Patient: ectopic pregnancy, blood HCG decreased to normal after more than 20 days of conservative treatment in hospital, but ultrasound findings: mixed left adnexal mass 22*15mm on admission, size 39x22mm on discharge with a small amount of pelvic fluid. The patient had no significant abdominal pain or other discomfort. Q: What should I do about the adnexal mass? What do I need to pay attention to? A: According to the information you provided, the whole disease seems to be turning out to be relatively good at present. The blood HCG has decreased to normal and the left adnexal mass has increased in size, which is associated with reduced embryonic activity and localized miscarriage bleeding. Generally speaking, the higher the blood HCG value indicates the strength of embryonic activity; the higher the value, the greater the risk of rupture, abdominal pain, internal bleeding and shock in ectopic masses; as the blood HCG value decreases, the risk of occurrence decreases. However, because of the presence and changes of ectopic pregnancy masses, a small number of patients still experience abdominal pain and internal bleeding in clinical practice, which require medical treatment or even surgery. It is also recommended to rest and observe and review ultrasound after discharge to understand the changes of adnexal mass and pelvic fluid. It usually takes several months for the adnexal mass to be absorbed. Sexual intercourse is prohibited in the near future. Patient: Thank you, Dr. Gao, for your reply. The patient has been on bed rest for more than half a month since she was discharged from the hospital, and now she has gone to work, I wonder if it is appropriate. Answer: It is recommended to closely observe whether there are abdominal pain symptoms, and if abdominal pain occurs then go to the hospital promptly. Also, observe the recovery of the next menstrual period. Sexual intercourse is currently prohibited. If there is no abnormality, review the ultrasound every month until the mass disappears. Patient: Thank you, Dr. Gao! Answer: Good luck for a speedy recovery!