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Warning-sign checks

Adenomyosis: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency care for very heavy bleeding accompanied by fainting, marked dizziness, chest pain, shortness of breath, confusion, or severe weakness.

    Sudden severe pelvic pain, especially with a positive pregnancy test or possible pregnancy, also needs emergency assessment because conditions such as ectopic pregnancy must be ruled out.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Arrange prompt medical advice for worsening pain, increasingly heavy bleeding, signs of anemia, or possible medication or procedure complications.

    Contact the treating team after a procedure if there is fever, worsening pelvic pain, foul-smelling discharge, or bleeding that is heavier than expected.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up helps determine whether bleeding, pain, and anemia are improving.

    The timing depends on the treatment and symptom severity.

    A clinician may repeat blood tests if anemia or iron deficiency was present.

    At follow-up, discuss medication side effects, changes in bleeding, pain between periods, pain during sex, and whether symptoms still limit normal activities.

    New bleeding after menopause, bleeding after sex, or a major change in the usual pattern should be evaluated rather than assumed to be adenomyosis.

Every sign above is quoted from the sofidex article on Adenomyosis. If you are not sure, err upward — it is always reasonable to be checked.