Why does bleeding often occur after ectopic pregnancy surgery?

Patient's question:

Post-ectopic pregnancy bleeding has lasted for a week, and after stopping for a week, it has started bleeding again, with the blood being dark in color. The HCG levels have not returned to normal. A total of one month has passed since the surgery. What could be the reason for this?
First follow-up question: Hello!
I had a laparoscopic surgery, rested well, and did not engage in strenuous exercise, but why did the bleeding last for a week after the surgery, then stop for a week, and now it has started bleeding again with dark blood, which has lasted for about another week? From the time of the surgery to now, it has been a total of one month, and the HCG levels have not returned to normal. Could you please explain the reason for this?

Doctor's answer:

Generally, menstruation can return to normal one month after an ectopic pregnancy surgery. A delay or advancement of one week is considered normal, depending on individual physical conditions and recovery. 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 area should be maintained. Avoid spicy foods.

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