When Does Ectopic Pregnancy Pain Start

Ectopic pregnancy is a serious medical condition when a fertilized egg implants outside the uterus, typically in the fallopian tube. This abnormal implantation can lead to various complications, including pain and potential damage to the reproductive organs.

Understanding when ectopic pregnancy pain starts is crucial for early detection and prompt medical intervention. This article will explore ectopic pregnancy pain’s symptoms, timing, and other essential aspects.

What is an Ectopic Pregnancy?

An ectopic pregnancy is a condition in which the fertilized egg implants and grows outside the uterus. Although most pregnancies occur in the uterus, approximately 1 in 50 pregnancies are ectopic. The fallopian tubes are the most common location for ectopic pregnancies, but they can also occur in other areas, such as the ovary, cervix, or abdominal cavity.

Causes of Ectopic Pregnancy

Ectopic pregnancies can be caused by various factors, including:

Damaged or Blocked Fallopian Tubes

One of the leading causes of ectopic pregnancy is damaged or blocked fallopian tubes. Conditions or events that can lead to fallopian tube damage or blockage include:

Pelvic inflammatory disease (PID):

Infections of the reproductive organs, particularly caused by sexually transmitted infections like chlamydia or gonorrhea, can result in scarring or blockage of the fallopian tubes.Best cancer hospital in Hyderabad

Previous pelvic or abdominal surgeries:

Surgeries such as tubal ligation, removal of ovarian cysts, or treatment of endometriosis can cause adhesions or scar tissue formation, affecting the normal movement of the egg through the fallopian tubes.

Previous ectopic pregnancy:

Women with an ectopic pregnancy are at higher risk of experiencing another ectopic pregnancy due to potential scarring or damage to the fallopian tubes.

Hormonal Imbalances

Hormonal imbalances can disrupt the normal movement of the fertilized egg through the fallopian tubes, increasing the risk of ectopic pregnancy. Imbalances in hormones such as progesterone, estrogen, or human chorionic gonadotropin (hCG) can affect the functioning of the fallopian tubes and the implantation process. Specific factors that can contribute to hormonal imbalances include:

In vitro fertilization (IVF) and assisted reproductive technologies:

Fertility treatments can sometimes lead to hormonal imbalances, which may increase the risk of ectopic pregnancy.

Use of hormonal contraception:

Although rare, contraceptive methods like birth control pills or intrauterine hormonal devices (IUDs) may fail, leading to an increased risk of ectopic pregnancy if pregnancy occurs.

Abnormal Embryo Development

In some cases, the fertilized egg may have genetic or developmental abnormalities that prevent it from implanting properly in the uterus. These abnormalities can increase the likelihood of ectopic pregnancy. Factors that can contribute to abnormal embryo development include:

Maternal age:

Advanced maternal age is associated with an increased risk of genetic abnormalities in embryos, which can affect implantation and increase the likelihood of ectopic pregnancy.

Genetic abnormalities:

Chromosomal abnormalities or genetic disorders in the fertilized egg can disrupt normal implantation and result in ectopic pregnancy.

Symptoms of Ectopic Pregnancy

Recognizing the symptoms of an ectopic pregnancy is crucial for timely medical intervention. The common symptoms include:

Abdominal or Pelvic Pain

One of the primary symptoms of ectopic pregnancy is abdominal or pelvic pain. The pain may be sharp, stabbing, or cramp-like, often felt on one side of the abdomen. Mild discomfort to severe agony can be experienced. It’s important to note that the pain may not be constant and can come and go in episodes.

Vaginal Bleeding

Ectopic pregnancy can also cause vaginal bleeding. The bleeding may be lighter than in a regular menstrual period, ranging from spotting to more substantial bleeding. It’s important to distinguish between implantation bleeding, which can occur during early pregnancy and is usually lighter, and vaginal bleeding associated with ectopic pregnancy.

Shoulder Tip Pain

Shoulder tip pain is a less common but significant symptom of ectopic pregnancy. This type of pain occurs when blood from internal bleeding irritates the diaphragm, causing referred pain in the shoulder area. If you experience shoulder tip pain and other symptoms, seeking immediate medical attention is essential.

Weakness, Dizziness, or Fainting

Internal bleeding associated with ectopic pregnancy can lead to weakness, dizziness, or fainting. The fallopian tube or other affected organ ruptures can cause significant blood loss, leading to these symptoms. If you feel lightheaded or experience sudden weakness or fainting, it is crucial to seek emergency medical care.

Gastrointestinal Symptoms

In some cases, ectopic pregnancy can cause gastrointestinal symptoms. These may include nausea, vomiting, or diarrhea. These symptoms can be caused by the hormonal changes associated with pregnancy or by the irritation of nearby organs due to the ectopic pregnancy.

When Does Ectopic Pregnancy Pain Start?

Ectopic pregnancy pain usually starts between the sixth and tenth week of pregnancy. However, the timing can vary; some women may experience pain earlier or later. It’s important to note that the pain may start gradually or suddenly, and its intensity can range from mild to severe. If you experience any abdominal or pelvic pain during pregnancy, it’s essential to consult a healthcare provider for evaluation. Also, if you are doubtful about your pain and don’t know when your pregnancy start, use online pregnancy test calculator to know the status. 

Diagnosis of Ectopic Pregnancy

Medical History and Physical Examination

The diagnostic process for ectopic pregnancy begins with a thorough medical history assessment and physical examination. The healthcare provider will inquire about the woman’s symptoms, menstrual history, and any risk factors associated with ectopic pregnancy. During the physical examination, the provider may check for signs of abdominal tenderness or a palpable mass.

Pregnancy Test

A pregnancy test is usually the first step in diagnosing ectopic pregnancy. It can confirm if the woman is pregnant but cannot determine if the pregnancy is ectopic. However, a positive pregnancy test combined with symptoms such as abdominal pain or vaginal bleeding raises suspicion for ectopic pregnancy.

Transvaginal Ultrasound

Transvaginal ultrasound is a key diagnostic tool for ectopic pregnancy. It involves inserting a small ultrasound probe into the vagina to visualize the reproductive organs. This imaging technique allows healthcare providers to locate the pregnancy and determine if it is implanted outside the uterus. It can also help identify the specific location of the ectopic pregnancy, such as in the fallopian tubes or other areas.

Blood Tests

Blood tests measuring the hormone human chorionic gonadotropin (hCG) levels can provide valuable information in diagnosing ectopic pregnancy. Serial hCG measurements can help monitor the progression of the pregnancy and identify potential issues. Abnormally rising or plateauing hCG levels may indicate an ectopic pregnancy.

Treatment Options for Ectopic Pregnancy


In some cases, if the ectopic pregnancy is detected early and the woman’s condition is stable, medication may be prescribed as a treatment option. Methotrexate is commonly used to stop the growth of ectopic pregnancy and promote its absorption by the body. Regular monitoring and follow-up visits are necessary to ensure the effectiveness of the medication and to watch for any adverse effects.


Surgical intervention is often necessary in cases where the ectopic pregnancy poses a significant risk or has already caused complications. The type of surgery performed depends on factors such as the location and size of the ectopic pregnancy and the overall condition of the woman. Surgical options include:

Laparoscopic surgery:

This minimally invasive procedure involves making small incisions in the abdomen and using a camera and specialized instruments to remove the ectopic pregnancy. Sometimes, the fallopian tube may need to be repaired or removed.


In certain situations where laparoscopic surgery is not feasible, a larger abdominal incision (laparotomy) may be necessary to access and remove the ectopic pregnancy.

The treatment choice depends on the specific circumstances and is made in consultation with the healthcare provider.

Prevention of Ectopic Pregnancy

While it may not be possible to prevent all cases of ectopic pregnancies, some measures can lower the risk, including:

Preventing and Treating Sexually Transmitted Infections

Sexually transmitted infections (STIs), such as chlamydia and gonorrhea, can increase the risk of developing pelvic inflammatory disease (PID), leading to scarring and blockage of the fallopian tubes. Practicing safe sex, including using barrier methods such as condoms, and getting regular STI screenings are essential in preventing and detecting infections early. Prompt treatment of STIs can help reduce the risk of PID and subsequent ectopic pregnancies.

Avoiding Smoking and Illicit Drug

Smoking and illicit drug use have been associated with an increased risk of ectopic pregnancy. These substances can impair fertility, affect the functioning of the fallopian tubes, and disrupt the hormonal balance in the body. Quitting smoking and avoiding illicit drug use promotes overall health and contribute to a healthier reproductive system.

Practicing Safe Sex and Using Contraception Correctly

Unintended pregnancies can increase the risk of ectopic pregnancy. Practicing safe sex, using contraception consistently and correctly, and discussing contraceptive options with healthcare providers can help prevent unintended pregnancies. Choosing a reliable contraception that suits individual needs and preferences is essential.

Seeking Early Treatment for Reproductive Conditions

Certain reproductive conditions, such as endometriosis or pelvic inflammatory disease, can increase the risk of ectopic pregnancy. Seeking early treatment for these conditions and following healthcare providers’ recommendations can help manage symptoms and reduce the likelihood of complications, including ectopic pregnancies.

Regular Check-ups and Reproductive Health Maintenance

Regular check-ups with healthcare providers are crucial in promoting reproductive health and detecting potential issues early. Routine gynecological examinations, including screenings for STIs, can help identify and address any concerns promptly. Discussing reproductive plans, concerns, and potential risk factors with healthcare providers allows for personalized guidance and preventive strategies.


Can I have an ectopic pregnancy without any pain?

Yes, some women may have an ectopic pregnancy without experiencing significant pain. However, knowing other symptoms, such as vaginal bleeding, shoulder tip pain, or gastrointestinal discomfort, is essential.

Are ectopic pregnancies always in the fallopian tubes?

While fallopian tubes are the most common location for ectopic pregnancies, they can also occur in other areas, such as the ovary, cervix, or abdominal cavity.

Can an ectopic pregnancy be saved or moved to the uterus?

Unfortunately, ectopic pregnancies cannot be saved or moved to the uterus. Prompt medical intervention is necessary to protect the woman’s health and prevent complications.

How soon would you know if you have an ectopic pregnancy?

The symptoms of ectopic pregnancy may start to appear around 6-8 weeks after the last menstrual period, although it can vary from person to person. Early signs include abdominal or pelvic pain, vaginal bleeding, and shoulder tip pain. If you suspect you may have an ectopic pregnancy or experience any concerning symptoms, seeking medical attention promptly for proper evaluation and diagnosis is essential.

Can I conceive after having an ectopic pregnancy?

Yes, it is possible to conceive after having an ectopic pregnancy, especially if the affected fallopian tube was successfully treated or removed. However, each case is unique, and consulting with a healthcare provider for personalized guidance is essential.

What is the level of hCG in ectopic pregnancy?

A hormone produced during pregnancy is called human chorionic gonadotropin (hCG). The hCG levels may rise in an ectopic pregnancy, but they usually increase slower than normal intrauterine pregnancy. The specific levels of hCG in an ectopic pregnancy can vary widely and are influenced by factors such as the ectopic pregnancy’s location, the pregnancy’s viability, and individual variations. Monitoring hCG levels through blood tests and observing their pattern is an essential diagnostic tool in identifying and managing ectopic pregnancies.

What are the chances of having another ectopic pregnancy?

Having one ectopic pregnancy increases the risk of future ectopic pregnancies. However, with proper medical care and monitoring, the chances of a successful pregnancy in the future are still high.

Where would you feel pain for ectopic pregnancy?

Pain associated with an ectopic pregnancy is typically felt on one side of the lower abdomen or pelvis. The pain can vary from mild to severe and may come in episodes. It’s important to note that the location and intensity of the pain can differ from person to person. In some cases, shoulder tip pain may also occur due to the irritation of the diaphragm caused by internal bleeding from the ectopic pregnancy.

What is the difference between a normal pregnancy and an ectopic pregnancy?

In a normal pregnancy, the fertilized egg implants and develops inside the uterus, with sufficient space and support for the growing embryo. An ectopic pregnancy, on the other hand, occurs when the fertilized egg implants outside the uterus, most commonly in the fallopian tubes.

This abnormal implantation can lead to severe complications as the embryo cannot develop properly and may cause damage to the fallopian tubes or other surrounding structures. Ectopic pregnancies require medical intervention as they cannot progress normally and can be life-threatening if left untreated.


Understanding the signs and symptoms of ectopic pregnancy, including when the pain starts, is crucial for early detection and prompt medical intervention. Ectopic pregnancies are severe medical conditions that require immediate attention to prevent complications and protect the woman’s health. If you suspect an ectopic pregnancy or experience abdominal or pelvic pain during early pregnancy, do not hesitate to seek medical help.

Syed Qasim

Syed Qasim ( CEO IQ Newswire ) Is a highly experienced SEO expert with over three years of experience. He is working as a contributor on many reputable blog sites, including,,,