What is the probability of ectopic pregnancy with abdominal pain?

Patient's question:

I haven't had my period for a week, and the pregnancy test also shows pregnancy. Because I have a history of ectopic pregnancy, I'm very worried it might be ectopic again. Recently, I've been feeling a bit uncomfortable with my stomach and intestines. Yesterday, when I had a bowel movement, I noticed a little bit of blood. My abdomen also often feels like it's coming on my period. I don't know what the chance of this being ectopic pregnancy is?

Doctor's answer:

Ectopic pregnancy, like normal pregnancy, does not result in menstruation. However, during this period, there is frequent bleeding from the lower abdomen. The bleeding is not like a menstrual period—it flows out like water, with more discharge and frequent pain in the lower abdomen. In such cases, it is important to seek medical attention promptly, as ectopic pregnancy can be dangerous. Of course, it is even more advisable to visit a hospital when your menstrual period does not arrive as expected to determine if you are pregnant and whether the pregnancy is normal. This is very necessary.

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