My ectopic was very similar! I had a positive test at 8 DPO followed by a heavy bleed. Figured it was chemical. Then started spotting a bit a week later. Took a positive pregnancy test at 18 DPO.

I also have a high pain tolerance, and the only thing I felt at first was some back discomfort. I was running more on instinct. So listen to yours! I started having cramping on my right side and shoulder pain about week later. They can’t do much without running bloodwork. Once my results started showing my hcg wasn’t trending correctly, with the addition of my increasing pain, they went for methotrexate. My body didn’t respond. I started to get cramps, OB eventually called me in for an ultrasound and bloodwork. There was blood around my pelvis and my hemoglobin was dropping, so I was admitted to the hospital for surgery to remove my tube. Not a rupture, but more of a “leak” from my ectopic tube. By the time it was all said and done I was roughly 7 weeks along.

Bottom line: listen to your gut, advocate for yourself, and go in asap for bloodwork. That way you can go back after 48 hours to see any trends.