Why does bleeding often occur after ectopic pregnancy surgery?

Patient's question:

Post-ectopic pregnancy surgery bleeding has lasted for a week, and after stopping for another week, it has started bleeding again, with the blood being dark in color. The HCG levels have not returned to normal. The total post-surgery period has been one month. What could be the reason for this?
First follow-up question: Hello!
I had a laparoscopic surgery and have been resting well, without any strenuous exercise. But why did the bleeding last for a week after the surgery, then stop for another week, and now it has started bleeding again, with the blood being dark in color? It has been about another week since it resumed bleeding. From the time of the surgery to now, it has been a total of one month. The HCG levels have also not returned to normal. Could you please explain the reason for this?

Doctor's answer:

Generally speaking, it is normal to have a normal menstrual period one month after an ectopic pregnancy surgery. A delay or advancement of one week is considered normal, depending on individual physical conditions and recovery status. Sudden bleeding may be caused by inflammation leading to capillary rupture. It could also be due to poor uterine contractions or infection, among other possibilities. It is important to seek medical attention for examination and treatment promptly. During the treatment period, sexual activity should be avoided, and hygiene of the private parts should be maintained. Avoid spicy foods.

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