What should you know about second ectopic pregnancy?

An ectopic pregnancy develops outside the womb, most often in a fallopian tube. A previous ectopic pregnancy can increase concern in a later pregnancy, but symptoms alone cannot show where a pregnancy has implanted. Pelvic pain or vaginal bleeding may occur, although some people have few symptoms at first. [Pelvic Inflammatory Disease](/conditions/pelvic-inflammatory-disease/) and other conditions affecting the tubes may be relevant to your history. A clinician uses pregnancy-hormone blood tests and imaging to clarify the location.

Contact an early-pregnancy or gynaecology service as soon as you know you are pregnant and mention the previous ectopic pregnancy. Do not wait for pain to become severe. Assessment may include repeat blood tests and a [Transvaginal Ultrasound](/treatments/diagnostics-and-imaging/transvaginal-ultrasound/) at a suitable stage. Treatment depends on the pregnancy's location, size, hormone pattern, symptoms, and your general health. Options may include medication or surgery; a [Salpingectomy](/treatments/gynaecological-surgery/salpingectomy/) removes a fallopian tube when that operation is appropriate.

Go to emergency care immediately for sudden or severe abdominal or [Pelvic Pain](/symptoms/pelvic-pain/), shoulder-tip pain, dizziness, fainting, marked weakness, or heavy vaginal bleeding during pregnancy. These symptoms can occur if an ectopic pregnancy has ruptured and internal bleeding is developing. Do not drive yourself if you feel faint. If symptoms are milder but persistent, seek same-day medical advice because an ectopic pregnancy can worsen before the diagnosis is certain.

Ask when your first scan and blood tests should happen, which symptoms require emergency care, and whether medication or surgery fits your situation. Discuss how treatment may affect the remaining tube, when follow-up is complete, and what early monitoring would be arranged in a future pregnancy.