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Read about the main signs and symptoms of an ectopic pregnancy , including vaginal bleeding, tummy pain and pain in the tip of your shoulder. At your first visit to the early pregnancy unit (EPU / EPAU) with symptoms of ectopic pregnancy , you will most likely be asked to have an internal ultrasound scan. The ultrasound scan will be used to identify where a pregnancy is located.If the pregnancy is in the right place and growing normally, the pregnancy sac can usually be seen around five days after your period was due. The embryo (baby) becomes visible about a week later. You may not notice any symptoms at first. However, some women who have an ectopic pregnancy have the usual early signs or symptoms of pregnancy — a missed period, breast tenderness and nausea. If you take a pregnancy test, the result will be positive. Still, an ectopic pregnancy can't continue as normal. As the fertilized egg grows in the improper place, signs and symptoms become more noticeable. The EPT provides information about the causes, symptoms and treatment of ectopic pregnancy , as well as much-needed support to families affected by ectopic pregnancy and the healthcare professionals who care for them.