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 or go to an emergency department if pelvic pain is sudden or severe, especially with:
Fainting, severe dizziness, confusion, or clammy skin
Heavy vaginal bleeding
A positive pregnancy test or possible pregnancy
Severe testicular pain or swelling
A rigid or very tender abdomen
Trouble breathing or severe weakness
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 same-day medical advice if the pain is worsening or occurs with fever, repeated vomiting, difficulty passing urine, blood in urine or stool, unusual vaginal discharge, or moderate bleeding.
Pain during a possible pregnancy also needs prompt assessment, even without a confirmed pregnancy test.
And for anyone, someone who:
has abdominal pain that is severe, constant, or getting worse
3
Does any of this apply?
Book an appointment
Book a routine appointment if the pain lasts, keeps returning, becomes more frequent, or affects sleep, sex, work, exercise, or other daily activities.
Also arrange care if periods become much more painful or if you develop ongoing bowel or bladder changes.
Every sign above is quoted from the sofidex article on Pelvic pain. If you are not sure, err upward — it is always reasonable to be checked.