How long after ectopic pregnancy can menstruation occur?

Patient's question:

On November 27th, I found out I was pregnant. On December 9th, I experienced spotting. On December 30th, it was said to be an ectopic pregnancy. On the 29th, the HCG level was measured at 347.63, and on the 30th, it was measured at 309.4. The doctor recommended strict treatment. On the 31st, I started bleeding again, with a volume similar to a menstrual period, lasting for about three to four days. I didn't take any medication and just rested in the hospital bed. After staying in the hospital for 10 days, the HCG level dropped to 37.51, and the cyst size was reduced to 2.20.8. The doctor discharged me. A week later, the HCG level was measured at 2.4. Two weeks later, a detailed ultrasound showed: Uterus: Anterior position, size 4.53.34.5 cm, clear outline, uniform muscle layer echo, endometrial thickness of about 0.5 cm, both ovaries were detectable, no obvious abnormalities were observed. MRI results: No obvious abnormalities in the uterus or both ovaries. Hello, how are you?

Doctor's answer:

Hello, it's a pleasure to answer your question for you. Generally, the menstrual cycle will return to normal about a month later. After the surgery, it's important to rest more and avoid overexertion while enhancing nutrition. For severe cases of ectopic pregnancy, it is recommended to seek medical attention immediately and follow the doctor's advice for prompt treatment. Avoid using medication blindly, as this may worsen the condition. The above advice is for reference only. I hope the answer above can assist you. Thank you.

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