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 collapse, severe breathing difficulty, confusion, or uncontrolled bleeding.
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 advice sooner if bleeding is increasing or causing tiredness or dizziness.
Contact your healthcare team promptly if known hyperplasia causes new symptoms, existing symptoms worsen, or you miss planned monitoring.
Seek urgent medical care if you:
Cannot pass urine despite a painful or full-feeling bladder
Have heavy bleeding with faintness, marked weakness, or shortness of breath
Develop severe pain, fever, vomiting, or rapidly increasing swelling
Have signs of a serious hormone or salt imbalance, such as confusion, collapse, or severe dehydration
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you develop a new lump, persistent swelling, changes in urination, enlarged or bleeding gums, or unexplained changes that may relate to hormones.
A new pathology result mentioning atypia also needs timely follow-up, but it is not usually an emergency by itself.
The article also says
Vaginal bleeding should be assessed if it is unusually heavy, repeatedly occurs between periods, develops after sex, or happens after menopause.
Every sign above is quoted from the sofidex article on Hyperplasia. If you are not sure, err upward — it is always reasonable to be checked.