What are the symptoms of an ectopic pregnancy?

Feb 13, 2025 Source: Cainiu Health
Disease description:

I have a friend who was diagnosed with an ectopic pregnancy, but she didn't experience any symptoms in the early stages. What are the symptoms of ectopic pregnancy?

Doctor's answer (1)
Dr. Zhang Lu

The signs of ectopic pregnancy include vaginal bleeding, abdominal pain, nausea and vomiting, abdominal mass, fainting, and shock.

1. Vaginal bleeding: Some patients with ectopic pregnancy often experience irregular vaginal bleeding after a period of amenorrhea, typically dark red or deep brown in color.

2. Abdominal pain: Abdominal pain is one of the common symptoms of ectopic pregnancy, usually presenting as mild pain or a feeling of pressure on one side of the lower abdomen.

3. Nausea and vomiting: Patients with ectopic pregnancy may experience early pregnancy symptoms similar to those in normal pregnancy, such as nausea and vomiting.

4. Abdominal mass: If the embryo from an ectopic pregnancy dies and is not expelled but instead accumulates in the abdomen, it may form an abdominal mass.

5. Fainting and shock: When an ectopic pregnancy ruptures, significant intra-abdominal bleeding can rapidly lead to symptoms of shock, including fainting, pallor, cold clammy extremities, and a weak, rapid pulse.

If ectopic pregnancy is suspected, immediate medical evaluation is necessary. The doctor will conduct a detailed medical history review, physical examination, and use blood tests and ultrasound to confirm the diagnosis.