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
Seek emergency help for:
Fainting, confusion, severe weakness, or difficulty staying awake
Trouble breathing or very fast breathing
Severe or rapidly worsening abdominal or pelvic pain
Heavy bleeding, especially with dizziness or weakness
Cold, clammy, pale, or mottled skin
A very fast heartbeat with fever or feeling seriously unwell
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
Arrange prompt, same-day medical assessment if you have fever, worsening pelvic pain, unusual discharge, or unexpected bleeding after childbirth, miscarriage, abortion, IUD insertion, or another uterine procedure.
Also seek prompt care for pelvic pain with fever, pain during sex, bleeding between periods, or possible exposure to a sexually transmitted infection.
If you are pregnant and develop these symptoms, contact your maternity service urgently.
These symptoms may indicate severe bleeding, sepsis, or another urgent condition.
3
Does any of this apply?
Book an appointment
Routine follow-up is appropriate if treatment has finished and you feel well but want to discuss persistent spotting, mild discomfort, fertility concerns, or sexual health retesting.
Every sign above is quoted from the sofidex article on Endometritis. If you are not sure, err upward — it is always reasonable to be checked.