An indication of pregnancy, usually a period is late, together with pain on one side of the pelvis followed by some bleeding suggests the possibility of an ectopic pregnancy. In contrast, a miscarriage tends to start with bleeding and pain may then develop. The combination of pregnancy tests and ultrasound examination may assist gynaecologists to make the diagnosis. Sometimes laparoscopy may be required.

The diagnosis of ectopic pregnancy can still occasionally be difficult. One reason for this may be that a bleed in the pregnancy may have seemed like a period.

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