What are the early signs of ectopic pregnancy?

Active prevention is necessary for ectopic pregnancy, and women also need to pay attention to the symptoms of ectopic pregnancy, such as the most common symptoms of amenorrhea, abdominal pain, and vaginal bleeding, which may even lead to fainting and shock.

⑴ Except for the longer amenorrhea period in interstitial pregnancy, most cases of amenorrhea last for 6 to 8 weeks. Generally, abdominal pain, vaginal bleeding and other symptoms occur after amenorrhea, but about 20% of patients complain of no history of amenorrhea.

⑵ Abdominal pain is the main symptom when the patient seeks treatment. Abdominal pain is caused by multiple factors such as fallopian tube enlargement, rupture, and blood irritating the peritoneum. When rupture occurs, the patient suddenly feels a tearing pain in one side of the lower abdomen, often accompanied by nausea and vomiting. If the blood is confined to the lesion area, it manifests as local pain in the lower abdomen; when blood accumulates in the rectouterine pouch, there is a feeling of heaviness in the anus; if the amount of bleeding is too much, blood flows from the pelvic cavity to the abdominal cavity, and the pain spreads from the lower abdomen to the entire abdomen; when blood irritates the diaphragm, it can cause radiating pain in the scapula.

⑶ Vaginal bleeding After the death of the embryo, there is often irregular vaginal bleeding, which is dark brown in color and small in amount, generally not exceeding the menstrual volume, but it is spotty and not clean.

⑷ Syncope and shock: Acute intra-abdominal bleeding may cause decreased blood volume and severe abdominal pain. Mild cases often experience syncope, while severe cases experience shock. The severity of the disease is proportional to the rate and amount of intra-abdominal bleeding, that is, the more and more rapid the bleeding, the faster and more severe the symptoms appear, but it is not proportional to the amount of vaginal bleeding.