It is normal not to bleed after conservative treatment of ectopic pregnancy, and not all ectopic pregnancies bleed. When the ectopic pregnancy mass is small, and the mass keeps shrinking during the treatment process, and the blood HCG level decreases significantly, the effect of conservative treatment is very good, and there is usually no obvious bleeding. If the mass gradually increases during the treatment and the blood HCG level does not decrease well or increases instead, it is possible that the mass may rupture and cause bleeding, in which case the treatment should be changed to surgery, otherwise, if hemorrhage occurs, it will threaten the woman’s life. Once a woman has an ectopic pregnancy, she should go to the hospital as soon as possible and decide on a treatment plan according to her specific condition.