What are the early symptoms of ectopic pregnancy?

Patient's question:

Female, 37 years old, I have been living with my boyfriend for a year, and we have always used contraception. However, this time, my period hasn't come for two months, and I've been feeling a bit nauseous and weak in my limbs. I took a pregnancy test and it came back positive. Yesterday, I started experiencing abdominal pain and vaginal bleeding. After a thorough examination at the hospital, the doctor said it was an ectopic pregnancy.
Hello, what are the early symptoms of ectopic pregnancy? What are the early signs and symptoms of ectopic pregnancy?

Doctor's answer:

1. Abdominal pain: Lower abdominal dull pain, with a sense of needing to defecate, sometimes severe pain accompanied by profuse sweating. During rupture, patients suddenly feel sharp, tearing-like pain in one lower abdomen, often accompanied by nausea and vomiting.
2. Amenorrhea: Before tubal pregnancy miscarriage or rupture, symptoms and signs are not obvious, except for short-term amenorrhea and early pregnancy manifestations, sometimes recurring unilateral lower abdominal pain. Careful examination may reveal normal fallopian tubes or swelling.
3. Vaginal bleeding: Often consists of a very small amount of bleeding.
4. Fainting and shock: Due to acute rupture in the abdomen, blood volume may increase and severe abdominal pain may occur, leading to fainting in mild cases and shock in severe cases.
5. Other symptoms: Nausea, vomiting, and frequent urination may occur.

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