Can ectopic pregnancy only cause bleeding without abdominal pain?

Patient's question:

My friend has been pregnant for a while, but recently after intense exercise, she experienced bleeding again without any abdominal pain. She suspects it might be an ectopic pregnancy. I want to know if ectopic pregnancy can only cause bleeding without abdominal pain?

Doctor's answer:

The common symptoms of ectopic pregnancy are as follows:
1. Abdominal pain;
2. Irregular vaginal bleeding. If there is no contraception, it is necessary to confirm how it became pregnant. It is recommended to perform a blood hCG test in a regular hospital to speculate the possibility of normal early pregnancy and the possibility of complications such as delayed vaginal bleeding and abdominal pain during early pregnancy. However, everyone's symptoms may be different. Wishing the patient a speedy recovery!

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