Can ectopic pregnancy be treated conservatively?

Patient's question:

My wife had an ectopic pregnancy not long ago. Then, under the doctor's advice, she underwent conservative treatment. At first, everything was fine, but now she occasionally experiences vaginal bleeding. What should we do about the vaginal bleeding after conservative treatment for ectopic pregnancy? Is it serious?

Doctor's answer:

If there was a careful check before and ectopic pregnancy occurred again after conservative treatment, it will definitely lead to vaginal bleeding again. This is because, after ectopic pregnancy, the hormone levels in a woman's body have already started to change significantly. At this time, the endometrium will also thicken again. After taking medication, when the levels of human chorionic gonadotropin (hCG) in the body rise to normal, the endometrium will shed again, so bleeding will occur again.

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