Wondering if ectopic pregnancy will come with menstruation?

Patient's question:

My wife is 22 years old, and her period came last month on the 14th. It's already the 20s today, but she hasn't gotten pregnant even after using pregnancy tests. I'm suspicious of an ectopic pregnancy. Mainly, I want to know if ectopic pregnancy can still have a period, or if it's just irregular menstruation?

Doctor's answer:

Under normal circumstances, the fertilized egg will migrate from the fallopian tube to the uterine cavity, then settle in and gradually develop into a fetus. However, due to various reasons, the fertilized egg may go astray during migration and fail to reach the uterus, instead lingering elsewhere, which results in an ectopic pregnancy. Ectopic pregnancy will never result in menstruation and is extremely dangerous. If it ruptures, it can cause severe bleeding, endangering one's life. Patients also need to pay attention to maintaining deep sleep throughout their lives, as sufficient deep sleep can help them recover from this disease as soon as possible.

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