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Assignment:
The main reason for vaginal bleeding in ectopic pregnancy is due to the result of decidual breakdown that occurs in the uterine cavity due to suboptimal β-HCG levels. There will be a separation of gestational sac from the tubal walls which results in degeneration and falls of HCG levels. The regression of corpus luteum that shows the decreased level of oestrogen and progesterone which also result in uterine decidua separation along with the uterine bleeding (Shedding of decidua). Most of the bleeding are occurs in intra abdominal not in the vaginal.
(I need more explanation about this, because I can't understand. I need a step by step process of why ectopic pregnancy have vaginal bleeding?
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