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 severe bleeding, fainting, collapse, or intense pain with signs of serious illness.
If sexual contact was forced or occurred without consent, emergency and sexual assault services can provide medical care and support.
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 symptoms that are not typical of vaginismus, including:
Sudden or severe pelvic or abdominal pain
Heavy vaginal bleeding, especially with weakness or fainting
Pain or bleeding during pregnancy
Fever with pelvic pain or foul-smelling discharge
Feeling very unwell after a tampon or other object has been retained
A recent genital injury
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if penetration is repeatedly painful, difficult, or impossible, or if fear of pain is affecting sex, tampon use, screening, or medical examinations.
You do not need to wait until symptoms are severe.
Routine follow-up is also appropriate if treatment is not helping, symptoms return, or pain begins to occur outside attempted penetration.
The article also says
Vaginismus itself is not an emergency.
Every sign above is quoted from the sofidex article on Vaginismus. If you are not sure, err upward — it is always reasonable to be checked.