Ectopic Pregnancy Symptoms — Continued
Ectopic pregnancy symptoms
You may have no symptoms of ectopic pregnancy at first, or you may have the same signs as a normal pregnancy — a missed menstrual period, nausea and breast tenderness, and a positive pregnancy test.
Vaginal bleeding accompanied by pelvic or abdominal pain is often the first warning ectopic pregnancy symptom, the American Pregnancy Association points out.
The bleeding may be light or heavy. Abdominal pain can be sudden and sharp and ache without relief, or it can come and go and occur only on one side.
If blood from a ruptured fallopian tube leaks and builds up under the area between your chest and stomach (your diaphragm), you may feel shoulder pain, too. If the fallopian tube ruptures, weakness, dizziness, and fainting can occur due to internal bleeding and blood loss.
Ectopic pregnancy treatment
If you have signs of an ectopic pregnancy, call your doctor. If you experience severe abdominal or pelvic pain, along with vaginal bleeding, extreme lightheadedness, or fainting, seek emergency medical care.
If your doctor suspects you may have tubal pregnancy symptoms, an ultrasound exam, which uses sound waves to create an image, can check for signs of pregnancy and the location of a fetus. In addition, your doctor may perform:
- A pelvic exam
- A blood pressure check (low blood pressure can be a sign of internal bleeding)
- A blood test to measure human chorionic gonadotropin (hCG), a hormone produced you are pregnant
If an ectopic pregnancy is caught early and the fallopian tube has not ruptured, in some cases medication can stop the growth of your pregnancy so your body can absorb it, preserving your fallopian tube.
Ectopic pregnancy surgery
In other cases, the pregnancy is terminated through a very small cut, using minimally invasive laparoscopy. If the ectopic pregnancy is larger or if your fallopian tube has ruptured, however, some or all the tube may have to be removed through a larger incision.
If you experience an ectopic pregnancy, that doesn’t mean you can’t become pregnant again (although there is an increased risk for another ectopic pregnancy), especially if both your fallopian tubes have been preserved. That usually occurs when symptoms of ectopic pregnancy are recognized early and treated promptly.
Updated:  
August 10, 2023
Reviewed By:  
Janet O’Dell, RN