Ectopic pregnancy surgery four days after menstruation, the vaginal bleeding at this time is not normal menstruation, mostly considered to be related to the endometrial stripping caused by changes in hormone levels in the body. After ectopic pregnancy surgery, that is, the ectopic fertilized egg is removed or the affected side of the fallopian tube is removed, after the surgery, the level of chorionic gonadotropin, estrogen and progesterone in the body decreases significantly, the endometrium loses the support of hormones and it will peel off and there will be vaginal bleeding, but this time, the bleeding is not a normal menstruation. For women after surgery for ectopic pregnancy, after the exhaust can be appropriate to eat noodles, millet porridge and other light, well-digested food, as soon as physically possible to get out of bed in order to promote gastrointestinal function and physical recovery, 1 month after the operation should be prohibited from having sex, if the vaginal bleeding, abdominal pain is severe, it is recommended that they go to the gynecology department of the regular hospital as soon as possible to consult the doctor, to determine the cause of the cause of the disease and then actively treat.