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 bleeding that does not stop
Fainting, severe weakness, or confusion with bleeding
Sudden shortness of breath or chest pain
Severe breathing difficulty or signs of a serious allergic reaction during treatment
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
If you have already been treated for vulvar cancer, contact your cancer team promptly about a new vulvar lesion, groin lump, increasing leg swelling, or unexplained bleeding.
After surgery or radiation, seek same-day medical advice for fever, worsening redness, pus, a wound that opens, increasing pain, difficulty passing urine, or sudden new swelling.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you notice vulvar itching, soreness, a lump, an ulcer, bleeding, or a skin change that lasts for more than a few weeks.
Seek an earlier review if a symptom is worsening, keeps returning, or has not improved after treatment for another condition.
And for anyone, someone who:
has noticed a lump, a mole that has changed, or unexplained weight loss
The article also says
Most vulvar symptoms are not emergencies.
They still deserve assessment when they persist.
Every sign above is quoted from the sofidex article on Vulvar cancer. If you are not sure, err upward — it is always reasonable to be checked.