In most cases a near fatal situation, an ectopic pregnancy is characterized by a pregnancy that develops outside the uterus.
And even though most cases of ectopic pregnancies end up in the fallopian tubes (also called as tubal pregnancies), chances are there for an ectopic pregnancy to occur in the cervix or abdomen as well (called as cervical or abdominal pregnancies respectively). In a normal uterine pregnancy, the fertilized egg attaches itself to the uterine wall and starts developing in the uterus. Given below are some of the more common symptoms of ectopic pregnancies that you need to watch out for provided that your doctor does not find anything abnormal in the ultrasound which is usually done within the first few weeks of conceiving. The first tell tale signs of an ectopic pregnancy involve a mild abdominal pain that would soon build into an extremely painful stabbing sensation.
The pain experienced during an ectopic pregnancy is not limited to the abdomen alone and can occur in the pelvis, neck or even shoulder (we’ll explain why later on).
Often attributed to be common signs of a normal uterine pregnancy, dizziness and nausea can also set in during an ectopic pregnancy. In the case of an ectopic pregnancy, the HCG levels in the body would increase, but at a comparatively lower rate than usual. Another possible sign of an ectopic pregnancy is low blood sugar which can be triggered off by internal bleeding following a rupture. If the fallopian tube ruptures, the pain and bleeding could be severe enough to cause fainting.

One cause of an ectopic pregnancy is a damaged fallopian tube that doesn’t let a fertilized egg into your uterus, so it implants in the fallopian tube or somewhere else. Essentially meaning ‘out of place’, an ectopic pregnancy is said to have occurred when the fertilized egg does not implant in the uterus, but somewhere else like the fallopian tubes or the abdomen. However, in an ectopic pregnancy, the fertilized egg implants in the fallopian tubes, abdomen or anywhere else in the cervical region.
The initial symptoms of an ectopic pregnancy are very similar to those of a normal pregnancy, including missed menstrual cycles, nausea, breast tenderness, fatigue, giddiness and frequent urination etc.
Many women often mistake these pains for cramps until they find it very painful to even move. And while the pain would occur on both sides of the body, with time it would move over to one side, become very intense and would be followed by light spotting or heavy vaginal bleeding (in the case of a rupture). Vaginal bleeding can occur during the initial stages of an ectopic pregnancy as well although the reason for the same is mistaken to be something else like implantation bleeding, miscarriage etc. The HCG levels in the body are routinely checked during pregnancy to rule out any anomalies. Well here we are. Many may wonder as to how an ectopic pregnancy can cause pain in the neck and shoulder regions. In fact a woman with an ectopic pregnancy would not be able to realize it until the more specific signs start showing up.

Abdominal pain accompanied by vaginal bleeding are the foremost warning signs of an ectopic pregnancy. These levels will usually rise at abnormal rates, maybe double or triple themselves within a matter of days during a normal uterine pregnancy. Well you may be surprised to note that this is one of the most vital signs of an ectopic pregnancy that indicate that you need to get help fast. So if you start to experience a drop in the blood pressure level and notice the other signs of an ectopic pregnancy, get help fast! While mild pain can be ignored, severe gas pain needs to be reported to a doctor as soon as possible. If you feel nauseous and giddy, and your skin starts to become pale, chances are you have an ectopic pregnancy that is causing internal bleeding.
Put in simple terms, it means you need to rush to the hospital as soon as you start experiencing severe neck or shoulder pain.

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