What are the symptoms and signs of ectopic pregnancy?
The first symptoms are usually spotting and cramping pain which begin shortly after the first missed period. The symptoms are similar to those of a threatened miscarriage. This bleeding comes from the endometrium (lining of the womb) due to a drop in pregnancy hormone level. Furthermore, there is bleeding from the affected fallopian tube. This bleeding may be gradual and causes pain, while rapid bleeding can cause a dramatic drop in blood pressure and shock. During the gynaecological examination, the doctor will feel that the uterus is softer and possibly slightly larger than normal, but smaller than for the anticipated duration of the pregnancy. The cervix is often tender when moved, and there may be a palpable mass in the area of the left or right fallopian tube. The pregnancy test in the urine or in the blood may be positive. An ultrasound examination will show an empty uterus often with a complex cystic mass at the affected tubal side and sometimes free fluid behind the uterus. Thi
