What is the reason for not having a menstrual period 37 days after ectopic pregnancy surgery?

Patient's question:

6/12 discovered ectopic pregnancy, previous treatment and outcome: Laparoscopic surgery was performed on 6/13, and I felt very well after the surgery, but I haven't had my period yet. What kind of assistance is needed: What should I do now? Should I wait and see for two more days or go to the hospital?

Doctor's answer:

It is normal for menstruation not to occur 37 days after ectopic pregnancy surgery. An ultrasound examination can be performed for a detailed diagnosis to check the thickness of the endometrium and assess how well normal menstruation is returning. The thickness of the endometrium is approximately 10-12 mm when menstruation occurs normally. If abnormalities are found, further treatment can be coordinated. Generally, menstruation should return about one month after surgery, but as people have different physiques, it may be delayed or early. It is recommended to wait and see for a week. If it still hasn't arrived, then go to the hospital.

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