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
Go to an emergency department or call emergency services if you have:
Sudden, severe pelvic or lower abdominal pain
Severe pain with repeated vomiting
Fainting, marked dizziness, confusion, or severe weakness
Pale, cold, or clammy skin
Rapid breathing or a racing heartbeat with severe pain
Heavy bleeding or signs of shock
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 same-day medical advice for new or worsening pelvic pain, especially if you also have fever, vomiting, unusual bleeding, or could be pregnant.
Pelvic pain or bleeding during pregnancy needs prompt assessment because an ectopic pregnancy can have similar symptoms.
These symptoms can occur with ovarian torsion, significant internal bleeding, or another urgent abdominal condition.
3
Does any of this apply?
Book an appointment
Arrange a routine appointment if you have pelvic pain, persistent bloating, pain during sex, new urinary pressure, or menstrual changes that do not settle.
Follow-up is also important if a previously identified cyst is being monitored or your symptoms have changed.
Every sign above is quoted from the sofidex article on Ovarian cysts. If you are not sure, err upward — it is always reasonable to be checked.