Does ectopic pregnancy come with menstruation?

Patient's question:

I have an ectopic pregnancy. Today, I found blood in my underwear, just like during my menstrual period. Doctor, does ectopic pregnancy cause menstruation?

Doctor's answer:

Ectopic pregnancy has abnormal conditions. Since ectopic pregnancy mostly occurs in the fallopian tube, and the lumen of the fallopian tube is relatively narrow, it is easy to experience early pregnancy miscarriage or ectopic pregnancy rupture with severe bleeding. Therefore, ectopic pregnancy can present with bleeding. If ectopic pregnancy is confirmed, active treatment should be initiated first. If there is no rupture, conservative treatment can be used, and laparoscopic surgery may be considered when necessary.

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