Patient's question:
Teacher, on the fifth day after the ectopic pregnancy surgery, there is still bleeding, and there are blood clots, with a blood volume similar to that of menstruation. The abdomen doesn't hurt, but I feel a bit tired. During the surgery, a D&C (dilation and curettage) was also performed—is this normal?Doctor's answer:
After conception, the level of serum human chorionic gonadotropin (hCG) rapidly declines. The endometrium is affected by hormonal interference, becoming thickened. If a lesion is removed after ectopic pregnancy surgery, the serum hCG level rises rapidly, and the endometrium undergoes withdrawal bleeding. This is normal after ectopic pregnancy surgery, and bleeding typically does not exceed 7 to 10 days. If there is excessive bleeding or prolonged bleeding after ectopic pregnancy surgery, there may be other underlying causes, and it is important to seek medical attention promptly for a thorough examination.For patients, if the ectopic pregnancy is severe, timely symptomatic treatment and appropriate medication are necessary. Otherwise, it may lead to a recurrence of ectopic pregnancy. Additionally, patients should pay attention to their diet and psychological care.