Extrauterine Pregnancy: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate extrauterine pregnancy:

  • Lower abdominal pain, colicky, side-dependent (may be very mild initially!).
  • Shoulder pain, due to irritation of the phrenic nerve (phrenic nerve).
  • Nausea, especially in the morning
  • Secondary amenorrhea – absence of menstruation.
  • Mild vaginal spotting
  • Collapse/shock in the context of an acute abdomen (e.g., tubal rupture/bursting of the fallopian tube and ovarian gravidity/ovarian pregnancy (rupture occurs quite early in this case!)).

Further notes

  • Most often, the symptomatology occurs between the sixth and ninth week of pregnancy.
  • However, extrauterine pregnancy can occur without any symptomatology.