Can vaginal bleeding also be a sign of ectopic pregnancy?

Patient's question:

My husband and I had sexual intercourse last month, and I have now been pregnant for three weeks. However, in the past two days, I have been experiencing a lot of bloody discharge from my vagina. I searched online and found that it might be due to restless fetal movement. I am very worried and want to ask if it could also be a case of ectopic pregnancy?

Doctor's answer:

If you are currently three weeks pregnant, that is, three weeks after intercourse, under normal circumstances, the gestational sac should have reappeared at this time. If vaginal bleeding reoccurs, there are two possibilities: one is the ectopic pregnancy you mentioned, but generally, ectopic pregnancy is accompanied by severe abdominal pain. If there is no severe abdominal pain, it could be threatened miscarriage, and you should have a hospital examination and pay attention to preserving the pregnancy.

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