{"id":15495,"date":"2025-09-01T14:57:17","date_gmt":"2025-09-01T13:57:17","guid":{"rendered":"https:\/\/kinderwunschaerztin.de\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/"},"modified":"2026-10-06T15:18:42","modified_gmt":"2026-10-06T14:18:42","slug":"signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy","status":"publish","type":"post","link":"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/","title":{"rendered":"Signs of an ecto\u00adpic pregnan\u00adcy in the 5th week of pregnan\u00adcy"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">When pain or blee\u00adding occurs in ear\u00adly pregnan\u00adcy, it can have many cau\u00adses. One of the\u00adse is an <strong>ecto\u00adpic pregnan\u00adcy (tubal pregnan\u00adcy)<\/strong>, in which the pregnan\u00adcy deve\u00adlo\u00adps out\u00adside the ute\u00adrus in the fallo\u00adpian tube. It should be detec\u00adted and trea\u00adted ear\u00adly, as it can lead to a rup\u00adtu\u00adre of the fallo\u00adpian tube and inter\u00adnal blee\u00adding as it pro\u00adgres\u00adses.  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>As a fer\u00adti\u00adli\u00adty cen\u00adter, we also sup\u00adport women in the event of abnor\u00adma\u00adli\u00adties in ear\u00adly pregnan\u00adcy and with ques\u00adti\u00adons regar\u00adding fur\u00adther desi\u00adre to have child\u00adren.<\/strong> In this gui\u00adde, we explain which signs can indi\u00adca\u00adte an ecto\u00adpic pregnan\u00adcy, how the dia\u00adgno\u00adsis is made, how the ecto\u00adpic pregnan\u00adcy is trea\u00adted, and what it means for a later desi\u00adre to have child\u00adren.<\/p>\n\n<ul class=\"wp-block-list is-style-toc\">\n<li><a href=\"#whatis\"><\/a><a href=\"#was_ist_eileiterschwangerschaft\">What is an ecto\u00adpic pregnan\u00adcy?<\/a><\/li>\n\n\n\n<li><a href=\"#anzeichen\">Typi\u00adcal signs of an ecto\u00adpic pregnan\u00adcy<\/a><\/li>\n\n\n\n<li><a href=\"#trotz_blutung_schwanger\" id=\"#trotz_blutung_schwanger\">Pregnant despi\u00adte blee\u00adding?<\/a><\/li>\n\n\n\n<li id=\"diagnostik_fr\u00fchschwangerschaft\"><a href=\"#diagnostik\">Dia\u00adgno\u00adstics in ear\u00adly pregnan\u00adcy<\/a><\/li>\n\n\n\n<li id=\"behandlung\"><a href=\"#behandlung\" id=\"#behandlung\">Tre\u00adat\u00adment of an ecto\u00adpic pregnan\u00adcy<\/a><\/li>\n\n\n\n<li id=\"wann_schwangerschaft_m\u00f6glich\"><a href=\"#wann_schwangerschaft\">When is a new pregnan\u00adcy pos\u00adsi\u00adble again?<\/a><\/li>\n\n\n\n<li><a href=\"#faqs\">Fre\u00adquent\u00adly asked ques\u00adti\u00adons about ecto\u00adpic pregnan\u00adcy<\/a><\/li>\n<\/ul>\n\n<h3 class=\"gb-text\" id=\"was_ist_eileiterschwangerschaft\">What is an ecto\u00adpic pregnan\u00adcy?<\/h3>\n\n<p class=\"wp-block-paragraph\">In an ecto\u00adpic pregnan\u00adcy, the fer\u00adti\u00adli\u00adzed egg does not implant in the ute\u00adri\u00adne cavi\u00adty, but in the fallo\u00adpian tube. It is thus the most com\u00admon form of a so-cal\u00adled ext\u00adrau\u00adte\u00adri\u00adne pregnan\u00adcy, i.e., a pregnan\u00adcy out\u00adside the ute\u00adrus. Ecto\u00adpic pregnan\u00adci\u00ades account for about 1\u20132% of all pregnan\u00adci\u00ades.  <\/p>\n\n<p class=\"wp-block-paragraph\">The risk may be increased in women with:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>A pre\u00advious ecto\u00adpic pregnan\u00adcy<\/li>\n\n\n\n<li>Pre\u00advious inflamm\u00ada\u00adti\u00adon in the pel\u00advic area<\/li>\n\n\n\n<li>Endo\u00adme\u00adtrio\u00adsis<\/li>\n\n\n\n<li>Pre\u00advious chla\u00admy\u00addia infec\u00adtions<\/li>\n\n\n\n<li>Pre\u00advious sur\u00adgi\u00adcal inter\u00adven\u00adti\u00adons<\/li>\n\n\n\n<li>Smo\u00adking<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Howe\u00adver, many ecto\u00adpic pregnan\u00adci\u00ades also occur wit\u00adhout known risk fac\u00adtors.<\/p>\n\n<p class=\"wp-block-paragraph\">After a pre\u00advious ecto\u00adpic pregnan\u00adcy, the risk of recur\u00adrence for ano\u00adther ecto\u00adpic pregnan\u00adcy is increased. The magni\u00adtu\u00adde is sta\u00adted to be about 7\u201310%; nevert\u00adhel\u00adess, the pro\u00adba\u00adbi\u00adli\u00adty that a nor\u00admal pregnan\u00adcy will occur in the ute\u00adrus during a sub\u00adse\u00adquent pregnan\u00adcy is signi\u00adfi\u00adcant\u00adly hig\u00adher. <\/p>\n\n<p class=\"wp-block-paragraph\">After seve\u00adral pre\u00advious ecto\u00adpic pregnan\u00adci\u00ades, the risk increa\u00adses signi\u00adfi\u00adcant\u00adly fur\u00adther and can be about 25\u201330% or more after two ecto\u00adpic pregnan\u00adci\u00ades.<\/p>\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<img loading=\"lazy\" decoding=\"async\" width=\"600\" height=\"850\" class=\"dl-img-left gb-media-3554a67f\" alt=\"Woman with lower abdominal pain due to an ectopic pregnancy\" title=\"Ectopic pregnancy symptoms\" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Eilleiterschwangerschaft-Symptome.png\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Eilleiterschwangerschaft-Symptome.png 600w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/Eilleiterschwangerschaft-Symptome-212x300.png 212w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\">\n\n<h3 class=\"gb-text\" id=\"anzeichen\">Sym\u00adptoms<\/h3>\n\n<h4 class=\"gb-text\">Typi\u00adcal sym\u00adptoms and first signs (5th to 7th week of pregnan\u00adcy)<\/h4>\n\n<p class=\"wp-block-paragraph\">An ecto\u00adpic pregnan\u00adcy can initi\u00adal\u00adly pro\u00adceed enti\u00adre\u00adly wit\u00adhout sym\u00adptoms. Sym\u00adptoms often only appear during the cour\u00adse of ear\u00adly pregnan\u00adcy and can vary great\u00adly in seve\u00adri\u00adty. <\/p>\n\n<p class=\"wp-block-paragraph\">Pos\u00adsi\u00adble signs include:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>One-sided or incre\u00adasing lower abdo\u00admi\u00adnal pain<\/li>\n\n\n\n<li>Spot\u00adting or unu\u00adsu\u00adal vagi\u00adnal blee\u00adding<\/li>\n\n\n\n<li>Diz\u00adziness, weak\u00adne\u00adss, or cir\u00adcu\u00adla\u00adto\u00adry pro\u00adblems<\/li>\n\n\n\n<li>Pain during bowel move\u00adments or uri\u00adna\u00adti\u00adon can also occur<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">One should be par\u00adti\u00adcu\u00adlar\u00adly atten\u00adti\u00adve to the com\u00adbi\u00adna\u00adti\u00adon of a <strong>posi\u00adti\u00adve pregnan\u00adcy test, pain, and blee\u00adding<\/strong>.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Important:<\/strong> If an ecto\u00adpic pregnan\u00adcy is suspec\u00adted, a gyneco\u00adlo\u00adgi\u00adcal eva\u00adlua\u00adti\u00adon should be car\u00adri\u00aded out prompt\u00adly. In the event of seve\u00adre pain or cir\u00adcu\u00adla\u00adto\u00adry pro\u00adblems, imme\u00addia\u00adte medi\u00adcal eva\u00adlua\u00adti\u00adon is neces\u00adsa\u00adry. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>The fol\u00adlo\u00adwing appli\u00ades:<\/strong> <em>\u201cEven if an ecto\u00adpic pregnan\u00adcy is only suspec\u00adted, a prompt eva\u00adlua\u00adti\u00adon is always very important.\u201d<\/em><\/p>\n\n<h3 class=\"gb-text\" id=\"trotz_blutung_schwanger\">Pregnant despi\u00adte blee\u00adding? Why a peri\u00adod is not an all-clear signal <\/h3>\n\n<p class=\"wp-block-paragraph\">Blee\u00adding can also occur in ear\u00adly pregnan\u00adcy. It can have very dif\u00adfe\u00adrent cau\u00adses and can\u00adnot be relia\u00adbly cate\u00adgo\u00adri\u00adzed based on color or inten\u00adsi\u00adty alo\u00adne. <\/p>\n\n<p class=\"wp-block-paragraph\">Pos\u00adsi\u00adble cau\u00adses include, for exam\u00adp\u00adle:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Blee\u00adding in a healt\u00adhy, int\u00adact ear\u00adly pregnan\u00adcy<\/li>\n\n\n\n<li>A small hemato\u00adma<\/li>\n\n\n\n<li>Cont\u00adact blee\u00adding, for exam\u00adp\u00adle after sexu\u00adal inter\u00adcour\u00adse<\/li>\n\n\n\n<li>An impen\u00adding mis\u00adcar\u00adria\u00adge<\/li>\n\n\n\n<li>An ecto\u00adpic pregnan\u00adcy<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Blee\u00adding can also occur with an ecto\u00adpic pregnan\u00adcy and be mista\u00adken for mens\u00adtrua\u00adti\u00adon.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Our advice:<\/strong> If you have a posi\u00adti\u00adve pregnan\u00adcy test and blee\u00adding or pain occurs at the same time, you should seek medi\u00adcal advice quick\u00adly.<\/p>\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"1814\" class=\"dl-img-right gb-media-4fab2cfc\" alt=\"Modern practice and treatment room at the fertility center \" src=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10048-1-scaled.jpg\" srcset=\"https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10048-1-scaled.jpg 2560w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10048-1-300x213.jpg 300w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10048-1-1024x725.jpg 1024w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10048-1-768x544.jpg 768w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10048-1-1536x1088.jpg 1536w, https:\/\/kinderwunschaerztin.de\/wp-content\/uploads\/IMG_10048-1-2048x1451.jpg 2048w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\">\n\n<h3 class=\"gb-text\" id=\"diagnostik\">Dia\u00adgno\u00adstics in ear\u00adly pregnan\u00adcy \u2013 when to see a doc\u00adtor?<\/h3>\n\n<div>\n<p class=\"wp-block-paragraph\">In the event of a posi\u00adti\u00adve pregnan\u00adcy test and simul\u00adta\u00adneous sym\u00adptoms such as lower abdo\u00admi\u00adnal pain or blee\u00adding, a gyneco\u00adlo\u00adgi\u00adcal eva\u00adlua\u00adti\u00adon should be car\u00adri\u00aded out prompt\u00adly. This appli\u00ades par\u00adti\u00adcu\u00adlar\u00adly if risk fac\u00adtors for an ecto\u00adpic pregnan\u00adcy are alre\u00ada\u00addy known.<br>For dia\u00adgno\u00adstics, we com\u00adbi\u00adne trans\u00adva\u00adgi\u00adnal ultra\u00adsound with fol\u00adlow-up checks of the pregnan\u00adcy hor\u00admo\u00adne hCG. The decisi\u00adve fac\u00adtor is not a sin\u00adgle value, but the joint assess\u00adment of sym\u00adptoms, ultra\u00adsound fin\u00addings, and hCG pro\u00adgres\u00adsi\u00adon. This usual\u00adly allows for ear\u00adly detec\u00adtion of whe\u00adther the pregnan\u00adcy is deve\u00adlo\u00adping regu\u00adlar\u00adly in the ute\u00adrus or whe\u00adther fur\u00adther checks are neces\u00adsa\u00adry.   <\/p>\n<\/div>\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<h3 class=\"gb-text\" id=\"behandlung\">Tre\u00adat\u00adment of an ecto\u00adpic pregnan\u00adcy<\/h3>\n\n<p class=\"wp-block-paragraph\">Tre\u00adat\u00adment depends on your indi\u00advi\u00addu\u00adal situa\u00adti\u00adon, the sym\u00adptoms, the ultra\u00adsound fin\u00addings, and the pro\u00adgres\u00adsi\u00adon of the pregnan\u00adcy hor\u00admo\u00adne hCG.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Expec\u00adtant manage\u00adment<\/strong><br>In the case of very ear\u00adly, sta\u00adble fin\u00addings and alre\u00ada\u00addy decli\u00adning hCG, clo\u00adse moni\u00adto\u00adring can be car\u00adri\u00aded out in sel\u00adec\u00adted cases to see if the pregnan\u00adcy regres\u00adses on its own.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Medi\u00adcal tre\u00adat\u00adment with metho\u00adtre\u00adxa\u00adte<\/strong><br>In the case of a relia\u00adbly dia\u00adgno\u00adsed, non-rup\u00adtu\u00adred ecto\u00adpic pregnan\u00adcy, metho\u00adtre\u00adxa\u00adte can be used under cer\u00adtain con\u00addi\u00adti\u00adons. The medi\u00adca\u00adti\u00adon inhi\u00adbits the fur\u00adther deve\u00adlo\u00adp\u00adment of the pregnan\u00adcy tis\u00adsue. Sub\u00adse\u00adquent\u00adly, regu\u00adlar hCG checks are neces\u00adsa\u00adry.  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Sur\u00adgi\u00adcal tre\u00adat\u00adment<\/strong><br>Sur\u00adgery is neces\u00adsa\u00adry, in par\u00adti\u00adcu\u00adlar, in the event of seve\u00adre pain, cir\u00adcu\u00adla\u00adto\u00adry insta\u00adbi\u00adli\u00adty, sus\u00adpi\u00adci\u00adon of a rup\u00adtu\u00adre, or cer\u00adtain ultra\u00adsound fin\u00addings. If pos\u00adsi\u00adble, the pro\u00adce\u00addu\u00adre is per\u00adfor\u00admed mini\u00admal\u00adly inva\u00adsi\u00adve\u00adly as part of a <a href=\"https:\/\/kinderwunschaerztin.de\/en\/laparoscopy-for-fertility-treatment\/\">lapa\u00adro\u00adsco\u00adpy<\/a>. <\/p>\n\n<div class=\"single-post__hintergrund\">\n<h3 class=\"gb-text\" id=\"wann_schwangerschaft\">When is a new pregnan\u00adcy pos\u00adsi\u00adble again?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">After an ecto\u00adpic pregnan\u00adcy, a new pregnan\u00adcy is pos\u00adsi\u00adble in most cases. When you can try to get pregnant again depends on how the ecto\u00adpic pregnan\u00adcy was trea\u00adted and how well you have reco\u00adver\u00aded phy\u00adsi\u00adcal\u00adly and emo\u00adtio\u00adnal\u00adly. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After tre\u00adat\u00adment with <strong>metho\u00adtre\u00adxa\u00adte<\/strong>, it is recom\u00admen\u00added to wait at least three months befo\u00adre a new pregnan\u00adcy. Metho\u00adtre\u00adxa\u00adte inter\u00adfe\u00adres with folic acid meta\u00adbo\u00adlism and can harm an ear\u00adly pregnan\u00adcy. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After sur\u00adgi\u00adcal tre\u00adat\u00adment, the recom\u00admen\u00added inter\u00adval depends on the heal\u00ading pro\u00adcess and your indi\u00advi\u00addu\u00adal situa\u00adti\u00adon.<\/p>\n\n\n\n<h4 class=\"gb-text\">HyCo\u00adSy exami\u00adna\u00adti\u00adon<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">After an ecto\u00adpic pregnan\u00adcy, it may be useful to check the paten\u00adcy of the fallo\u00adpian tubes if the\u00adre is a rene\u00adwed desi\u00adre to have child\u00adren \u2013 espe\u00adci\u00adal\u00adly if the\u00adre are risk fac\u00adtors for dama\u00adge to the fallo\u00adpian tubes or if pregnan\u00adcy is taking a long time to occur.<br><br>A <a href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/hycosy-hyfosy\/\">HyCoSy\/HyFoSy exami\u00adna\u00adti\u00adon<\/a> allows for a gent\u00adle assess\u00adment of whe\u00adther one or both fallo\u00adpian tubes are patent, wit\u00adhout the use of X\u2011rays. The exami\u00adna\u00adti\u00adon is per\u00adfor\u00admed via ultra\u00adsound and can usual\u00adly be car\u00adri\u00aded out wit\u00adhout anes\u00adthe\u00adsia. <br><br><strong>It is important to note:<\/strong> HyCo\u00adSy shows whe\u00adther a fallo\u00adpian tube is open, but it can\u00adnot relia\u00adbly assess how well its func\u00adtion actual\u00adly is or whe\u00adther the\u00adre are finer chan\u00adges in the fallo\u00adpian tube lining.<\/p>\n\n\n\n<a class=\"dl-button--primary\" href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/hycosy-hyfosy\/\"><span class=\"gb-text\">To the fallo\u00adpian tube check<\/span><span class=\"gb-shape\"><\/span><\/a>\n<\/div>\n\n<h3 class=\"gb-text\">Well-sup\u00adport\u00aded for a rene\u00adwed desi\u00adre to have child\u00adren<\/h3>\n\n<p class=\"wp-block-paragraph\">After an ecto\u00adpic pregnan\u00adcy, ques\u00adti\u00adons often ari\u00adse regar\u00adding fur\u00adther fami\u00adly plan\u00adning and a pos\u00adsi\u00adble new pregnan\u00adcy. In our fer\u00adti\u00adli\u00adty cen\u00adter, we take the time to cate\u00adgo\u00adri\u00adze and dis\u00adcuss your histo\u00adry and exis\u00adting fin\u00addings and to deter\u00admi\u00adne which exami\u00adna\u00adti\u00adons or next steps may be useful. <\/p>\n\n<p class=\"wp-block-paragraph\">Our expe\u00adri\u00aden\u00adced fer\u00adti\u00adli\u00adty doc\u00adtors will advi\u00adse you in an under\u00adstan\u00adda\u00adble and per\u00adso\u00adnal man\u00adner \u2013 with a view to your medi\u00adcal situa\u00adti\u00adon and your ques\u00adti\u00adons.<\/p>\n\n<div style=\"height:40px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n<div class=\"dl-grid--33-67 dl-blocks--faq\">\n<div>\n<h2 class=\"gb-text\" id=\"faqs\">Fre\u00adquent\u00adly asked ques\u00adti\u00adons about ecto\u00adpic pregnan\u00adcy<\/h2>\n<\/div>\n\n\n\n<div>\n<div class=\"gb-accordion dl-accordion\">\n<div class=\"gb-accordion__item gb-accordion__item-b101c92c\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>When do you noti\u00adce an ecto\u00adpic pregnan\u00adcy?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-3e45d344\">\n<div>\n<p class=\"wp-block-paragraph\">An ecto\u00adpic pregnan\u00adcy can initi\u00adal\u00adly pro\u00adceed enti\u00adre\u00adly wit\u00adhout sym\u00adptoms. Sym\u00adptoms often only appear during the cour\u00adse of ear\u00adly pregnan\u00adcy. Typi\u00adcal indi\u00adca\u00adti\u00adons are one-sided lower abdo\u00admi\u00adnal pain, vagi\u00adnal blee\u00adding or spot\u00adting, cir\u00adcu\u00adla\u00adto\u00adry pro\u00adblems, <em>or an abnor\u00admal hCG pro\u00adgres\u00adsi\u00adon<\/em>.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-5034b1a2\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Who has an increased risk for an ecto\u00adpic pregnan\u00adcy?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-a10d1099\">\n<div>\n<p class=\"wp-block-paragraph\">The risk is increased, among other things, after a pre\u00advious ecto\u00adpic pregnan\u00adcy, with pre\u00advious inflamm\u00ada\u00adti\u00adon or ope\u00adra\u00adti\u00adons on the fallo\u00adpian tubes, endo\u00adme\u00adtrio\u00adsis, <a href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/treatments\/ivf-icsi\/\">IVF\/ICSI<\/a>, smo\u00adking, and with incre\u00adasing age. Howe\u00adver, it is important to note: An ecto\u00adpic pregnan\u00adcy can occur even wit\u00adhout known risk fac\u00adtors. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-c4a5ad62\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>What does blee\u00adding look like in an ecto\u00adpic pregnan\u00adcy?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-30bc5bd5\">\n<div>\n<p class=\"wp-block-paragraph\">The blee\u00adding can be very dif\u00adfe\u00adrent, ran\u00adging from light spot\u00adting to mens\u00adtrua\u00adti\u00adon-like blee\u00adding. The cau\u00adse can\u00adnot be relia\u00adbly iden\u00adti\u00adfied based on color or inten\u00adsi\u00adty. It can occur with or wit\u00adhout accom\u00adpany\u00ading pain and should always be medi\u00adcal\u00adly eva\u00adlua\u00adted.   <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-dfa5decb\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>When does an ecto\u00adpic pregnan\u00adcy beco\u00adme dan\u00adge\u00adrous?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-fa805019\">\n<div>\n<p class=\"wp-block-paragraph\">An ecto\u00adpic pregnan\u00adcy beco\u00admes dan\u00adge\u00adrous pri\u00adma\u00adri\u00adly when inter\u00adnal blee\u00adding or a rup\u00adtu\u00adre of the fallo\u00adpian tube occurs. War\u00adning signs are sud\u00adden seve\u00adre pain, pro\u00adno\u00adun\u00adced diz\u00adziness, or cir\u00adcu\u00adla\u00adto\u00adry pro\u00adblems. Imme\u00addia\u00adte medi\u00adcal eva\u00adlua\u00adti\u00adon is neces\u00adsa\u00adry.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-4ad508df\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>How high is the hCG in an ecto\u00adpic pregnan\u00adcy?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-d800aba0\">\n<div>\n<p class=\"wp-block-paragraph\">The\u00adre is no typi\u00adcal sin\u00adgle hCG value by which an ecto\u00adpic pregnan\u00adcy can be relia\u00adbly iden\u00adti\u00adfied. The decisi\u00adve fac\u00adtors are the pro\u00adgres\u00adsi\u00adon of the hCG, the ultra\u00adsound fin\u00addings, and the sym\u00adptoms. An ecto\u00adpic pregnan\u00adcy can be pre\u00adsent even with low or fal\u00adling hCG values.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-4e49d74b\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>Can an ecto\u00adpic pregnan\u00adcy be ruled out in the 5th week of pregnan\u00adcy?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-df7094c2\">\n<div>\n<p class=\"wp-block-paragraph\">Not always. In the 5th week of pregnan\u00adcy, it may still be too ear\u00adly to relia\u00adbly assess the loca\u00adti\u00adon of the pregnan\u00adcy via ultra\u00adsound. In the case of unclear fin\u00addings, fol\u00adlow-up checks with trans\u00adva\u00adgi\u00adnal ultra\u00adsound and hCG are hel\u00adpful.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-cc106114\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Can an ecto\u00adpic pregnan\u00adcy regress on its own?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-1568d5c4\">\n<div>\n<p class=\"wp-block-paragraph\">Yes. In the case of very ear\u00adly fin\u00addings, minor sym\u00adptoms, and decli\u00adning hCG, an ecto\u00adpic pregnan\u00adcy can regress on its own in some cases. In such ins\u00adtances, a clo\u00adse\u00adly moni\u00adto\u00adred expec\u00adtant manage\u00adment approach is pos\u00adsi\u00adble.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-ca457fc0\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>How high is the risk of recur\u00adrence?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-d229cfba\">\n<div>\n<p class=\"wp-block-paragraph\">After an ecto\u00adpic pregnan\u00adcy, the risk for ano\u00adther ecto\u00adpic pregnan\u00adcy is increased and lies appro\u00adxi\u00adm\u00adate\u00adly in the ran\u00adge of 7\u201310%. After seve\u00adral pre\u00advious ecto\u00adpic pregnan\u00adci\u00ades, it increa\u00adses signi\u00adfi\u00adcant\u00adly fur\u00adther and can be about 25\u201330% or more after two ecto\u00adpic pregnan\u00adci\u00ades. <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-2cc1a88b\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong>Can you get pregnant again after an ecto\u00adpic pregnan\u00adcy?<\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-73448114\">\n<div>\n<p class=\"wp-block-paragraph\">Yes. In most cases, a new pregnan\u00adcy is pos\u00adsi\u00adble. Depen\u00adding on the histo\u00adry and the desi\u00adre to have child\u00adren, it may be useful to check the fallo\u00adpian tube paten\u00adcy, for exam\u00adp\u00adle with a HyCoSy\/HyFoSy, befo\u00adre a fur\u00adther pregnan\u00adcy.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-d7d79882\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong>Can an ecto\u00adpic pregnan\u00adcy be pre\u00adsent despi\u00adte a nor\u00admal\u00adly rising hCG?<\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-1d3d6cd0\">\n<div>\n<p class=\"wp-block-paragraph\">Yes. Even an initi\u00adal\u00adly unre\u00admar\u00adkab\u00adle hCG increase does not relia\u00adbly rule out an ecto\u00adpic pregnan\u00adcy. The loca\u00adti\u00adon of the pregnan\u00adcy is ulti\u00adm\u00adate\u00adly asses\u00adsed by ultra\u00adsound and pro\u00adgres\u00adsi\u00adon.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-0c727fca\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong>Can you see an ecto\u00adpic pregnan\u00adcy on an ultra\u00adsound?<\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-9d4ae149\">\n<div>\n<p class=\"wp-block-paragraph\">The dia\u00adgno\u00adsis can often be made via trans\u00adva\u00adgi\u00adnal ultra\u00adsound. Howe\u00adver, very ear\u00adly on, the loca\u00adti\u00adon of the pregnan\u00adcy may still be unclear. In that case, fol\u00adlow-up checks are neces\u00adsa\u00adry.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"gb-accordion__item gb-accordion__item-40c56498\">\n<div role=\"button\" tabindex=\"0\" class=\"gb-accordion__toggle\" id=\"gb-accordion-content-0edea186\">\n<h3 class=\"gb-text\"><strong><strong><strong><strong>Does an ecto\u00adpic pregnan\u00adcy always have to be ope\u00adra\u00adted on?<\/strong><\/strong><\/strong><\/strong><\/h3>\n\n\n\n<span class=\"gb-accordion__toggle-icon\"><span class=\"gb-accordion__toggle-icon-open\"><\/span><span class=\"gb-accordion__toggle-icon-close\"><\/span><\/span>\n<\/div>\n\n\n\n<div class=\"gb-accordion__content\" id=\"gb-accordion-content-b66b7924\">\n<div>\n<p class=\"wp-block-paragraph\">No. Depen\u00adding on the fin\u00addings, expec\u00adtant manage\u00adment, tre\u00adat\u00adment with metho\u00adtre\u00adxa\u00adte, or sur\u00adgery may be con\u00adside\u00adred. The decis\u00adi\u00adon depends on sym\u00adptoms, cir\u00adcu\u00adla\u00adto\u00adry sta\u00adbi\u00adli\u00adty, ultra\u00adsound fin\u00addings, and hCG pro\u00adgres\u00adsi\u00adon.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>When pain or blee\u00adding occurs in ear\u00adly pregnan\u00adcy, it can have many cau\u00adses. One of the\u00adse is an ecto\u00adpic pregnan\u00adcy (tubal pregnan\u00adcy), in which the pregnan\u00adcy deve\u00adlo\u00adps out\u00adside the ute\u00adrus in the fallo\u00adpian tube. It should be detec\u00adted and trea\u00adted ear\u00adly, as it can lead to a rup\u00adtu\u00adre of the fallo\u00adpian tube and inter\u00adnal blee\u00adding \u2026 <a title=\"Signs of an ecto\u00adpic pregnan\u00adcy in the 5th week of pregnan\u00adcy\" class=\"read-more\" href=\"https:\/\/kinderwunschaerztin.de\/en\/signs-of-an-ectopic-pregnancy-in-the-5th-week-of-pregnancy\/\" aria-label=\"Read more about Signs of an ecto\u00adpic pregnan\u00adcy in the 5th week of pregnan\u00adcy\">Read more<\/a><\/p>\n","protected":false},"author":6,"featured_media":7639,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"wp_typography_post_enhancements_disabled":false,"footnotes":""},"categories":[225],"tags":[226],"class_list":["post-15495","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-knowledge","tag-tese"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Signs of an ectopic pregnancy in the 5th week of pregnancy \u2695\ufe0f Causes &amp; prevention<\/title>\n<meta name=\"description\" content=\"Pain or bleeding in the 5th week of pregnancy? \u26a0\ufe0f Signs, diagnosis &amp; aftercare of an ectopic pregnancy \u2013 incl. 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