Is ectopic pregnancy characterized by abdominal pain first?

Patient's question:

I have been experiencing a delay of about 10 days in my period. Previously, I took emergency contraception. Yesterday, I had some bleeding, which was a bit brown in color and in small quantity. Today, the situation is still the same—the blood is brown, and there are no other symptoms. My lower abdomen doesn't hurt either.
Hello, is this ectopic pregnancy, or is it caused by emergency contraception? How likely is the chance of ectopic pregnancy? If it is ectopic pregnancy, what should I do? Can it be treated with strict measures?

Doctor's answer:

When was your last menstrual period? The main clinical manifestations of ectopic pregnancy are amenorrhea, abdominal pain, and vaginal bleeding. If the ectopic pregnancy mass ruptures, it can lead to intra-abdominal bleeding, even hypovolemic shock. It is recommended to use morning urine for an early pregnancy test. If the urine test is negative, it suggests a low possibility of pregnancy or ectopic pregnancy. Vaginal bleeding is caused by the withdrawal bleeding after taking emergency contraception. In fact, ectopic pregnancy is not as as it may seem. Patients should believe that they can overcome the illness. As long as the condition is detected early and timely treatment is provided, the chances of stabilizing the condition and recovery are very high.

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