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Warning-sign checks

Abnormal uterine bleeding: 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

    Seek emergency help for bleeding with fainting, confusion, severe weakness, chest pain, trouble breathing, or cold, clammy skin.

    Also seek emergency care for severe or worsening pelvic pain when pregnancy is possible, particularly with shoulder pain, faintness, or one-sided pain.

    And for anyone, someone who:

    • is bleeding heavily and it will not stop with firm pressure
    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 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

    Get same-day medical advice if you soak through a pad or tampon every hour for two hours, especially with dizziness or breathlessness.

    Prompt advice is also needed for bleeding during a known or possible pregnancy, or bleeding with fever, severe pain, or foul-smelling discharge.

  3. 3

    Does any of this apply?

    Book an appointment

    Book an appointment if bleeding:

    • Keeps returning or becomes heavier
    • Lasts longer than your usual period
    • Happens between periods or after sex
    • Disrupts sleep or daily activities
    • Causes possible symptoms of anaemia
    • Begins after menopause

The article also says

Light postmenopausal bleeding is not usually an emergency if you otherwise feel well, but it should be checked promptly.

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