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Warning-sign checks

Premenstrual syndrome: 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

    Contact local emergency services or a crisis service, and stay with a trusted person if possible.

    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 urgent help if you are having thoughts of self-harm or suicide, feel unable to keep yourself safe, or believe you may act on these thoughts.

    Urgent assessment is also appropriate for severe new pelvic pain, fainting, or heavy bleeding accompanied by weakness, breathlessness, or dizziness.

    These are not typical PMS symptoms.

  3. 3

    Does any of this apply?

    Book an appointment

    Arrange a routine appointment if symptoms repeatedly affect work, study, sleep, relationships, or usual activities.

    You should also seek advice if self-care has not helped, symptoms are getting worse, or you think you may have PMDD.

    Routine assessment is also appropriate if symptoms occur throughout the month, periods have changed, or you have significant pelvic pain or bleeding.

    These features may have another cause and should not automatically be assumed to be PMS.

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