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
Get emergency help for heavy vaginal bleeding accompanied by fainting, marked weakness, chest pain, shortness of breath, or difficulty staying awake.
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 medical assessment for sudden or severe pelvic pain, especially with vomiting, fever, faintness, or possible pregnancy.
PCOS itself usually does not cause sudden severe pain, so another condition such as ovarian torsion, a ruptured cyst, or an ectopic pregnancy may need to be ruled out.
If you are receiving fertility treatment, follow the clinic’s urgent advice for severe abdominal swelling or pain, rapid worsening of symptoms, breathing difficulty, or reduced urination.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if:
Your periods are repeatedly very irregular, more than about three months apart, or absent
Unwanted hair growth, acne, or scalp hair loss is affecting you
You are trying to become pregnant and periods are irregular
You have symptoms of high blood sugar, such as persistent thirst or frequent urination
Snoring, breathing pauses during sleep, or daytime sleepiness are a concern
You feel persistently low, anxious, distressed about eating, or overwhelmed by symptoms
Every sign above is quoted from the sofidex article on Polycystic ovary syndrome. If you are not sure, err upward — it is always reasonable to be checked.