Overview
Shoulder pain or fainting can mean internal bleeding.
Most ectopic pregnancies are in a fallopian tube.
Early pregnancy ultrasound helps find it before it ruptures.
Symptoms
Common signs:
- Belly pain and spotting in early pregnancy
- Pelvic pain on one side
Less common
- Shoulder pain
- Dizziness
- Pain with bowel movements
When to get medical care
Call 911Severe belly pain, shoulder pain, fainting, or heavy bleeding: call 911.
Get care todayOne-sided pain with a positive test.
See a doctor soonSymptoms that last or keep coming back.
Causes
Tube damage.
Does it spread or run in families?
- It isn't contagious. You can't catch it from someone else.
Who is more likely to get it
- Past ectopic
- PID
- IUD pregnancy
Diagnosis
Ultrasound and blood tests.
Tests
Tests, if needed:
- hCG levels:
- Ultrasound:
Treatment
Get care fast.
Self-care
- Don't wait if you have one-sided pain and a positive test
Methotrexate or surgery.
Which doctor treats this
- Start with your primary care provider (family doctor or internist).
- They may send you to an OB-GYN or midwife; high-risk pregnancies may see a maternal-fetal medicine doctor.
Children, pregnancy, and older adults
- Past ectopic pregnancy: Get an early ultrasound in future pregnancies.
Outlook
Fast care is safe.
Getting ready for your visit
Bring a list of your symptoms and medicines.
What to bring
- A list of your medicines and supplements
- Notes on when symptoms started and what makes them better or worse
Questions to ask
- Can I get pregnant again?
Research studies
Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.
Sources
Last updated 2026-11-12.