The insidiousness of the pathology lies in the fact that until the fourth or fifth week, its symptoms are identical to normal pregnancy. These include:
• early toxicosis;
• delay of critical days;
• swelling of the mammary glands.
It turns out that in the case when an ectopic pregnancy is developing, it is impossible to independently detect it by signs. As the fetal egg grows, the following symptoms occur.
• Pain. They can be cramping, as well as constant, give to the lower back or lower abdomen. If there is a rupture of the fallopian tube, the pain becomes sharp and unbearable, the woman may lose consciousness. In such a situation, urgent medical attention is needed.
• Smearing highlights. Their appearance for a short time against the background of pulling pains in the lower abdomen is one of the first signs. They can be beige, brown, and are also described as "dirty". More often scarce, less often - plentiful. May last for several days.
• Delayed menstruation. Even with an ectopic pregnancy, hormonal changes begin in the woman's body, during which progesterone enhances its effect, which is the reason for the absence of menstruation. A rare exception is the “old ectopic”, when there is no delay, and the fetal egg remains in the tube from the previous cycle.
• Urge to defecate. If the fallopian tube is located near the rectum, then the pain may radiate to the anus, and there is a desire to empty the intestines.
In the case of an acute condition (when a tube, uterine horn or angle is ruptured), blood pressure drops, the pulse quickens, weakness, dizziness, loss of strength occur, a woman may lose consciousness.
The time when the fallopian tube ruptures depends on which part of it the fetal egg is attached to, since in different parts it has a different diameter. Mostly this happens in the fifth or sixth week.