessive bleeding after ectopic pregnancy surgery?

Patient's question:

8.19 underwent an ectopic pregnancy surgery, had her period on 10.16, and it ended on 10.22. In early November, she experienced some bleeding in the morning. On 11.3, she went to the hospital for a thorough check-up. The hCG levels were normal, and the ultrasound showed a 1.1 cm thick endometrium. The doctor said her period was coming soon. By 11.7, her period arrived, with bleeding that varied in amount, no abdominal pain, and it ended on 11.20. After a day, it started again, but the amount was not significant. She still felt it was clean and it started again the next day. On 12.3, she went for another thorough check-up. Transvaginal ultrasound showed a 1.15 cm thick endometrium with uneven echoes, but other tests were normal, and hCG levels were normal. Starting from the 4th, the bleeding became heavier than her previous periods. Now, after seeing a different doctor, she felt nothing significant was said. What is the actual situation, Doctor?

Doctor's answer:

According to your test results, your blood hCG is fine. Since you have undergone an ectopic pregnancy surgery, there must be varying degrees of damage to your ovaries, which interferes with the endocrine system, leading to this recurrence. The ovaries also need a recovery period. Considering the bleeding you mentioned, I personally think the bleeding on November 20th was ovulation-related bleeding. I suggest you get your hormone levels checked again. If there are no major issues, you can take Chinese medicine for regulation and recovery.
In addition to immediate treatment for ectopic pregnancy, a patient's dietary condition and psychological state are also particularly important. Patients must avoid excessive stress and anxiety to prevent unnecessary interference with the complete recovery from ectopic pregnancy.

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