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
Seek urgent or emergency care for sudden severe pelvic or abdominal pain, heavy bleeding with weakness or fainting, chest pain, severe shortness of breath, or new neurological symptoms.
These are not usual features of ovarian hyperthecosis but may signal another serious problem.
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 prompt medical assessment if changes progress quickly over several months, particularly:
Rapid voice deepening
New clitoral enlargement
Rapidly increasing coarse hair
A marked increase in muscle
Any bleeding after menopause
Rapid virilization can have several causes, including an ovarian or adrenal tumour, and should not wait for a routine check months away.
3
Does any of this apply?
Book an appointment
Arrange a routine medical appointment if you develop increasing facial or body hair, persistent acne, scalp hair thinning, or irregular periods.
These symptoms have many possible causes and do not by themselves mean that you have ovarian hyperthecosis.
Every sign above is quoted from the sofidex article on Ovarian hyperthecosis. If you are not sure, err upward — it is always reasonable to be checked.