{"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 ectopic preg\u00adnan\u00adcy in the 5th week of preg\u00adnan\u00adcy"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">When pain or bleed\u00ading occurs in ear\u00adly preg\u00adnan\u00adcy, it can have many caus\u00ades. One of these is an <strong>ectopic preg\u00adnan\u00adcy (tubal preg\u00adnan\u00adcy)<\/strong>, in which the preg\u00adnan\u00adcy devel\u00adops out\u00adside the uterus in the fal\u00adlop\u00adi\u00adan tube. It should be detect\u00aded and treat\u00aded ear\u00adly, as it can lead to a rup\u00adture of the fal\u00adlop\u00adi\u00adan tube and inter\u00adnal bleed\u00ading as it pro\u00adgress\u00ades.  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>As a fer\u00adtil\u00adi\u00adty cen\u00adter, we also sup\u00adport women in the event of abnor\u00admal\u00adi\u00adties in ear\u00adly preg\u00adnan\u00adcy and with ques\u00adtions regard\u00ading fur\u00adther desire to have chil\u00addren.<\/strong> In this guide, we explain which signs can indi\u00adcate an ectopic preg\u00adnan\u00adcy, how the diag\u00adno\u00adsis is made, how the ectopic preg\u00adnan\u00adcy is treat\u00aded, and what it means for a lat\u00ader desire to have chil\u00addren.<\/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 ectopic preg\u00adnan\u00adcy?<\/a><\/li>\n\n\n\n<li><a href=\"#anzeichen\">Typ\u00adi\u00adcal signs of an ectopic preg\u00adnan\u00adcy<\/a><\/li>\n\n\n\n<li><a href=\"#trotz_blutung_schwanger\" id=\"#trotz_blutung_schwanger\">Preg\u00adnant despite bleed\u00ading?<\/a><\/li>\n\n\n\n<li id=\"diagnostik_fr\u00fchschwangerschaft\"><a href=\"#diagnostik\">Diag\u00adnos\u00adtics in ear\u00adly preg\u00adnan\u00adcy<\/a><\/li>\n\n\n\n<li id=\"behandlung\"><a href=\"#behandlung\" id=\"#behandlung\">Treat\u00adment of an ectopic preg\u00adnan\u00adcy<\/a><\/li>\n\n\n\n<li id=\"wann_schwangerschaft_m\u00f6glich\"><a href=\"#wann_schwangerschaft\">When is a new preg\u00adnan\u00adcy pos\u00adsi\u00adble again?<\/a><\/li>\n\n\n\n<li><a href=\"#faqs\">Fre\u00adquent\u00adly asked ques\u00adtions about ectopic preg\u00adnan\u00adcy<\/a><\/li>\n<\/ul>\n\n<h3 class=\"gb-text\" id=\"was_ist_eileiterschwangerschaft\">What is an ectopic preg\u00adnan\u00adcy?<\/h3>\n\n<p class=\"wp-block-paragraph\">In an ectopic preg\u00adnan\u00adcy, the fer\u00adtil\u00adized egg does not implant in the uter\u00adine cav\u00adi\u00adty, but in the fal\u00adlop\u00adi\u00adan tube. It is thus the most com\u00admon form of a so-called extrauter\u00adine preg\u00adnan\u00adcy, i.e., a preg\u00adnan\u00adcy out\u00adside the uterus. Ectopic preg\u00adnan\u00adcies account for about 1\u20132% of all preg\u00adnan\u00adcies.  <\/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\u00advi\u00adous ectopic preg\u00adnan\u00adcy<\/li>\n\n\n\n<li>Pre\u00advi\u00adous inflam\u00adma\u00adtion in the pelvic area<\/li>\n\n\n\n<li>Endometrio\u00adsis<\/li>\n\n\n\n<li>Pre\u00advi\u00adous chlamy\u00addia infec\u00adtions<\/li>\n\n\n\n<li>Pre\u00advi\u00adous sur\u00adgi\u00adcal inter\u00adven\u00adtions<\/li>\n\n\n\n<li>Smok\u00ading<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">How\u00adev\u00ader, many ectopic preg\u00adnan\u00adcies also occur with\u00adout known risk fac\u00adtors.<\/p>\n\n<p class=\"wp-block-paragraph\">After a pre\u00advi\u00adous ectopic preg\u00adnan\u00adcy, the risk of recur\u00adrence for anoth\u00ader ectopic preg\u00adnan\u00adcy is increased. The mag\u00adni\u00adtude is stat\u00aded to be about 7\u201310%; nev\u00ader\u00adthe\u00adless, the prob\u00ada\u00adbil\u00adi\u00adty that a nor\u00admal preg\u00adnan\u00adcy will occur in the uterus dur\u00ading a sub\u00adse\u00adquent preg\u00adnan\u00adcy is sig\u00adnif\u00adi\u00adcant\u00adly high\u00ader. <\/p>\n\n<p class=\"wp-block-paragraph\">After sev\u00ader\u00adal pre\u00advi\u00adous ectopic preg\u00adnan\u00adcies, the risk increas\u00ades sig\u00adnif\u00adi\u00adcant\u00adly fur\u00adther and can be about 25\u201330% or more after two ectopic preg\u00adnan\u00adcies.<\/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\">Symp\u00adtoms<\/h3>\n\n<h4 class=\"gb-text\">Typ\u00adi\u00adcal symp\u00adtoms and first signs (5th to 7th week of preg\u00adnan\u00adcy)<\/h4>\n\n<p class=\"wp-block-paragraph\">An ectopic preg\u00adnan\u00adcy can ini\u00adtial\u00adly pro\u00adceed entire\u00adly with\u00adout symp\u00adtoms. Symp\u00adtoms often only appear dur\u00ading the course of ear\u00adly preg\u00adnan\u00adcy and can vary great\u00adly in sever\u00adi\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 increas\u00ading low\u00ader abdom\u00adi\u00adnal pain<\/li>\n\n\n\n<li>Spot\u00adting or unusu\u00adal vagi\u00adnal bleed\u00ading<\/li>\n\n\n\n<li>Dizzi\u00adness, weak\u00adness, or cir\u00adcu\u00adla\u00adto\u00adry prob\u00adlems<\/li>\n\n\n\n<li>Pain dur\u00ading bow\u00adel move\u00adments or uri\u00adna\u00adtion can also occur<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">One should be par\u00adtic\u00adu\u00adlar\u00adly atten\u00adtive to the com\u00adbi\u00adna\u00adtion of a <strong>pos\u00adi\u00adtive preg\u00adnan\u00adcy test, pain, and bleed\u00ading<\/strong>.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Impor\u00adtant:<\/strong> If an ectopic preg\u00adnan\u00adcy is sus\u00adpect\u00aded, a gyne\u00adco\u00adlog\u00adi\u00adcal eval\u00adu\u00ada\u00adtion should be car\u00adried out prompt\u00adly. In the event of severe pain or cir\u00adcu\u00adla\u00adto\u00adry prob\u00adlems, imme\u00addi\u00adate med\u00adical eval\u00adu\u00ada\u00adtion is nec\u00ades\u00adsary. <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>The fol\u00adlow\u00ading applies:<\/strong> <em>\u201cEven if an ectopic preg\u00adnan\u00adcy is only sus\u00adpect\u00aded, a prompt eval\u00adu\u00ada\u00adtion is always very impor\u00adtant.\u201d<\/em><\/p>\n\n<h3 class=\"gb-text\" id=\"trotz_blutung_schwanger\">Preg\u00adnant despite bleed\u00ading? Why a peri\u00adod is not an all-clear sig\u00adnal <\/h3>\n\n<p class=\"wp-block-paragraph\">Bleed\u00ading can also occur in ear\u00adly preg\u00adnan\u00adcy. It can have very dif\u00adfer\u00adent caus\u00ades and can\u00adnot be reli\u00adably cat\u00ade\u00adgo\u00adrized based on col\u00ador or inten\u00adsi\u00adty alone. <\/p>\n\n<p class=\"wp-block-paragraph\">Pos\u00adsi\u00adble caus\u00ades include, for exam\u00adple:<\/p>\n\n<ul class=\"wp-block-list\">\n<li>Bleed\u00ading in a healthy, intact ear\u00adly preg\u00adnan\u00adcy<\/li>\n\n\n\n<li>A small hematoma<\/li>\n\n\n\n<li>Con\u00adtact bleed\u00ading, for exam\u00adple after sex\u00adu\u00adal inter\u00adcourse<\/li>\n\n\n\n<li>An impend\u00ading mis\u00adcar\u00adriage<\/li>\n\n\n\n<li>An ectopic preg\u00adnan\u00adcy<\/li>\n<\/ul>\n\n<p class=\"wp-block-paragraph\">Bleed\u00ading can also occur with an ectopic preg\u00adnan\u00adcy and be mis\u00adtak\u00aden for men\u00adstru\u00ada\u00adtion.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Our advice:<\/strong> If you have a pos\u00adi\u00adtive preg\u00adnan\u00adcy test and bleed\u00ading or pain occurs at the same time, you should seek med\u00adical 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\">Diag\u00adnos\u00adtics in ear\u00adly preg\u00adnan\u00adcy \u2013 when to see a doc\u00adtor?<\/h3>\n\n<div>\n<p class=\"wp-block-paragraph\">In the event of a pos\u00adi\u00adtive preg\u00adnan\u00adcy test and simul\u00adta\u00adne\u00adous symp\u00adtoms such as low\u00ader abdom\u00adi\u00adnal pain or bleed\u00ading, a gyne\u00adco\u00adlog\u00adi\u00adcal eval\u00adu\u00ada\u00adtion should be car\u00adried out prompt\u00adly. This applies par\u00adtic\u00adu\u00adlar\u00adly if risk fac\u00adtors for an ectopic preg\u00adnan\u00adcy are already known.<br>For diag\u00adnos\u00adtics, we com\u00adbine trans\u00advagi\u00adnal ultra\u00adsound with fol\u00adlow-up checks of the preg\u00adnan\u00adcy hor\u00admone hCG. The deci\u00adsive fac\u00adtor is not a sin\u00adgle val\u00adue, but the joint assess\u00adment of symp\u00adtoms, ultra\u00adsound find\u00adings, and hCG pro\u00adgres\u00adsion. This usu\u00adal\u00adly allows for ear\u00adly detec\u00adtion of whether the preg\u00adnan\u00adcy is devel\u00adop\u00ading reg\u00adu\u00adlar\u00adly in the uterus or whether fur\u00adther checks are nec\u00ades\u00adsary.   <\/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\">Treat\u00adment of an ectopic preg\u00adnan\u00adcy<\/h3>\n\n<p class=\"wp-block-paragraph\">Treat\u00adment depends on your indi\u00advid\u00adual sit\u00adu\u00ada\u00adtion, the symp\u00adtoms, the ultra\u00adsound find\u00adings, and the pro\u00adgres\u00adsion of the preg\u00adnan\u00adcy hor\u00admone hCG.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Expec\u00adtant man\u00adage\u00adment<\/strong><br>In the case of very ear\u00adly, sta\u00adble find\u00adings and already declin\u00ading hCG, close mon\u00adi\u00adtor\u00ading can be car\u00adried out in select\u00aded cas\u00ades to see if the preg\u00adnan\u00adcy regress\u00ades on its own.<\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Med\u00adical treat\u00adment with methotrex\u00adate<\/strong><br>In the case of a reli\u00adably diag\u00adnosed, non-rup\u00adtured ectopic preg\u00adnan\u00adcy, methotrex\u00adate can be used under cer\u00adtain con\u00addi\u00adtions. The med\u00adica\u00adtion inhibits the fur\u00adther devel\u00adop\u00adment of the preg\u00adnan\u00adcy tis\u00adsue. Sub\u00adse\u00adquent\u00adly, reg\u00adu\u00adlar hCG checks are nec\u00ades\u00adsary.  <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Sur\u00adgi\u00adcal treat\u00adment<\/strong><br>Surgery is nec\u00ades\u00adsary, in par\u00adtic\u00adu\u00adlar, in the event of severe pain, cir\u00adcu\u00adla\u00adto\u00adry insta\u00adbil\u00adi\u00adty, sus\u00adpi\u00adcion of a rup\u00adture, or cer\u00adtain ultra\u00adsound find\u00adings. If pos\u00adsi\u00adble, the pro\u00adce\u00addure is per\u00adformed min\u00adi\u00admal\u00adly inva\u00adsive\u00adly as part of a <a href=\"https:\/\/kinderwunschaerztin.de\/en\/laparoscopy-for-fertility-treatment\/\">laparoscopy<\/a>. <\/p>\n\n<div class=\"single-post__hintergrund\">\n<h3 class=\"gb-text\" id=\"wann_schwangerschaft\">When is a new preg\u00adnan\u00adcy pos\u00adsi\u00adble again?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">After an ectopic preg\u00adnan\u00adcy, a new preg\u00adnan\u00adcy is pos\u00adsi\u00adble in most cas\u00ades. When you can try to get preg\u00adnant again depends on how the ectopic preg\u00adnan\u00adcy was treat\u00aded and how well you have recov\u00adered phys\u00adi\u00adcal\u00adly and emo\u00adtion\u00adal\u00adly. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After treat\u00adment with <strong>methotrex\u00adate<\/strong>, it is rec\u00adom\u00admend\u00aded to wait at least three months before a new preg\u00adnan\u00adcy. Methotrex\u00adate inter\u00adferes with folic acid metab\u00ado\u00adlism and can harm an ear\u00adly preg\u00adnan\u00adcy. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">After sur\u00adgi\u00adcal treat\u00adment, the rec\u00adom\u00admend\u00aded inter\u00adval depends on the heal\u00ading process and your indi\u00advid\u00adual sit\u00adu\u00ada\u00adtion.<\/p>\n\n\n\n<h4 class=\"gb-text\">HyCoSy exam\u00adi\u00adna\u00adtion<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">After an ectopic preg\u00adnan\u00adcy, it may be use\u00adful to check the paten\u00adcy of the fal\u00adlop\u00adi\u00adan tubes if there is a renewed desire to have chil\u00addren \u2013 espe\u00adcial\u00adly if there are risk fac\u00adtors for dam\u00adage to the fal\u00adlop\u00adi\u00adan tubes or if preg\u00adnan\u00adcy is tak\u00ading a long time to occur.<br><br>A <a href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/diagnostics\/hycosy-hyfosy\/\">HyCoSy\/HyFoSy exam\u00adi\u00adna\u00adtion<\/a> allows for a gen\u00adtle assess\u00adment of whether one or both fal\u00adlop\u00adi\u00adan tubes are patent, with\u00adout the use of X\u2011rays. The exam\u00adi\u00adna\u00adtion is per\u00adformed via ultra\u00adsound and can usu\u00adal\u00adly be car\u00adried out with\u00adout anes\u00adthe\u00adsia. <br><br><strong>It is impor\u00adtant to note:<\/strong> HyCoSy shows whether a fal\u00adlop\u00adi\u00adan tube is open, but it can\u00adnot reli\u00adably assess how well its func\u00adtion actu\u00adal\u00adly is or whether there are fin\u00ader changes in the fal\u00adlop\u00adi\u00adan tube lin\u00ading.<\/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 fal\u00adlop\u00adi\u00adan tube check<\/span><span class=\"gb-shape\"><\/span><\/a>\n<\/div>\n\n<h3 class=\"gb-text\">Well-sup\u00adport\u00aded for a renewed desire to have chil\u00addren<\/h3>\n\n<p class=\"wp-block-paragraph\">After an ectopic preg\u00adnan\u00adcy, ques\u00adtions often arise regard\u00ading fur\u00adther fam\u00adi\u00adly plan\u00adning and a pos\u00adsi\u00adble new preg\u00adnan\u00adcy. In our fer\u00adtil\u00adi\u00adty cen\u00adter, we take the time to cat\u00ade\u00adgo\u00adrize and dis\u00adcuss your his\u00adto\u00adry and exist\u00ading find\u00adings and to deter\u00admine which exam\u00adi\u00adna\u00adtions or next steps may be use\u00adful. <\/p>\n\n<p class=\"wp-block-paragraph\">Our expe\u00adri\u00adenced fer\u00adtil\u00adi\u00adty doc\u00adtors will advise you in an under\u00adstand\u00adable and per\u00adson\u00adal man\u00adner \u2013 with a view to your med\u00adical sit\u00adu\u00ada\u00adtion and your ques\u00adtions.<\/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\u00adtions about ectopic preg\u00adnan\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 notice an ectopic preg\u00adnan\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 ectopic preg\u00adnan\u00adcy can ini\u00adtial\u00adly pro\u00adceed entire\u00adly with\u00adout symp\u00adtoms. Symp\u00adtoms often only appear dur\u00ading the course of ear\u00adly preg\u00adnan\u00adcy. Typ\u00adi\u00adcal indi\u00adca\u00adtions are one-sided low\u00ader abdom\u00adi\u00adnal pain, vagi\u00adnal bleed\u00ading or spot\u00adting, cir\u00adcu\u00adla\u00adto\u00adry prob\u00adlems, <em>or an abnor\u00admal hCG pro\u00adgres\u00adsion<\/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 ectopic preg\u00adnan\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 oth\u00ader things, after a pre\u00advi\u00adous ectopic preg\u00adnan\u00adcy, with pre\u00advi\u00adous inflam\u00adma\u00adtion or oper\u00ada\u00adtions on the fal\u00adlop\u00adi\u00adan tubes, endometrio\u00adsis, <a href=\"https:\/\/kinderwunschaerztin.de\/en\/services\/treatments\/ivf-icsi\/\">IVF\/ICSI<\/a>, smok\u00ading, and with increas\u00ading age. How\u00adev\u00ader, it is impor\u00adtant to note: An ectopic preg\u00adnan\u00adcy can occur even with\u00adout 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 bleed\u00ading look like in an ectopic preg\u00adnan\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 bleed\u00ading can be very dif\u00adfer\u00adent, rang\u00ading from light spot\u00adting to men\u00adstru\u00ada\u00adtion-like bleed\u00ading. The cause can\u00adnot be reli\u00adably iden\u00adti\u00adfied based on col\u00ador or inten\u00adsi\u00adty. It can occur with or with\u00adout accom\u00adpa\u00adny\u00ading pain and should always be med\u00adical\u00adly eval\u00adu\u00adat\u00aded.   <\/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 ectopic preg\u00adnan\u00adcy become dan\u00adger\u00adous?<\/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 ectopic preg\u00adnan\u00adcy becomes dan\u00adger\u00adous pri\u00admar\u00adi\u00adly when inter\u00adnal bleed\u00ading or a rup\u00adture of the fal\u00adlop\u00adi\u00adan tube occurs. Warn\u00ading signs are sud\u00adden severe pain, pro\u00adnounced dizzi\u00adness, or cir\u00adcu\u00adla\u00adto\u00adry prob\u00adlems. Imme\u00addi\u00adate med\u00adical eval\u00adu\u00ada\u00adtion is nec\u00ades\u00adsary.  <\/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 ectopic preg\u00adnan\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\">There is no typ\u00adi\u00adcal sin\u00adgle hCG val\u00adue by which an ectopic preg\u00adnan\u00adcy can be reli\u00adably iden\u00adti\u00adfied. The deci\u00adsive fac\u00adtors are the pro\u00adgres\u00adsion of the hCG, the ultra\u00adsound find\u00adings, and the symp\u00adtoms. An ectopic preg\u00adnan\u00adcy can be present even with low or falling hCG val\u00adues.  <\/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 ectopic preg\u00adnan\u00adcy be ruled out in the 5th week of preg\u00adnan\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 preg\u00adnan\u00adcy, it may still be too ear\u00adly to reli\u00adably assess the loca\u00adtion of the preg\u00adnan\u00adcy via ultra\u00adsound. In the case of unclear find\u00adings, fol\u00adlow-up checks with trans\u00advagi\u00adnal ultra\u00adsound and hCG are help\u00adful.  <\/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 ectopic preg\u00adnan\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 find\u00adings, minor symp\u00adtoms, and declin\u00ading hCG, an ectopic preg\u00adnan\u00adcy can regress on its own in some cas\u00ades. In such instances, a close\u00adly mon\u00adi\u00adtored expec\u00adtant man\u00adage\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 ectopic preg\u00adnan\u00adcy, the risk for anoth\u00ader ectopic preg\u00adnan\u00adcy is increased and lies approx\u00adi\u00admate\u00adly in the range of 7\u201310%. After sev\u00ader\u00adal pre\u00advi\u00adous ectopic preg\u00adnan\u00adcies, it increas\u00ades sig\u00adnif\u00adi\u00adcant\u00adly fur\u00adther and can be about 25\u201330% or more after two ectopic preg\u00adnan\u00adcies. <\/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 preg\u00adnant again after an ectopic preg\u00adnan\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 cas\u00ades, a new preg\u00adnan\u00adcy is pos\u00adsi\u00adble. Depend\u00ading on the his\u00adto\u00adry and the desire to have chil\u00addren, it may be use\u00adful to check the fal\u00adlop\u00adi\u00adan tube paten\u00adcy, for exam\u00adple with a HyCoSy\/HyFoSy, before a fur\u00adther preg\u00adnan\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 ectopic preg\u00adnan\u00adcy be present despite a nor\u00admal\u00adly ris\u00ading 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 ini\u00adtial\u00adly unre\u00admark\u00adable hCG increase does not reli\u00adably rule out an ectopic preg\u00adnan\u00adcy. The loca\u00adtion of the preg\u00adnan\u00adcy is ulti\u00admate\u00adly assessed by ultra\u00adsound and pro\u00adgres\u00adsion.  <\/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 ectopic preg\u00adnan\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 diag\u00adno\u00adsis can often be made via trans\u00advagi\u00adnal ultra\u00adsound. How\u00adev\u00ader, very ear\u00adly on, the loca\u00adtion of the preg\u00adnan\u00adcy may still be unclear. In that case, fol\u00adlow-up checks are nec\u00ades\u00adsary.  <\/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 ectopic preg\u00adnan\u00adcy always have to be oper\u00adat\u00aded 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. Depend\u00ading on the find\u00adings, expec\u00adtant man\u00adage\u00adment, treat\u00adment with methotrex\u00adate, or surgery may be con\u00adsid\u00adered. The deci\u00adsion depends on symp\u00adtoms, cir\u00adcu\u00adla\u00adto\u00adry sta\u00adbil\u00adi\u00adty, ultra\u00adsound find\u00adings, and hCG pro\u00adgres\u00adsion.  <\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>When pain or bleed\u00ading occurs in ear\u00adly preg\u00adnan\u00adcy, it can have many caus\u00ades. One of these is an ectopic preg\u00adnan\u00adcy (tubal preg\u00adnan\u00adcy), in which the preg\u00adnan\u00adcy devel\u00adops out\u00adside the uterus in the fal\u00adlop\u00adi\u00adan tube. It should be detect\u00aded and treat\u00aded ear\u00adly, as it can lead to a rup\u00adture of the fal\u00adlop\u00adi\u00adan tube and inter\u00adnal bleed\u00ading \u2026 <a title=\"Signs of an ectopic preg\u00adnan\u00adcy in the 5th week of preg\u00adnan\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 ectopic preg\u00adnan\u00adcy in the 5th week of preg\u00adnan\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 v28.8 - 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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