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What are ectopic pregnancy symptoms? Ectopic pregnancies can seem like normal pregnancies in the very beginning, with typical pregnancy symptoms like a missed period, breast tenderness, fatigue, and nausea. Symptoms of ectopic pregnancy include: severe lower belly pain, especially on one side. vaginal bleeding or spotting. shoulder pain Ectopic pregnancy (tubal pregnancy) early signs and symptoms include lack of menstrual period, vaginal bleeding, and abdominal pain. Watchful waiting, medications, and surgery are the treatment options for an ecotpic pregnancy. If the ectopic pregnancy has not ruptured, treatment may include: Surgery; Medicine that ends the pregnancy, along with close monitoring by your doctor; You will need emergency medical help if the area of the ectopic pregnancy breaks open (ruptures). Rupture can lead to bleeding and shock. Treatment for shock may include: Blood transfusion If the ectopic pregnancy was generated by an illness that is treatable like a sexually transmitted disease, getting the treatment for it can increase your chances of a successful pregnancy. Unfortunately, if your first ectopic pregnancy was the result of tubal ligation reversal, DES exposure or be damage from an infection, there is a major ... Ectopic pregnancy occurs when an embryo attaches outside of the uterus, most commonly in the fallopian tubes.It is frequently associated with pelvic inflammatory disease (), which may lead to stenosis of the fallopian tubes.