Ectopic Pregnancy Signs and Symptoms

What does an ectopic pregnancy feel like

Early signs of ectopic pregnancy

The initial signs of an ectopic pregnancy are similar to those seen in a normal pregnancy, with the earliest symptoms being nausea, breast tenderness, and fatigue ^[1]. Abnormal pain and bleeding are often the first warning signs ^[2].

Other common symptoms

Lower abdominal pain ^[3] (that may radiate down the hips and legs in some women)
Vaginal bleeding that is often heavier or lighter than your period, characterized by dark red blood or brownish discharge. However, it is possible to mistake it for a late period ^[4].
Lower back pain
Diarrhea and vomiting
Pain during bowel movements and/or urination ^{[5, 3]}
Low blood pressure, due to considerable internal bleeding ^[2]

Emergency warning signs

Neck or shoulder tip pain, often noticeable when you lie down. It is caused when internal bleeding due to the ectopic pregnancy irritates the diaphragm (the phrenic nerve) ^[3]
Sudden faintness or even a collapse due to internal bleeding caused by a ruptured fallopian tube ^[6]

Ectopic pregnancy pain characteristics

The principal characteristic of the abdominal pain associated with an ectopic pregnancy is that it usually occurs on one side of your lower abdomen ^[4]. It often comes as a sudden sharp stabbing pain that may be constant or may come and go ^[7]. However, some women may experience mild pain that gradually worsens, becoming severe and persistent ^[8].

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