Straight up I'd never heard of an ectopic until I had one and very almost didn't survive it to tell the tale.
In this country as the NHS don't offer early scans unless there has been a previous problem or you pay private lots don't get picked up. Obvi if you get a early scan- as most ectopics rupture between weeks 5 and 10- you may be able to catch it. Then you are usually given a tablet which will terminate the baby.
What happens mostly is that the tube (where the baby has most likely implanted) will rupture. This causes extreme abdominal pain. For me it was worse than my 4 day labour and I collapsed and was unable to walk. I also got very dizzy and started vomiting. This is life threatening.
I called A&E who asked me if I had shoulder tip pain- which I didn't or was bleeding vaginally - which I wasn't. They then told me it didnt sound like an emergency and to make my way to the GP. Thankfully I called 111 who sent an ambulance which saved my life. I had been bleeding internally the whole time and when I arrived at hospital ghostly white with blood pressure half what it should have been I was rushed immediately into surgery where they had to cut me open to remove the tube and stop all the bleeding. I lost 3.5 litres and was given 6 blood transfusions. One symptom I did have was the urge to poo right before the pain which apparently only happens to 10%
I have also had a MMC and had an ERPC but this was very different.
I'm not sure what my point is and I really hope you're not thinking I'm a cow right now for writing this but I guess I just want to portray how urgent a ruptured ectopic is and how important it is to get to A&E immediately.
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