Patient's question:
Doctor, hello! I was admitted to the hospital on 10/12 due to an ectopic pregnancy. The diagnosis was a right fallopian tube pregnancy, and my right fallopian tube was removed. After the surgery, my body returned to normal. My first period after surgery was on 11/28~12/02. I went to the hospital for a check-up on 12/10, and the doctor said there were no major issues, but that my vagina was slightly inflamed. They prescribed medication and had me rinse my vagina 7 times. However, over the past couple of days, I've been experiencing some abdominal pain, coming in waves, lasting for a few minutes each time, and I've also started bleeding from my vagina. My period just ended, so why is there bleeding again? I'm very worried—could it be ectopic pregnancy again? I've had my right fallopian tube removed, so the chances of getting pregnant are very low.Doctor's answer:
Hello:Vaginal bleeding is one of the common symptoms in gynecology. The bleeding site can be the hymen, vagina, cervix, or uterus, but uterine bleeding is the most common. The amount of vaginal bleeding varies, ranging from spotting to continuous flow. If the bleeding is excessive in a short period, it can lead to shock and endanger life.
Common causes of vaginal bleeding:
(1) Endocrine dysfunction: such as functional uterine bleeding during puberty or menopause.
(2) Pathological pregnancy: such as ectopic pregnancy, miscarriage, placenta previa, molar pregnancy, etc.
(3) Tumors: such as uterine fibroids, vaginal cancer, cervical cancer, endometrial adenocarcinoma, choriocarcinoma, etc.
(4) Inflammation: such as senile vaginitis, severe cervical erosion, intrauterine devices.
(5) Trauma: such as external injury, sexual trauma, etc.
A pregnancy test strip can be used for detection and diagnosis, but ectopic pregnancy cannot be ruled out.