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Warning-sign checks

Premature ovarian failure: when to get help

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. 1

    Is any of this happening now?

    Call 911

    Get urgent or emergency help if you have:

    • A positive pregnancy test with one-sided pelvic pain, shoulder pain, bleeding, dizziness, or fainting
    • Very heavy vaginal bleeding, especially with weakness or faintness
    • Sudden severe abdominal or pelvic pain
    • Thoughts of harming yourself or feeling unable to stay safe
    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. 2

    Is any of this happening?

    Be seen today

    Seek review sooner if the change followed cancer treatment or pelvic surgery.

    Contact a healthcare professional promptly if you have unexpected or persistent bleeding, new pelvic pain, troubling treatment side effects, or symptoms of a thyroid or adrenal condition.

    Severe weakness, repeated vomiting, marked dizziness, or faintness need urgent assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if you are under 40 and your periods have become irregular or stopped for several months, especially if you also have hot flushes, vaginal dryness, or difficulty becoming pregnant.

The article also says

POI itself is not usually an emergency.

Pain or bleeding during pregnancy can have several causes, including an ectopic pregnancy, in which a pregnancy develops outside the uterus.

Every sign above is quoted from the sofidex article on Premature ovarian failure. If you are not sure, err upward — it is always reasonable to be checked.