Ectopic pregnancy happens in about one of every 50 pregnancies, and can lead to life-threatening bleeding if not diagnosed and treated early enough. Early management can also save the fallopian tubes, so you have a chance of becoming pregnant again.
In some cases there are no symptoms at all, and it’s only detected during regular pregnancy testing. In general, however, some of the symptoms below will appear between the fourth and twelfth weeks of the pregnancy.
Persistent and severe pain on one side of the abdomen.
Light to heavy bleeding that can be bright or dark red, and tends to start and stop frequently.
Thought to be caused by internal bleeding as a result of ectopic pregnancy, this pain can be felt specifically when you are lying down.
Similar to having a gastrointestinal disease, you may experience dizziness, vomiting, fainting and diarrhoea
If an ectopic pregnancy is left to develop the fallopian tube can rupture, and cause life threatening internal bleeding. There are only two ways to safely manage this.
Medication
If there is no immediate danger or signs of complication, then medication may be prescribed that stops the growth of rapidly dividing cells. This will lead to a series of symptoms similar to miscarriage, including cramping, bleeding, and the passing of tissue. If detected early enough, however, the pregnancy tissue may be absorbed into the body.
Surgery
If the fallopian tube if it is severely damaged, it may be advisable to perform a Salpingostomy where we either remove the tube completely, or remove the ectopic pregnancy and repair the tube. The procedure is called a laparotomy, and can be managed with keyhole surgery, to minimise scaring and speed recovery.