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
Is any of this happening now?
Call 911
Call emergency services for very heavy bleeding with fainting, difficulty breathing, chest pain, confusion, or severe pain with collapse.
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
Is any of this happening?
Be seen today
Seek urgent same-day advice for:
Fever or chills
Worsening pelvic or abdominal pain
Foul-smelling vaginal discharge
Bleeding that rapidly soaks through pads
Dizziness or weakness with ongoing bleeding
3
Does any of this apply?
Book an appointment
Contact your healthcare team during routine hours if spotting or cramping lasts longer than your instructions indicated, your original bleeding continues, or you have not received results by the expected date.
Every sign above is quoted from the sofidex article on Endometrial biopsy. If you are not sure, err upward — it is always reasonable to be checked.