### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I recently found out I am pregnant after several positive at home pregnancy tests. I have not yet been able to go to a doctor but plan to soon. I am unsure how far along I am. This is my second pregnancy, my first one having been a natural heterotopic pregnancy. I have been experiencing more common abdominal pains as time passes and now changing. It s at least several times a day now. The pain is almost cramp like and started out on only one side of my lower abdomen and only maybe once or so every other day that would only last a few minutes at best. The pain over time has become more frequent and has shifted from just that side to both sides and now the star of the show seems to be a shooting pain almost that is in the middle right at and above my pubic bone. I remember very well what it felt like when 1 of my 2 pregnancies ruptured, and this isn t it (yet) I wasn t as far along as I am now but I am concerned I am at a greater risk for another ruptured pregnancy and/or heterotopic the same way eptoptic pregnancies are more common after having one? And if so is what I m experiencing the possible warning signs of something going wrong or something I can wait to discuss in an appointment I won t be able to get to until week after next?

### output:

Hello dear, welcome to Ask a doctor service. I reviewed your query and here is my advice. You should necessarily visit an obstetrician for visit and ultrasound. Since you have a history of ectopic pregnancy and abortion the risks of ectopic and abortion are greater, but the cause of pain can't be evaluated without ultrasound. Hope I have answered the question. Let me know if I can assist you further.