Is ectopic pregnancy always accompanied by abdominal pain?

Patient's question:

My friend is 33 years old this year. She recently discovered that she is pregnant, but she has been feeling unwell. Is ectopic pregnancy always accompanied by abdominal pain?

Doctor's answer:

Ectopic pregnancy does not have a fixed presentation. Most women experience no symptoms before rupture, while some may have mild lower abdominal pain or discomfort, or minimal vaginal bleeding. Your friend has been experiencing abdominal pain after pregnancy, so it is necessary to visit a hospital for a thorough examination. A preliminary ultrasound can confirm pregnancy and rule out ectopic pregnancy.

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