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Because these areas do not have as much room for growth of the implanted fetus as the uterus, they burst as soon as the embryo increases in size.
Most women experience the same symptoms as in a normal pregnancy until the ectopic pregnancy has ruptured.
Shoulder pain: Pain in the shoulder, especially on lying down is very specific for ectopic pregnancy. Signs of shock: If there is a rupture of the fallopian tubes resulting in hemorrhage, you may feel signs of shock like dizziness, palpitations, pale and clammy skin. People who use fertility treatments like In Vitro Fertilization (IVF) to become pregnant are also at risk of developing an ectopic pregnancy but they are usually under their physician’s surveillance. Another cause can be previous tubal or abdominal surgery, which can cause scar tissue to form and this scar tissue can cause blockage. To rule out ectopic pregnancy as the cause, any women arriving in the emergency room with abdominal pain is first given a urine pregnancy test. The next test after positive urine pregnancy test is quantitative hCG test which analyses the levels of human chorionic gonadotropin (hCG) hormone produced by the placenta. After that, the physician may opt for an abdomino-pelvic ultrasound to check if the implantation of the fetus is at the normal site in the uterine cavity.
Along with the ultrasound, the doctor might also do an abdominal examination to check for any mass, enlarged uterus, or pain causing areas.
Despite the use of ultrasound machines and the best equipment, a pregnancy in initial stages is difficult to visualize.
In early ectopic pregnancy, an injection of methotrexate can help stop the cells from dividing.


Ectopic pregnancy associated with ruptured tube or extensive hemorrhage might need an emergency laparotomy (surgery through the abdominal incision).
Once you have had an ectopic pregnancy, the likelihood of the next pregnancy also being ectopic is increased by 15 percent.
A pregnancy is referred to as ectopic pregnancy when instead of implanting into the uterus, the egg implants at another site. Such incidents of tubal, abdominal or cervical pregnancies are associated with a lot of hemorrhage and are a danger to the mother’s life. In the beginning, there may be a missed period along with tender breasts, morning sickness and fatigue. Usually shoulder pain is observed when there is hemorrhage and this internal bleeding irritates the nerves going to the shoulder. Although there are many other causes of abdomino-pelvic pain, it is a pretty common symptom of ectopic pregnancy and therefore should not be ignored. You may also faint during ruptured fallopian tubes; in any case, call for help without delay. The blood may be red or darker than normal and the bleeding may be intermittent or continuous with a heavy flow. A common cause of blocked fallopian tubes is the pelvic inflammatory disease (PID) which is caused by gonorrhea or chlamydia.
Moreover, congenital birth defects in the tube or abnormal growths can also hinder the passage of the fertilized ovum.
If the pregnancy is early, a trans-vaginal or trans-pelvic ultrasound may be performed by placing the ultrasound wand in the vagina.


If you experience abdominal pain within 5 weeks of your last menstrual period, then the cause might be an ectopic pregnancy but it is difficult to diagnose.
This procedure involves the insertion of a laproscope (a thin tube with a camera at the end) into the abdominal cavity and then removing the ectopic tissue from the fallopian tube. Although it might be possible to repair the fallopian tube, in most cases it has to be removed. However, some women still find it difficult to become pregnant again if they had fertility problems before ectopic pregnancy.
The abdominal pain can be sudden and severe with accompanying nausea and vomiting or dull and persistent.
To be absolutely sure about ectopic pregnancy, you might have to go to your doctor every few days for some blood tests as well as an ultrasound so that diagnosis can be made with surety. At the end of the procedure, the fallopian tube is repaired, and sometimes if there is extensive damage, it is removed.
However, not all eggs implant into the fallopian tubes; other sites commonly involved include the cervix, abdomen and even the ovaries.



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