How do you know if an ectopic pregnancy without having a scan?

There are some signs and symptoms that may indicate an ectopic pregnancy, but it's important to note that these symptoms can also be caused by other conditions. If you are experiencing any of these symptoms, it's important to see a healthcare provider for evaluation and testing, including an ultrasound, to confirm or rule out an ectopic pregnancy.

Some signs and symptoms of an ectopic pregnancy may include:

1. Abdominal pain: Pain in the lower abdomen or pelvis, especially on one side, is a common symptom of an ectopic pregnancy. The pain may be sharp, cramping, or dull, and it may come and go or be constant.

2. Vaginal bleeding: Abnormal vaginal bleeding, such as spotting or bleeding between periods, is another common symptom of an ectopic pregnancy. The bleeding may be light or heavy, and it may be accompanied by pain.

3. Nausea and vomiting: Nausea and vomiting, which are also common symptoms of early pregnancy, can occur with an ectopic pregnancy.

4. Shoulder pain: Shoulder pain, especially on the same side as the abdominal pain, can be a sign of an ectopic pregnancy.

5. Dizziness or fainting: Dizziness or fainting can occur if an ectopic pregnancy ruptures and causes internal bleeding.

6. Missed period: If you are sexually active and have missed a period, it's important to take a pregnancy test. An ectopic pregnancy can occur even if you have a negative pregnancy test, but a positive pregnancy test result can indicate the possibility of an ectopic pregnancy.

7. Cervical motion tenderness: During a pelvic exam, the healthcare provider may gently move the cervix to check for tenderness. Tenderness in the cervix can be a sign of an ectopic pregnancy.

However, it's important to remember that these symptoms can also be caused by other conditions, such as a miscarriage or a corpus luteum cyst. Therefore, it's crucial to see a healthcare provider for an accurate diagnosis and appropriate treatment.