Well at 4 months you would be 16+ weeks pregnant so you could be, but it wouldn't be Ectopic. Your tube would have burst at this point due to the size of the child. Symptoms of Ectopic would be extreme pain, bleeding, etc.
i had an ectopic pregnancy before and i was 5 weeks when i found out. i had to use the restroom i was at home, my bf was there. when i went to use the rest room i had sever pelvic pain and pressure i couldn't urinate. i started to get really faint and lie down on the bathroom floor. My bf called the ems, i got to the hospital shortly after examination i was rushed into emergency surgery. they told me my tube was ready to burst. i dont believe you would have an ectopic and be 4 mo and not know it. it's a pain id never forget.
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