Abstract : Ectopic pregnancy occurs when a fertilized ovum implants outside the uterine cavity. In India, the incidence of ectopic gestation ranging from 1-2 %. Risk factors include a history of pelvic inflammatory disease, cigarette smoking, fallopian tube surgery, previous ectopic pregnancy, and infertility treatment. Ectopic pregnancy should be considered in any patient presenting early in pregnancy with vaginal bleeding or lower abdominal pain in whom intrauterine pregnancy has not yet been established. In early pregnancy, an increase in serum Hcg of less than a minimum threshold in 48hours is suggestive of abnormal pregnancy. Hcg consistent with a growing or resolving gestation do not eliminate the possibility of an ectopic pregnancy. Here, we are discussing two case reports of ectopic pregnancy- A 21 years old women who is a Gravida 3 Para 2 Live 1 with 4 weeks of amenorrhea and right sided abdominal pain. Her Urine pregnancy test turned out to be weekly positive with low beta Hcg value of 155.90 m IU/ml. A 29 years old women who is a Gravida 6, Para 2 Living 2 Abortion 3 with previous 2 LSCS with 4 weeks of amenorrhea, abdominal pain and bleeding per vaginum with high levels of Beta Hcg – 28,629m IU/ml. This illustrates the ongoing clinical diagnostic challenges associated with ectopic pregnancy. The rarity of this disease, together with the diagnostic dilemma and surgical challenges which it poses, makes Ectopic Pregnancy challenging to manage.