The pain is aching in nature and there is no vaginal bleeding. The more common so it is called the classical picture of ectopic pregnancy. The general symptoms and signs are present. Fainting attacks due to pain and intraperitoneal haemorrhage. Nausea and vomiting due to peritoneal irritation.
Pulse is usually rapid.
It is a late sign. The most dramatic although not the most common. Pressure symptoms due to accumulation of blood in the Douglas pouch as frequency of micturition, tenesmus and dyspareunia. The uterus is slightly enlarged, soft and pushed forwards and the external os is directed downwards. If blood clots it means that needle has punctured a blood vessel.