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Warning-sign checks

Bilateral polycystic ovarian 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

    Emergency care is appropriate for severe pain with fainting, shoulder pain, heavy bleeding, or a possible pregnancy.

    These symptoms can occur with internal bleeding or an ectopic pregnancy.

    Immediate help is also needed for thoughts of suicide or self-harm.

    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 prompt medical care for very heavy bleeding, especially if it causes weakness, dizziness, shortness of breath, or fainting.

    Sudden severe pelvic or abdominal pain also needs urgent assessment because it is not a typical PCOS symptom.

  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up should review menstrual patterns, current symptoms, treatment effects, pregnancy goals, and emotional well-being.

    Blood pressure should be checked, and glucose and cholesterol testing may be repeated based on initial results and individual risk.

    Contact a clinician for routine evaluation if periods remain very infrequent, bleeding changes significantly, unwanted hair or acne worsens quickly, or treatment causes troublesome side effects.

    New snoring, daytime sleepiness, depression, anxiety, or concerns about eating should also be discussed.

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