How long does it take for abdominal pain to occur in an ectopic pregnancy?

Although the risk of pregnancy is not high now, there is still a possibility of ectopic pregnancy. However, after ectopic pregnancy occurs, there will be some symptoms, such as miscarriage or vaginal bleeding, and abdominal pain. In order to avoid untimely discovery of this situation, most people want to know how long it usually takes for abdominal pain to occur during ectopic pregnancy. Let us look at the symptoms of ectopic pregnancy and what manifestations it will have.

An abnormal pregnancy process in which the fertilized egg implants and develops outside the uterine cavity. Also called "ectopic pregnancy". The most common type of pregnancy is tubal pregnancy. The cause of the disease is often due to inflammation in the fallopian tube lumen or its surroundings, which causes poor patency of the lumen, hindering the normal operation of the fertilized egg, causing it to stay, implant, and develop in the fallopian tube, leading to miscarriage or rupture of the fallopian tube pregnancy.

There are often no obvious symptoms before miscarriage or rupture, but there may also be amenorrhea, abdominal pain, and a small amount of vaginal bleeding. After rupture, symptoms include acute and severe abdominal pain, repeated attacks, vaginal bleeding, and even shock.

Clinical manifestations

The clinical manifestations of tubal pregnancy are related to the implantation site of the fertilized egg in the fallopian tube, whether there is miscarriage or rupture, the amount of blood in the abdominal cavity and the time of onset.

Before tubal pregnancy miscarriage or rupture, the symptoms and signs are not obvious. In addition to short-term amenorrhea and pregnancy symptoms, there is sometimes bloating and pain in the lower abdomen on one side. During examination, the fallopian tube is normal or enlarged.

After tubal pregnancy miscarriage or rupture, it is generally divided into two types: acute and chronic according to the severity of the disease.

1. Acute ectopic pregnancy

1. Symptoms

⑴ Except for the longer amenorrhea period in interstitial pregnancy, most cases of amenorrhea last for 6 to 8 weeks. Generally, abdominal pain, vaginal bleeding and other symptoms occur after amenorrhea, but about 20% of patients complain of no history of amenorrhea.

⑵ Abdominal pain is the main symptom when the patient seeks treatment. Abdominal pain is caused by multiple factors such as fallopian tube enlargement, rupture, and blood irritating the peritoneum. When rupture occurs, the patient suddenly feels a tearing pain in one side of the lower abdomen, often accompanied by nausea and vomiting. If the blood is confined to the lesion area, it manifests as local pain in the lower abdomen; when blood accumulates in the rectouterine pouch, there is a feeling of heaviness in the anus; if the amount of bleeding is too much, blood flows from the pelvic cavity to the abdominal cavity, and the pain spreads from the lower abdomen to the entire abdomen; when blood irritates the diaphragm, it can cause radiating pain in the scapula.

⑶ Vaginal bleeding After the death of the embryo, there is often irregular vaginal bleeding, which is dark brown in color and small in amount, generally not exceeding the menstrual volume, but it is spotty and not clean.

⑷ Syncope and shock: Acute intra-abdominal bleeding may cause decreased blood volume and severe abdominal pain. Mild cases often experience syncope, while severe cases experience shock. The severity of the disease is proportional to the rate and amount of intra-abdominal bleeding, that is, the more and more rapid the bleeding, the faster and more severe the symptoms appear, but it is not proportional to the amount of vaginal bleeding.