Can you have a menstrual period with an ectopic pregnancy?

Oct 15, 2024 Source: Cainiu Health
Dr. Zhang Lu
Introduction
Under normal circumstances, "例假" refers to menstruation, and "宫外孕" refers to ectopic pregnancy. Menstruation typically does not occur during an ectopic pregnancy. In cases of ectopic pregnancy, the ovaries continue to secrete estrogen and progesterone, which affect the state of the endometrium and prevent menstrual bleeding. However, patients with ectopic pregnancy may experience bleeding due to rupture of blood vessels at the site where the fertilized egg implants.

Normally, "例假" refers to menstruation, and "宫外孕" refers to ectopic pregnancy. Menstruation generally does not occur during an ectopic pregnancy. The specific analysis is as follows:

During an ectopic pregnancy, the ovaries continue to secrete estrogen and progesterone, which affect the condition of the endometrium and prevent menstrual bleeding. However, patients with ectopic pregnancy may experience vaginal bleeding due to rupture of blood vessels at the site where the fertilized egg implants. This type of bleeding is not true menstruation; it is usually lighter in amount, darker in color, and accompanied by symptoms such as abdominal pain and fainting. Patients who notice abnormal bleeding should seek medical attention promptly for accurate diagnosis, and follow medical advice to take medications such as tranexamic acid tablets, mifepristone tablets, or methotrexate tablets.

Patients should undergo regular gynecological examinations and closely monitor the health of their fallopian tubes and ovaries to help prevent ectopic pregnancies. Additionally, to avoid misdiagnosis and treatment delays, individuals experiencing abnormal vaginal bleeding should seek timely medical evaluation and undergo appropriate diagnostic tests.

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