Is ectopic pregnancy characterized by abdominal pain first?

Patient's question:

Okay, here is the translation following your instructions:
Missed period by about 10 days. Previously, I took emergency contraception. Yesterday, I had some bleeding, and it was a bit brownish, with a small amount. Today, it's still the same situation – the blood is brownish, and there are no other symptoms. My lower abdomen doesn't hurt either.
Hello, could this be an ectopic pregnancy? Or is it caused by the emergency contraception? How high is the chance of ectopic pregnancy? If it is ectopic pregnancy, what should I do? Can it be treated radically?

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 frightening as it may seem. Patients should believe that they can overcome the illness. As long as timely treatment is provided at an early stage, the chances of stabilizing the condition and recovery are very high.

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