Ectopic pregnancy

Also called Tubal pregnancy or Extrauterine pregnancy

An ectopic pregnancy is when a fertilised egg implants and grows outside the womb, most often in one of the fallopian tubes. Sadly, the pregnancy cannot survive and cannot be moved into the womb. If it keeps growing, it can cause the tube to burst, which leads to serious internal bleeding and is an emergency.

Last updated Nov 9, 2026

What it is

Risk is higher after pelvic inflammatory disease, a previous ectopic pregnancy, tube surgery, fertility treatment, smoking, or becoming pregnant with a coil in place.

Treatment may involve monitoring, a medicine called methotrexate, or keyhole surgery to remove the pregnancy and sometimes the tube. Emotional support is important after the loss of a pregnancy.

Common signs

  • Pain low in the tummy, usually on one side
  • Vaginal bleeding or brown discharge
  • Pain in the tip of the shoulder
  • Discomfort when peeing or pooing
  • A positive pregnancy test

How it is usually diagnosed

  • Pregnancy test
  • Transvaginal ultrasound
  • Blood tests for pregnancy hormone (hCG) repeated over time

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Ultrasound reports
  • hCG results over time
  • Treatment details, including whether a tube was removed
  • Your blood group, and anti-D injection if given

Questions to ask your doctor

  • What treatment do you recommend, and why?
  • How does this affect future pregnancies?
  • When should I have an early scan next time?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Sudden severe tummy pain, shoulder tip pain, fainting, or feeling very dizzy and pale: call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

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