* Abdominal or pelvic pain, usually 6 to 8 weeks after a missed period.4 Pain may get worse with movement or straining. It may occur sharply on one side at first and then spread throughout the pelvic region.
* Vaginal bleeding that may be light or heavy.
* Pain with intercourse or during a pelvic exam.
* Dizziness, lightheadedness, or fainting (syncope) caused by internal bleeding.
* Signs of shock.
* Shoulder pain caused by bleeding into the abdomen under the diaphragm. The bleeding irritates the diaphragm and is experienced as shoulder pain.