When does Ectopic Pregnancy pain Start | Symptoms and Diagnosis 2023

As a leading authority on women’s health, we understand the importance of providing clear and accurate information about ectopic pregnancy. This condition is a serious medical concern that can have serious consequences if left untreated, so it is critical that you are able to recognize the signs and symptoms.

Ectopic pregnancy occurs when a fertilized egg implants outside the uterus, most commonly in the fallopian tube. This can cause a variety of symptoms, including abdominal pain, vaginal bleeding, and shoulder pain. If you are experiencing any of these symptoms, it is important that you seek medical attention right away.

In this article, we will take a closer look at when ectopic pregnancy pain typically starts, as well as other important symptoms and risk factors associated with this condition.

Understanding Ectopic Pregnancy Pain: When Does it Start?

One of the most common questions women have when it comes to ectopic pregnancy is when the pain will start. Unfortunately, there is no one-size-fits-all answer to this question, as the timing of pain can vary depending on a variety of factors.

That being said, many women begin to experience pain and discomfort around 6-8 weeks after their last period. This pain is often described as a sharp, stabbing sensation on one side of the lower abdomen. Some women may also experience pain in their shoulder or neck, as well as vaginal bleeding or spotting.

It is important to note that not all women with ectopic pregnancy experience pain or bleeding, and some may have other symptoms such as dizziness, weakness, or fainting. That’s why it is critical to be aware of all potential signs and symptoms, and to seek medical attention if you have any concerns.

Symptoms of Ectopic Pregnancy

Symptoms of Ectopic Pregnancy

Pregnancy Apart from pain, there are other symptoms of ectopic pregnancy that you should be aware of, such as:

Vaginal bleeding or spotting

Women with ectopic pregnancy may experience slight or heavy vaginal bleeding, similar to menstrual bleeding or spotting.

Nausea and vomiting

Women may feel sick to their stomach, and some may vomit, which can be mistaken for morning sickness.

Dizziness or lightheadedness  

Some women with ectopic pregnancy may feel dizzy or lightheaded, which can be due to internal bleeding.

Pain during bowel movements or urination

Women may feel pain when passing stool or urine.

Shoulder pain

Shoulder pain can occur when internal bleeding irritates the diaphragm, which can cause referred pain in the shoulder.

It is essential to be aware of these symptoms and seek immediate medical attention if they occur. Delaying diagnosis and treatment can lead to serious complications, including ruptured fallopian tubes and internal bleeding, which can be life-threatening.

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Causes of Ectopic Pregnancy

Causes of Ectopic Pregnancy

The most common cause of ectopic pregnancy is a blockage or damage to the fallopian tube, which prevents the fertilized egg from reaching the uterus. Other causes include:

Pelvic inflammatory disease (PID)

PID is an infection of the female reproductive organs caused by sexually transmitted bacteria. If left untreated, it can cause scarring and damage to the fallopian tubes, increasing the risk of ectopic pregnancy.

Previous surgery in the pelvic area

Surgery in the pelvic area, such as a cesarean section, can cause scarring and damage to the fallopian tubes, increasing the risk of ectopic pregnancy.


Endometriosis is a condition in which the tissue that lines the uterus grows outside the uterus, causing scarring and damage to the fallopian tubes, increasing the risk of ectopic pregnancy.


Smoking increases the risk of ectopic pregnancy by damaging the fallopian tubes and reducing the effectiveness of the cilia, hair-like structures that help the egg move from the ovaries to the uterus.

Fertility treatments

Women who undergo fertility treatments, such as in vitro fertilization (IVF), have a higher risk of ectopic pregnancy due to the manipulation of the fallopian tubes and ovaries.

Treatment for Ectopic Pregnancy

The treatment for ectopic pregnancy depends on the severity of the condition. In some cases, medication can be used to dissolve the fertilized egg and prevent further growth. However, if the condition is severe, surgery may be necessary to remove the affected fallopian tube.


Is ectopic pregnancy common?

Ectopic pregnancy is rare, occurring in about 1 in 50 pregnancies.

Can ectopic pregnancy be prevented?

There’s no guaranteed way to prevent ectopic pregnancy, but taking measures to prevent sexually transmitted infections (STIs) and avoiding smoking can lower the risk.

Can ectopic pregnancy be diagnosed early?

Yes, ectopic pregnancy can be diagnosed early through a blood test and ultrasound.


Ectopic pregnancy is a serious condition that requires immediate medical attention. Knowing when ectopic pregnancy pain starts and the symptoms and causes can help you identify the condition early and seek treatment. If you experience any symptoms of ectopic pregnancy, don’t delay seeking medical attention. Early diagnosis and treatment can prevent life-threatening complications.